Dear NTOCC Community,
I would like to take this portion of the IMPACT to update you on some important changes within the NTOCC Leadership. I am pleased to announce the 2017 NTOCC Governing Board:
James Lett II, M.D., CMD-R, President,
Norris Turner, Secretary/ Treasurer, and our Directors
Ed Davidson, PharmD, MPH, Director
Robyn Golden, LCSW, Director
Jackie Vance, RNC, BSN, IP-BC, CDONA/LTC, FACDONA
The Board has established 4 strategic initiatives for 2017:
Increase sponsorship opportunities with new partners
Expand the development of additional Transition of Care Pathways
Focus on policy issues related to Acute Care/Hospital Readmissions, Post-Acute, Long-term Care, and Mental Health where poor transitions of care increase risk for providers, patients and family caregiver
Grow our communication efforts through webinars, all member calls, IMPACT Newsletters, and policy ALERTS with the NTOCC community including social media interactions
NTOCC will continue to focus on what is needed across public policy, tools and resources to improving transitions of care. As we move into summer NTOCC will focus its policy efforts on ensuring that new legislation or regulations are working to support and improve care coordination and especially the exchange points for transitions.
Ensuring that hospital transitions whether to home or to post-acute are supported through strong clinical and non-clinical assessments of medication management, patient engagement, timely transfer of information, follow up care, and appropriate transition plans shared with the patient and family caregiver. To support that effort NTOCC will build education and awareness about the Seven Essential Intervention Categories in the Care Transition Bundle which can be found at www.ntocc.org listed within the educational Compendium.
We know that when applying the interventions of the Care Transitions Bundle collaborative care teams improve not only communication with each other and their patients and family caregivers but improve patient safety with addressing clinical and non-clinical outcomes.
In 2016, two new transitions of care (TOC) pathways were released in pulmonary diseases, building upon NTOCC’s Seven Essentials care transition interventions. Safer Transitions, Fewer Re-hospitalizations with PAH and Better Transitions of Care to Bridge Gaps, Reduce Hospitalizations and Readmissions in IPF cover essential interventions and pathways designed to ensure effective and safe TOC for patients with pulmonary arterial hypertension (PAH) and idiopathic pulmonary fibrosis (IPF) across healthcare settings.
Each guide highlights practical strategies and tools for coordinating care with the interdisciplinary team tailored to the unique needs of patients with PAH and IPF. Both guides are accredited for ACCME, ANCC, ACPE, and CCM, and can be downloaded at: www.primeinc.org/pah and www.primeinc.org/ipf.
Development of these new pathways was also highlighted in a 2017 article in Professional Case Management, entitled “Integrated Transitions of Care for Patients with Rare Pulmonary Diseases” (Moreo K, et al. Prof Case Manag. 2017;22(2):54-63).
This year, NTOCC, CMSA, and PRIME are partnering again to develop a new pathway to improve TOC for patients with heart failure, who also experience care across multiple settings throughout the course of disease and high rates of preventable hospitalizations. Select health systems who adopt the pathway into practice will have the opportunity to capture real-world data on improvements in medication reconciliation, workflow processes, care coordination, and other TOC processes using NTOCC’s Measurement Platform.
If your health system is interested in learning more about this unique opportunity, please contact NTOCC at 501-240-4677 or PRIME at 954-718-6055.
I hope you will join us on May 16th at 12pm CDT for the NTOCC All Member Webinar. We have provided that information for you at the end of the Policy & Advocacy Update above.