News and EventsWednesday, October 15, 2014
COA Care Transitions helps patients understand meds and take them correctly
When COA health coaches visit newly discharged hospital patients in their homes, they are often presented with a basket of medications to help sort out. Patients are often confused when, after a stay in a hospital or nursing home, they have new prescriptions plus old prescriptions.
That was the case with COA Care Transitions client, Bill, age 84. Bill has had more than 10 operations since 1988 to clear blockages in his heart. But he was in the hospital for other health problems when our health coach first met him. When he was discharged to a nursing facility, she spoke with him again there and then met with him a week later when he finally returned home.
By that time, he had accumulated enough medications to fill a basket. “I had so many bottles of medicine - new ones and old ones – it was a mess,” Bill said. “She (health coach) helped me figure it all out and we made a list and all. We got it down pat now.”
Lack of compliance with medical instructions – including medication mix-ups – is one of the main reasons people return to the hospital within days or weeks of being discharged. Care Transitions is designed to stop this expensive and preventable revolving door in and out of the hospital.
The COA health coach, Jill Cloud, is based at Clinton Memorial Hospital. COA has coaches connected with nine hospitals as part of its Care Transitions program. Care Transitions is a health coaching and intervention program in Greater Cincinnati for older adults who have been hospitalized for serious and usually chronic conditions, such as heart failure. It is designed to:
The program is a 30-day intervention that is part of Medicare benefits. It involves a home visit and three follow-up phone calls. The intervention helps patients:
To be eligible to participate in Care Transitions, the patient must be: