New Jersey Health Initiatives - A Better State of Health
A Robert Wood Johnson Foundation Program
Implementing systems to manage transitions in care and reduce hospital readmissions.
2011
Matheny Medical & Educational Center
Closed
Implementing systems to manage transitions in care and reduce hospital readmissions.
Matheny Medical & Educational Center
2011
Closed
Grant Award Amount
$300,000

Matheny Medical and Educational Center is developing, with the cooperation of its acute care partners, a model to improve transitions to and from acute care hospitals for persons with multiple chronic conditions associated with developmental conditions such as cerebral palsy, spina bifida, Lesch-Nyhan disease and autism spectrum disorders. The project will incorporate the use of a nurse specifically dedicated to ensuring a smooth and effective transition among care settings, and the transmittal of important information about patient care needs via a “mini-medical record,” dubbed the “Transition Medical Record.”

Project
Improving the Health Care Transition Process for Persons with Developmental Disabilities & Medically Complex Conditions
Topics
Grant Recipient
Key Contact
Gary Eddey
Chief Medical Officer
(908) 234-0011
Counties Served
View All: NJHI: 2011: Transitions in Care