Thought Leader Podcast Series: Social Determinants of Health and Transitional Care


In the latest installment of our thought leader podcast series, I chat with Billie Lynn Allard, MS, RN, and Jennifer Fels, RN, MSN, co-founders of Southwestern Vermont Medical Center's transitional care program. Allard and Fels explain how they designed a program that addresses recurring gaps in care caused by social determinants of health in their rural community. 

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Topics: Population Health, Patients, Social Determinants

Tips to prevent readmissions using your EHR


The first of the 78 million baby boomers turned 70 last year, and the rest will do so in the next two decades. This aging population and an increase in chronic disease leads to rising readmission rates. And an industry emphasis on population health and patient engagement makes the need for reducing readmissions all the more important. Striving to reduce readmissions and keep patients healthy outside the hospital walls will further drive the shift from hospitals and nursing homes to care in the home, and from treatment to proactive care and monitoring.

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Topics: Home Care, Nursing, Patients

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