April, 2013 – In keeping with its promise of innovative healthcare, Royal Braintree Nursing and Rehabilitation Center has appointed registered nurse Barbara Blaney to the position of Transitional Care Coordinator, case managing all short term admissions at the facility.
In the ever-changing world of skilled nursing, there is increasing emphasis on the continuity of care at all stages of a patient’s experience with health care providers. In her new role, Barbara will be responsible for managing all of Royal’s short term patients from admission to discharge, and in most cases, following them at home as well.
Barbara has filled many different roles in her 15 years at the facility, including staff nurse, unit manager and shift supervisor, most recently managing Royal Braintree’s memory care unit. In her new role as Transitional Care Coordinator, Barbara will fully assess a patient upon admission, monitor their progress daily, and coordinate a discharge plan with the home health agency, with the goal of avoiding rehospitalizations, and getting the patient home in a timely manner.
“The key is getting everyone on the same page for a continuing care plan at home, and to that end, it’s critical to learn as much about the patient as possible,” said Barbara. “Daily visits are a big part of that, because when a patient feels comfortable with the caregiver, you will likely get a much more accurate picture of how he or she is truly feeling. It’s all about trust.”
Barbara will also act as a patient advocate in dealing with insurance issues, and educate the patient on how best to manage the medical conditions that initially brought them to the facility.
“I am pleased that Barbara has taken on this new role for us,” said Royal Braintree Executive Director Todd Funk. “Our industry has entered a new phase with the accountable care model, and coordinating patients’ care as they transition from hospital, to rehab, and eventually to their homes again works to the benefit of all parties involved, especially the patient.”