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Wesley Village - A Story of Planetree Continuing Care Implementation

Spotlight on Transitional Experiences




In 2009, Wesley Village set a goal of enhancing communication and logistics among intra-campus community settings.  In the spirit of creating successful transitional experiences for campus residents who are moving from one level of care to another, staff dismantled internal silos by opening up communication and sharing information, and transitional experiences began improving. 

As this process evolved, it soon became clear that hospitals, home care agencies, primary care providers, and other groups needed to join the conversation.    To facilitate comprehensive care planning and give practitioners the most current information about a resident's or patient's clinical status, goals and preferences, Wesley Village implemented several initiatives as part of this Transitions of Care program, including assembling a task force consisting of representatives from its own organization and local hospitals.  Bishop Wicke Health Center partnered with Planetree affiliate and neighbor Griffin Hospital to improve the care and outcomes for patients with congestive heart failure.  As Wicke and Griffin met success, they expanded their partnership to include the Connecticut Hospital Association and Qualidigm, the peer review organization for Medicare. This innovative and successful pilot program has now expanded to additional settings, including home health agencies and physician offices.

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