Lost in Transition: Managing High-Risk, High-Cost Patient Pathways

Care coordination often breaks down during transitions—when patients move between hospitals, skilled nursing facilities, and other post-acute settings without timely, shared context. In this episode of Collision Point, PointClickCare’s Dr. Hamad Husainy joins Steve Rottmann, CEO of Wisconsin Statewide Health Information Network (WISHIN), to discuss how statewide data exchange and real-time alerts are closing those gaps, improving visibility, decision-making, and coordination across the care continuum.

The first 90 days can make or break resident satisfaction. In this episode of Collision Point, PointClickCare's Kristy Yoskey and Candice Marcks of Areté Living reveal how to cut paperwork and ease family anxiety to turn the resident move-in process into a more stress-free, welcoming experience.

In this episode, we explore how artificial intelligence (AI) is reshaping care delivery. From machine learning to generative AI, we discuss its impact on clinical efficiency, risk analysis, and real-world outcomes. We also examine adoption challenges and highlight the unique potential of AI in long-term post-acute care (LTPAC). 

In this episode of Collision Point, we pull back the curtain on how forward-thinking healthcare organizations, such as Ascension, are transforming post-acute care. We’ll delve into the key data metrics that set top-performing networks apart, uncover strategies to streamline care management workflows, and share tips for building strong relationships with post-acute partners. 

On this episode of Collision Point, Dr. Steve Buslovich and Dr. Robert Russell dive into the real-world challenges of care collaboration between healthcare facilities and practice groups. From communication gaps to tech-driven solutions, they unpack strategies that can strengthen partnerships, boost efficiency, and elevate patient care.

Navigating care transitions for high-risk patients is challenging—and costly. It’s estimated that up to $45 billion is spent annually on avoidable complications and unnecessary readmissions, often due to poor management of care transitions. In this episode, we’re cutting through the noise and diving deep into the real strategies top healthcare organizations use to master care transitions.

In this episode, we dive into the future of Centers for Medicare & Medicaid Services (CMS) reimbursement and what the new Transforming Episode Accountability Model (TEAM) initiative means for post-acute care transitions. With steep penalties on the line, healthcare organizations are gearing up to leverage this model to boost patient outcomes, optimize workflows, and cut costs. We’ll unpack strategies to lower overall care episode spending through smarter transitions and stronger skilled nursing facility (SNF) partnerships, and break down the keys to streamlining care management for long-term success. 

In this episode of Collision Point, Murry Mercier and Kristy Yoskey discuss the shift toward total wellness in senior living. They explore the importance of healthcare coordination, the role of technology in improving resident outcomes, and how senior living providers can adapt to meet growing demands for integrated care. 

Join Candice Theroux and Dr. Steve Buslovich in this episode of Collision Point as they explore the future of technology in senior care. Discover how advancements in data sharing, interoperability, and AI can revolutionize care coordination and enhance value-based care models. Tune in for insights on overcoming current challenges and driving meaningful change in healthcare!

In this episode of Collision Point, Angeline Pleunis, Vice President of DEI and Sustainability at PointClickCare, sits down with Orysia Semotiuk, Chief People Officer, to discuss the evolving landscape of Diversity, Equity, and Inclusion (DEI) in organizations. They explore why DEI remains a critical driver for business success, the shifting expectations of today's workforce, and how organizations can adapt to retain top talent in a hybrid environment. Tune in for insights on fostering inclusive cultures, meeting employee needs, and shaping the future of work.