Transitional Care Management – Hospital to Home

Speaker:
Prof Pamela W. Duncan, PhD
Professor of Neurology and Director of Transitional Outcomes for Wake Health in
Winston Salem, North Carolina, USA

Host:
Prof David Matchar, MD
Professor and Director
Program in Health Services & Systems Research (HSSR)

Date:
Thursday, 10 May 12

Time:
1:00PM – 2:00PM

Enquiry:
Please contact Jerin Goh at email: jerin.goh@duke-nus.edu.sg OR Tel: 66011439

About the Lecture:
Elderly patients who transit from hospital to home are highly vulnerable for functional decline, adverse events, and re-hospitalizations.   The objectives of this lecture are to:
• Identify transitions of care as high-risk for older adults and those with high comorbidity
• Describe patient-level and systems-level risk factors for adverse events during transitions of care
• List examples of evidence-based interventions that reduce unplanned re-hospitalizations and adverse events during transitions of care
• Recognize and embrace the role of an  inter-professional team  in achieving safe transitions
• Describe system level changes required to implement effective transition care management

About the Speaker:
Dr Pamela W. Duncan is a nationally and internationally renowned physical therapist, epidemiologist and faculty member of Wake Forest University.  She is currently Professor of Neurology and Director of Transitional Outcomes for Wake Health in Winston Salem, North Carolina. Her secondary appointments are in the Division of Geriatrics and Gerontology, Division of Public Health Sciences, and the Translational Sciences Institute.

Dr. Duncan’s research interests reflect the many contributions she has made to the field of stroke, rehabilitation, and aging. Her current focus is on the implementation of better strategies to improve functional status and reduce hospital admissions through the development of more integrated care across the continuum. She is the principal investigator of the largest NIH trial in post stroke rehabilitation, The LEAPS trial. She serves on numerous advisory panels and most recently was appointed by the NIH director to serve on NIH National Medical Rehabilitation Research Advisory Board. She has been an author of evidence based guidelines for post-acute stroke care, physical activity in the elderly, and falls prevention guidelines. In addition, Dr. Duncan is a past recipient of numerous awards including the American Physical Therapy Association Mary McMillan Award, the National Rehabilitation Hospital John W. Goldschmidt Award for Excellence in Rehabilitation and the American Heart Association Stroke Council Award.