Transitioning between care settings can be disruptive to patients. However, by working in concert to create a more seamless flow, the providers dedicated to caring for patients can create a more seamless transition across the health care continuum. 

With this goal in mind, Western Reserve Hospital and Hospice of the Western Reserve have entered a new collaborative relationship to more closely coordinate palliative, hospice and end-of-life care for the organizations’ respective patients as they transition between care locations in the community.

All providers share the universal goal of maximizing satisfaction and reducing hospital readmissions so the benefits of the program are also extended to post-acute care settings where patients live and receive care at their facilities of choice.

Benefits of the collaboration include:
o Accessible Palliative Care expertise to patients with serious illness to provide the highest quality of life early in the trajectory of their serious illness.

o Western Reserve Navigator (WRN) services to provide on-site palliation or management of acute medical symptoms for patients. WRN is a community-based palliative care program that aligns with the National Consensus Guidelines for Quality Palliative Care. WRN partners with the attending physician and his/her health care team to provide an added comfort care component that improves patient outcomes. 

o Vital communication linkage between care providers seeking optimum outcome for their patients 

o Earlier and more effective engagement with patients regarding palliative and hospice care treatment options.

o Joint participation in measurement of quality measures to improve patient outcomes.

o Enhanced coordination of the community resources available to patients and families to further enhance their care and comfort.

o The availability of comprehensive palliative and hospice care education for post-acute care provider staff.

To learn more or schedule a meeting for your facility or practice administration, contact the Provider Relations Team at 216.502.4440 or email cstrang@hospicewr.org.