ACMA leads the practice by introducing Advanced Care Transitions Simulation (ACTS). This simulation program will transform orientation and professional development for your case management team.
ACTS is focused on improving care transitions through assessment, communication, planning and collaboration. It leverages unique, team-based simulations of patient scenarios and enhances care coordination and critical thinking.
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Transition from ED to SNF, Advance Beneficiary Notice (ABN) emphasis
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Virtual simulation adaptations and discussion guides included in all simulation activities
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Transitions of Care Standards incorporated throughout all simulations
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ACO/Bundled Payments for Care – transitional care management from PCP to home health
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Elder abuse in emergency departments
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Delivering the Medicare Outpatient Observation Notice (MOON)
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Stroke admission and skilled nursing facility transfer
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Advance care planning videos in both ambulatory and acute care settings
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Improve individual and team communication, planning and collaboration.
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Develop new case managers’ solid case assessment and care transitions skills.
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Support preceptors and challenge experienced case managers.
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Updated user guides to reflect ACTS best practices
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Improve communication and relationships with post-acute partners—such as Home Health and Skilled Nursing—as well as ambulatory, disease management and others.
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Identify gaps and opportunities in post-acute transitions.
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Demonstrate opportunities to connect the dots across the care continuum with longitudinal care plans.
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Advance from an episodic focus to an enterprise, longitudinal case management view.
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