Matheny Pilot Program Keeps Vulnerable Residents out of the Hospital

Two Alliance members, Dr. Gary Eddey and Dr. Ken Robey, along with other staff at the Matheny Medical and Educational Center and partnering acute care hospitals, have been working to improve the health care transition into and out of the acute care hospital for adults with developmental disabilities and medical complexity.  Their recent project, funded by the Robert Wood Johnson Foundation, involves a transition nursing program to ensure that the individual’s chronic as well as acute care needs are met.  Beyond care coordination, the transition nurse’s role is largely one of educator, preparing acute care staff to serve this unfamiliar and challenging patient population.

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