July 16, 2024: In this episode of TownHall, Karla Arzola, CIO of Rocky Mountain Human Services, welcomes Brooke Brown, nurse navigator at Magnolia Regional Center, to discuss the challenges and successes of implementing a nurse navigation program for congestive heart failure patients. How does bridging the gap between inpatient and outpatient care improve patient outcomes? What are the key factors driving hospital readmissions, and how can healthcare providers better support patients in managing chronic conditions at home? Brooke shares insights into the effectiveness of follow-up calls and personalized care plans, emphasizing the importance of patient education and continuous support. As the conversation unfolds, Brooke reflects on the collaborative efforts required to build a successful program and the potential for expanding these practices to other chronic conditions. What lessons can be learned from Magnolia's approach, and how can other healthcare organizations replicate their success?

Key Points:

1. 00:00 Meet Brooke Brown: Nurse Navigator
2. 02:18 The Nurse Navigation Program
3. 07:04 Empowering Patients Through Education
4. 10:26 Leveraging Technology for Better Outcomes
5. 15:38 Future Directions and Closing Remarks

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