title: Team focuses on needs of the elderly.
abstract: Scottsdale Health System has seen a decrease in readmissions and emergency department visits among the elderly since the three-hospital system brought together all the community organizations and agencies to collaborate on improving transitions. The organizations began meeting regularly and educating each other on what services they provide, the challenges they face, and the boundaries they must observe. They developed a way to share data so each participating entity knows what interventions and services an individual receives from the other organizations. The collaboration has improved employee satisfaction among the participants because the staff no longer feel they are operating in silos and are able to get a full picture of what's happening with the senior with whom they are working.
mesh_terms: D000368:Aged; D001130:Arizona; D019058:Community Networks; D003266:Continuity of Patient Care; D003299:Cooperative Behavior; D005851:Geriatric Nursing; D006301:Health Services Needs and Demand; D006801:Humans; D009096:Multi-Institutional Systems; D019982:Organizational Case Studies