Transitions of Care Bi-Monthly Meetings

The “Transitions of Care” zoom meeting’s goal is to improve communication between case management and community providers, especially related to readmissions and start of care following a hospital visit.   The meeting is facilitated by Amy Schmidt, however, this meeting has contributions from multiple case managers from several Oregon and Washington hospitals. It is an open invitation for any case manager to join the discussion. Some may join only once, some participate in only specific topics, a few routinely listen but only participate by chat box,  – any/all levels of participation are welcome. Initially the calls were geographically specific, but we found that many issues overlapped regardless of region. Now, all Oregon & Washington providers meet together on the 1st Tuesday of EVEN months at 11:30am.  This ZOOM call provides thirty minutes of engagement with hospital case management staff, followed by 15 minutes of provider discussion if needed. Any case manager or provider can send agenda topics to  Amy Schmidt.

Next meeting: August 6, 11:30am

(please send any agenda items)

Zoom Meeting link:

Meeting ID: 503 505 5865
One tap mobile
+16694449171,,5035055865# US

Resources shared on the June 4th zoom call:

The June 4th meeting was recorded RE: “Working with Senior Living & Referral Agency at Discharge”  (we do not typically record these zoom meetings, but we recorded this one due to the different subject matter and because it was a longer zoom)


Resources from past meetings:

View Client/Resident Transfer Form
Download Client/Resident Transfer Form

Save the dates, Every 2 months on the First Tuesday,

August 6, 11:30am