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About the BrightStar Clinical Pathways Care Program

Care plans to reduce hospital readmissions in North York

BrightStar RN Clinical Pathways Coordinator with Client1 in 5 people diagnosed with chronic illnesses like heart failure, chronic obstructive pulmonary disease (COPD), or who have suffered heart attacks, pneumonia, or injuries from falls is rehospitalized.

Hospital readmissions are often necessary because people need assistance with both the simple and complex care needs that these illnesses require or cannot accurately communicate her/his condition and symptoms to their caregivers or physicians.

Fortunately, many of these returns trips can be prevented with an in-home care program that includes proper education and supervision. That’s where BrightStar Clinical Pathways(SM) comes in.

Need help managing a chronic illness? Call your local BrightStar office serving North York to find out if our Clinical Pathways program is right for you.

How Clinical Pathways empowers patients to manage their chronic illnesses

BrightStar RN Clinical Pathways Coordinator with CaregiverBrightStar Clinical Pathways(SM) is a time-limited, evidence-based, condition-specific care program focused on empowering the client to better manage her/his chronic illness through the active involvement and oversight of our RN BrightStar Clinical Pathway Coordinator and our specially trained care team in collaboration with the client’s primary care team, specialists, and other relevant healthcare team members.

The goals of the program are to enhance the person’s quality of life and reduce negative outcomes, such as potentially preventable hospital readmissions, medication adverse effects, falls, etc. BrightStar Clinical Pathways is inspired by recognized transitional care programs that resulted in significant reductions in readmissions after 30 days. Patients involved in transitional care programs overseen by a registered nurse were more likely to achieve self-identified personal goals for symptom management.

Only BrightStar Care can provide this level of comprehensive care thanks to having an RN in every office. The RN Clinical Pathway Coordinator plays an active role in each Clinical Pathway case by both visiting the client regularly and making sure every RN, Registered Practical Nurse(RPN) or Personal Support Worker(PSW) who works on a BrightStar Clinical Pathways case is specially trained in that condition.

Condition-specific BrightStar Clinical Pathways:

  • Heart Failure
  • COPD (Chronic Obstructive Pulmonary Disease)
  • Pneumonia
  • Heart Attack / Acute Myocardial Infarction (AMI)
  • Delirium / Dementia
  • Diabetes
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