Jeryl McGaw, MS, RN, ND has worked for Kaiser Permanente for 6 years and has been working with Chronic Care Coordination for 3 years. Currently she is the Director of Case and Care Coordination.

“This model was a response to outcomes that indicated opportunity to improve readmission rates among patients being discharged from hospital and SNFs.”

“The importance of consistent communication across providers and with patients as well as follow up with the patients is what makes working with complex patients successful.”