Coordination of discharge care is critical to reducing hospital readmissions and ensuring optimal patient outcomes, particularly among the elderly demographic. This is a pressing issue for health care delivery in both Japan and the US, where aging trends coincide with high rates of inpatient care utilization, increasing complexity of medical care, and shifting family structures with diminishing ability to provide appropriate care for elderly family members. The overall objectives of this project are to conduct an international comparison of the discharge coordination process for older patients at two large academic medical centers in Japan and the US: Tokyo Medical and Dental University Hospital of Medicine in Tokyo and Massachusetts General Hospital in Boston. A combination of patient demographic analysis, clinical observation sessions, stakeholder interviews, and patient interviews enabled process charting of the discharge coordination process for geriatric patients, from admission through discharge. This study highlights interesting case management roles that have evolved at each center while also demonstrating the need for greater institutional engagement to support a streamlined, patient-centered approach to discharge coordination. This project provides a foundation for understanding the broader opportunities, obstacles, and future trends facing discharge coordination services at large academic medical institutions in Japan and the US.
On April 19th, 2015 JMSA held its second panel discussion titled “Steps to Going to College and Medical Fields” as part of the Japanese American Association (JAA) Sakura Health Fair. The aim of the panel discussion was to introduce students to careers in the health professions and provide guidance on how to apply to college and medical school.
The panel featured JMSA physicians and student members with a wide variety of backgrounds in medicine. Panelists included: Dr. Yuzuru Anzai, Dr. Kimihiko Oishi, Dr. Maki Kano, Kenji Fujitani, Alisa Prager, and Yoshiko Toyoda. The event attracted high school students, college students, as well as parents and other members of the Japanese community.