33 Metrics for Care Transition Management

 
9781939167279: 33 Metrics for Care Transition Management

The quality of transitional care is shaping up to be a critical factor in value-based reimbursement. For example, under CMS's new readmissions penalty program, one-third of a hospital's HCAHPS score, which comprises 30 percent of its overall value-based purchasing score, rests upon three new transitional care questions recently added to the Experience of Care survey. As demonstrated by the myriad pilots in this area, hospital bouncebacks can be avoided and inpatient quality items addressed by good transitional care planning by making sure that all medications, tests, procedures and education that patients need are in place when they leave a hospital's care and transition to the next setting of care. This resource is HIN's graphic compendium of performance benchmarks in key areas impacting care transitions from key tasks performed at hospital discharge to the prevalence of home visits in programs to improve medication adherence. Carefully curated to inspire innovation in transitional care and eliminate cross-system breakdowns, this 50-page resource dives deep into several years of market research to identify key influencers and tactics related to the improvement of care transitions: * Medication Adherence; * Care Transitions Management; * Reducing Readmissions; * Case Management; * Patient-Centered Medical Home; * Health Coaching. The data dive reflected in this resource is based on responses from hundreds of healthcare organizations to six healthcare benchmark surveys conducted between 2010 and 2013. Accompanying each metrics grouping is a relevant best practice or case study from industry thought leaders, as well as a list of most effective tactics, workflows and practices for improving transitions of care from survey respondents, in their own words. Transitions of care the movement of patients from one care site to another, such as from hospital to home or hospital to skilled nursing facility are key opportunities for healthcare organizations to strengthen care coordination and reduce avoidable hospitalizations, particularly among the Medicare population. As Risa Lavizzo-Mourey, MD, MBA, president and CEO of the Robert Wood Johnson Foundation, stated during a recent conference on reducing hospital readmissions: "Every patient needs to have a seamless journey back to their community." Table of Contents= * Medication Adherence (MA): --- Medication Compliance During Transitions of Care, --- Targeted Populations for MA Initiatives, --- Components of MA Programs. * Reducing Readmissions: --- Considerations for Transitional Care in a Penalty-Based System, --- Targeted Health Conditions, --- Strategies to Prevent Readmissions. * Case Management: --- Case Management in Home Health, --- SNFs and Care Transitions, --- Populations Targeted for Case Management. * Patient-Centered Medical Home: --- Standards in HRHC s Enhanced Care Model, --- Health IT Tools in the Medical Home, --- Patient Engagement and Education Strategies. * Health Coaching: --- Integrated Health Coaching Spans Risk Continuum with Health Behavior Change Management, --- Health Risk Levels Included in Coaching, --- Health Areas Addressed by Health Coaching. * Care Transition Management: --- Hospital Discharge as Tipping Point , --- Care Transitions Addressed by Program, --- Most Critical Care Transition. This resource is an essential desktop reference for the healthcare professional charged with the movement of patients between care sites and improving the overall patient experience.

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Published by Healthcare Intelligence Network (2013)
ISBN 10: 1939167272 ISBN 13: 9781939167279
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Book Description Healthcare Intelligence Network, 2013. Plastic Comb. Book Condition: Brand New. 50 pages. 11.10x8.30x0.40 inches. In Stock. Bookseller Inventory # 1939167272

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