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Care Coordination

Reducing Readmissions

The process by which patients move from hospitals to other care settings is increasingly problematic, as hospitals shorten lengths of stay and as care becomes more fragmented. Alliant Quality is "doing its PART" to measurably improve the quality of care for Medicare beneficiaries who transition among care settings through a comprehensive community effort. These efforts to "Prevent Avoidable Readmissions Together" have a common goal -- to reduce readmissions following hospitalization by 20 percent over three years and to yield sustainable and replicable strategies to achieve high-value health care for sick and disabled Medicare beneficiaries.

Alliant Quality is a ready resource for taking action on providers’ commitment to the Partnership for Patients and for meeting the requirements of Value Based Purchasing. We are a knowledgeable, credible and trusted partner.

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What is "Do Your PART?"

The "Do Your PART" campaign, Preventing Avoidable Readmissions Together, uses a systematic, comprehensive approach to a multi-faceted problem. Because reducing readmissions requires better information transfer between health care providers and patients, as well as increased patient activation and improved workflow processes, there are opportunities for patients, caregivers and families to “do their part.” Creating seamless transitions involves many players in numerous settings.

What can you do?

  • Identify why people are being readmitted to the hospital – do a Root Cause Analysis
  • Implement, track and measure interventions to reduce 30-day readmissions
  • Engage patients and families to be more involved in their care

 

INTERACT (Interventions to Reduce Acute Care Transfers) is a quality improvement program that focuses on the management of acute change in resident condition. It includes clinical and educational tools and strategies for use in every day practice in long-term care facilities. The goal is to improve care and reduce the frequency of potentially avoidable transfers to the acute hospital. Such transfers can result in numerous complications of hospitalization, and billions of dollars in unnecessary health care expenditures.         

Communities across Georgia and North Carolina are working together to reduce readmissions. Providers all along the health care continuum have committed to improving communication and to making care more complete and safer for those that they serve.

In those communities where a charter has been signed, efforts have been formalized for big reductions in readmission rates. Hospitals are a part of the communities to be sure – but home care providers, dialysis, long term care, hospice, community service providers, physicians and consumers also make up this vibrant health care community.       

Adverse Drug Events (ADE)

Adverse events secondary to medication therapy are the most common type of health care-associated adverse event. Adverse drug events disproportionately affect patients over the age of 65 across all settings including in hospital, ambulatory care and long-term care facilities.

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