Hospital admissions and readmissions among Medicare
beneficiaries declined nearly twice as much in communities where
Quality Improvement Organizations coordinated interventions that
engaged the whole community to improve care than in comparison
communities, according to a study in the Journal of the American
Medical Association. The JAMA study shows how state-based QIOs,
under the direction of national coordinator, the Colorado Foundation for Medical Care (CFMC), coordinated community-based efforts with
hospitals and other medical and social service providers to improve
care transitions and reduce readmissions.
The first step for any healthcare organization and community-based
healthcare providers is to conduct a root cause analysis of readmission data, which can vary from community to community, says Alicia Goroski, MPH, senior project director for care transitions for CFMC.
Listen to pre-conference comments from Alicia Goroski.
During Patient Engagement and Provider Collaborations Across the Healthcare Continuum to Improve Care Transitions, a May 22nd, 2013 webinar, now available for replay, Goroski shares the lessons learned from the 14 communities that participated in the CMS care transition demonstration project and details on how the program is being rolled out in 400 communities and to over 12 million Medicare beneficiaries across the country.
- Key findings in effective care transition management from the pilot programs;
- How hospitals are working with hospitals, nursing homes, home health agencies,
hospice organizations, dialysis facilities and outpatient physicians to close care gaps;
- Patient and provider engagement strategies to improve transitions of care;
- Inside details from the pilot program in northwest Denver, which saw special cause variation in the reduction of both readmissions and admissions; and
- A look ahead to the strategies being implemented by the roll-out programs.
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You can watch this program right in your office and enjoy significant savings — no travel time or hassle; no hotel
expenses. It's so convenient! Invite your staff members to gather around a conference table to listen to the CD, DVD or the
On Demand version.
WHO WILL BENEFIT FROM THIS CONFERENCE?
CEOs, medical directors, discharge planners, quality improvement executives, case managers, business development and strategic planning directors and consultants.
ABOUT OUR PANELIST:
||QIOs offer a range of services to the states they serve, from data analytics to help with setting up community coalitions.
Alicia Goroski, MPH, is the Senior Project Director for Care Transitions at Colorado Foundation for Medical Care (CFMC), the Medicare Quality Improvement Organization (QIO) for Colorado. She currently directs the Integrating Care for Populations and Communities National Coordinating Center, leading 41 QIOs across the country as they identify target communities within their states and work to implement improvement plans that coordinate hospital and community-based systems of care.
Previously, Goroski directed a 14-state QIO initiative to improve care transitions by improving information transfer between healthcare providers and patients, developing consistent workflow processes, and increasing patient activation and satisfaction. These efforts resulted in unprecedented success, achieving a 7.4 percent overall reduction in hospital readmissions and a 7.3 percent reduction in hospital admissions per 1,000 Medicare beneficiaries living in those communities that were included in the pilot initiative. Lessons learned from this pilot study have contributed to national health quality initiatives, including the Partnership for Patients and have expanded within the QIO Program to include all 53 states and territories.
Goroski has also managed a variety of other CMS-funded projects, including aspects of the Heart Care QIO Support Contract and special studies related to Transitions of Care and Geographic Variation in Healthcare Utilization.
Before joining CFMC in 2005, Goroski worked for the Centers for Disease Control and Prevention, the Louisiana State Health Department, the University of Alabama, and the Alabama Department of Public Health.
Goroski received her Master’s degree in Public Health from Rollins School of Public Health at Emory University in 1997. Dedicated to improving the delivery of healthcare services, she has worked in public health and quality improvement for 14 years. Goroski recently completed and led her team in the Harvard Kennedy School of Executive Education Course titled, “Leadership, Organizing and Action: Leading Change,” which is designed to teach leaders of civic associations, community groups, and social movements how to organize communities that can mobilize power to make change.