January 24, 2018 |
Medicare Quality Improvement Organizationsí (QIOs) project shows reduction in 30-day rehospitalizations
March 12, 2013  | 

Evansville, IN - With the spotlight on preventing hospital readmissions, the Centers for Medicare & Medicaid Services (CMS) completed a project that clearly demonstrates the value of community-based approaches to improve care transitions. The result in the Evansville area, including Vincennes, was a 14.74 percent reduction in 30-day rehospitalizations, using a process that can be duplicated in your community.

Health Care Excel (HCE), Indiana’s Quality Improvement Organization (QIO), was among 14 QIOs to participate in the three-year effort to build community coalitions with local providers and stakeholders to care for shared patient populations.

More specifically, the QIO helped bring together representatives from hospitals, skilled nursing facilities, home health care agencies, nursing homes, hospice, as well as social services providers like Area Agencies on Aging. The entities collaborated to improve the quality of transitions between care settings and reduce preventable hospital readmissions for Medicare beneficiaries.

As many as 20 percent of Medicare patients need readmission to a hospital within 30 days of discharge, and often these readmissions can be prevented.

More about the Evansville experience
St. Mary’s leaders talked to HCE about the CMS project on readmissions and chose to participate.

“We had been looking at the full continuum of care, as well as what to do about readmissions,” said ISMA member John Gallagher, M.D., senior vice president and chief medical officer at St. Mary’s Health System. Continue>

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