HomeIntegrate Care for Populations and Communities
The Care Transitions project is a Centers for Medicare & Medicaid Services (CMS) statewide initiative to decrease Medicare hospital readmission rate within 30 days by 20% over a three year period (August 1, 2011 - July 31, 2014).
In 2010, Mississippi’s average acute care hospital readmission rate was 20 percent. According to the Medicare Payment Advisory Commission, it is estimated that up to 76% of hospital readmissions 30 days of discharge may be prevented. Avoidable readmissions place a physical and emotional burden on patients and families and have an adverse effect on Medicare reimbursement rates.
Information & Quality Healthcare (IQH) is bringing together hospitals, home health agencies, nursing homes, hospice, dialysis facilities, patient advocacy organizations, Medicare beneficiaries and other stakeholders to work together in community coalitions. These entities will work to improve care coordination, continuity of care and communication among discharge planners for better transition from one setting to another for better patient outcomes.
Resources
- National Coordinating Center Care Transitions Toolkit
- CCTP - 3026 Program Application
- Integrating Care - Intervention Models
The Care Transitions Search Widget is a free service that you can install on your own site to help your users find high-quality content related to quality improvement for healthcare systems. You can see a list of partner sites that are using the widget.
Project Contacts
Lisa Camel, RN, BSN
Care Transitions Project Leader
Phone: 601-957-1575/1-800-844-0500 ext. 257
Mary Helen Conner BSN, MPH, MCHES
Care Transitions Project Leader
Phone: 601-957-1575/1-800-844-0500 ext. 219
