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OSF deploys care transition program, reduces readmission rate from 29% to 9%

Healthcare It News

OSF HealthCare, a health system that serves Illinois and Michigan, had a big challenge: Managing the high rate of patient readmissions from hospitals to skilled nursing facilities and eventually to home care. THE PROBLEM This issue stemmed largely from gaps in continuous care during transitions between these settings.

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CMS: Hospital-To-Home Discharge Process Still Plagued By Poor Communication, Incomplete Patient Information

Home Health Care

Patient transitions from the hospital to post-acute care providers, including home health agencies, continue to be plagued by incomplete medical records and missing information. Gaps in post-acute care transitions are so common, in fact, that the U.S.

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Voices: Susan Mills, Senior Program Director for Home Health and Hospice, ACHC

Home Health Care

It was established with the goal of improving the quality of health care services and patient safety through accreditation and certification programs. We’ve also recently added accreditation for hospitals which has allowed us to make an even greater impact across the continuum.

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What is the Ideal Patient Discharge Experience?

Healthcare Leadership

Q4 Are more regulations or incentives needed to significantly improve the safety, thoroughness, and general satisfaction with/of the discharge process? The biggest discharge planning hazards faced by hospitals”, Fierce Healthcare , 9 January 2019, [link] , accessed 19 March 2023 Image Credit Photo by cottonbro studio: [link]

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The Future of Aging Policy: A Snapshot of State Priorities

NASHP

State health policies help to shape these services through legislation, funding, and regulation. As states navigate current fiscal constraints, state policymakers are focusing on helping older adults remain in home-and community-based settings for as long as possible while also potentially reducing costly hospital and nursing home services.

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HHS Releases First of Its Kind National Strategy on Family Caregiving

NASHP

Support with Day-to-Day and Complex Medical Tasks : Offices throughout the government will coordinate with states to grow and strengthen the direct care workforce to help with caregiving tasks.

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Supporting the Continuum of Care for Serious Illness in Medicaid Managed Care

NASHP

People with serious and life-threatening health conditions experience care needs that drive costs, including hospital admissions , emergency department utilization , and nursing home care. Arizona’s End of Life and Advanced Care Planning benefit is referenced in its MCO contracts and further described in state regulations.

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