Care Transitions Initiative
Northeast Health Care Quality Foundation (NHCQF) has a team of experienced Quality Improvement Specialists who together facilitate regional coalitions of health care providers from multiple settings including hospitals, nursing homes, community service organizations, home care agencies, physician groups, and emergency medical services to improve care transitions. NHCQF supports the implementation of evidence based interventions to improve the quality of health information, strengthen communication, and coordination during transitions of care.
Nationally, approximately one out of every five Medicare beneficiaries is readmitted to the hospital within 30 days of discharge. Many of these readmissions are preventable. By working together to improve care within and across care settings, it is possible to reduce unnecessary hospital readmissions. NHCQF is collaborating with communities that are interested in this work and can bring improvement expertise and data to inform the process.
RESOURCES AND WEB LINKS
Care Transitions Resources and Helpful Links:
Hospital to Home (H2H) - Institute of Healthcare Improvement and the American College of Cardiology
National Transitions of Care Coalition (NTCC)
Project RED (Re-Engineered Discharge) - Boston University Medical Center
The Care Transitions Program - Dr. Eric Coleman
The National Association for Home Care & Hospice
The National Hospice and Palliative Care Organization
Partnership for Patients - Resources
