Care Transitions
Overview
The Care Transitions Theme focuses on improving coordination across the continuum of care. In particular, QIOs will promote seamless transitions from the hospital to home, skilled nursing care, or home health care.
QIOs will work to reduce unnecessary readmissions to hospitals that may increase risk or harm to patients and cost to Medicare. CMS will look to QIOs to implement projects that effect process improvements to address issues in medication management, post-discharge follow-up, and plans of care for patients who move across health care settings.
Read more about Care TransitionsNews
Events
This section is available to participating providers only. Password is required.
- 06/04/09 - CARE Tool Overview
- 05/05/09 - Next Steps for the CARE Tool
- 03/25/09 - IPRO Care Transitions Initiative Community Launch
- 2/18/09 - Overview of CMS Continuity Assessment Record & Evaluation (CARE) Tool
- 12/17/08 - IPRO Care Transitions Initiative
Resources
Project Contacts
Sara Butterfield, RN, BSN, CPHQ, CCM
Theme Lead
Phone: 518-426-3300 ext. 104
E-mail:sbutterfield@nyqio.sdps.org
Darren Triller, PharmD
Director, Medicare Pharmacy Services
Phone: 518-426-3300 ext. 125
E-mail: dtriller@nyqio.sdps.org
Christine Stegel RN, MS, CPHQ
Performance Improvement Coordinator
Phone: 518-426-3300 ext. 113
E-mail: cstegel@nyqio.sdps.org
Victoria Agramonte, RN, MS
Performance Improvement Coordinator
Phone: 518-426-3300 ext. 115
E-mail: vagramonte@nyqio.sdps.org
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