Despite widespread interest in the $500 million budget allotted for Community-Based Care Transitions Program (CCTP) under the Affordable Care Act, many stakeholders are confused about the exact nature of the program. What does it aim to do? Who is eligible to apply for the funds? Aim: CCTP aims to improve the reliability and effectiveness of […]
The Agency for Health Care Research and Quality (AHRQ) Effective Health Care Program site encourages patients to be proactive in making treatment decisions, offering a series of how-to guides, treatment guidelines, and real-patient stories about making health care decisions. The site puts the results of various research studies into plain-language information for consumers and families. […]
In a complex system such as transitions of sick and fragile patients from one setting to another, we are often so grateful for the few carefully done and reported research endeavors that funders and researchers easily fall into the trap of insisting upon slavish replication, assuming that this is the way to achieve the same results. If […]
The national commitment to improving care transitions is a remarkable opportunity for geriatrics and palliative care to make a mark (and even to get paid for doing it right!). HHS has set a goal of reducing readmissions nationwide by 20% within three years . The Affordable Care Act (Section 3026) put in place a $500million […]
Many improvement teams have real problems with measuring their progress – some never get around to measuring, and some never do anything else! This presentation was set for the communities funded under the Beacon initiatives that are working to bring information exchange to care transitions, but you’ll find the pointers applicable to any intervention that […]
The Colorado Foundation for Medical Care (CFMC) has released a free “Introducing Care Transitions Toolkit” of materials to help guide anyone who is thinking about starting a Care Transitions project. The web-based information includes practical ideas and strategies developed by the Centers for Medicare & Medicaid Services (CMS) Care Transitions Theme. The care transitions issue […]
Many improvement leaders want to target the patients who need care transitions to work well. Of course, every person moving around in the care system needs the processes to work reliably, but some either have few needs or can handle their needs on their own. So – who is it who gets caught in snafus and […]