AGS 2012 - Fri: Reducing Hospital Readmissions

Reducing Hospital Readmissions and All-Cause Harm

Developed by the Centers for Medicare and Medicaid Services (CMS).
Co-Moderators: Shari M. Ling, MD, Deputy Chief Medical Officer, Centers for Medicare and Medicaid Services and Joseph G. Ouslander, MD, Professor, Florida Atlantic University, Charles E. Schmidt College of Medicine
This symposium provides an overview of community and provider-based strategies for effectively reducing hospital readmissions and unnecessary hospital transfers and admissions of older adult patients.  This symposium shares lessons learned through quality improvement and invites the community dedicated to the care of older adult patients to play a key role in the national “Partnership for Patients” campaign to reduce hospital readmissions by 20%, and all-cause harm by 40%.

Experiences and Lessons Learned through the Community Based Care Transitions Program Select Communities
Traci Archibald, OTR/L, MBA, Lead, Care Transitions Theme, Quality Improvement Group, CMS
Tools and Strategies to Reduce Preventable Harm in Post-acute and Nursing Home Facilities 
Alice Bonner, PhD, RN, Director, Division of Nursing Homes, Survey & Certification Group, CMS
The Partnership for Patients Campaign:  Springing into Action
Paul McGann, MD, Co-director, Partnership for Patients, Center for Medicare and Medicaid Innovation, and the Deputy Chief Medical Officer for Campaign Leadership, CMS

Slide
#40 Interact program: http://interact2.net
 #43
1. Preventing conditions from becoming severe enough to require hospitalization through early identification and assessment of changes in resident condition
2. Managing some conditions in the NH without transfer when this is feasible and safe
3. Improving advance care planning and the use of palliative care plans when appropriate as an alternative to hospitalization for some residents
#57 CMS Special Study on Potentially Avoidable Transfers