Coordination of Care
Lake Superior QIN is bringing together community partners to collaborate, improve transitions of care in the community and reduce readmissions. More.
Take part in community collaborations designed to reduce readmissions and improve the coordination of care for older adults. Communities like ours have already contributed to significant gains made in reducing hospital readmissions. Our QIN is rallying communities around the shared goal of improving care coordination in their area. More.
Pharmacists in Primary Care Clinics: Collaborating for Better Outcomes
Medication Therapy Management (MTM) is a systematic approach used by a pharmacist to identify, prevent, and resolve drug therapy problems. Zachariah (Zach) Merk, PharmD, is an MTM pharmacist for HealthEast Care System in St. Paul, Minnesota. HealthEast includes four hospitals, 14 clinics, and other outpatient services.
Started through a connection with the University of Minnesota pharmaceutical care leadership residency, six pharmacists meet with patients at HealthEast’s primary care clinics as part of an MTM program. The program is designed to improve collaboration among pharmacists, physicians, and other care team members; enhance communication between patients and their care team; and optimize medication use for improved patient outcomes. Zach recently talked to Lake Superior Quality Innovation Network (QIN) about MTM and the value of helping patients take control of their health. More >
CDC, The Pew Charitable Trusts and 12 National Health Organizations Commit to Improving Antibiotic Use
CDC and The Pew Charitable Trusts, in collaboration with 12 national health organizations, recently released a joint letter on the importance of antibiotic stewardship in outpatient settings. The letter represents the commitment of these organizations to work together to expand current antibiotic stewardship efforts, fill research gaps around effective interventions for improving prescribing habits, and help health care professionals and patients use antibiotics appropriately in outpatient settings.
This joint statement comes on the heels of data released in the May 2016 Journal of the American Medical Association (JAMA) showing that doctors in private offices and emergency rooms continue to significantly overprescribe antibiotics. According to the article, at least 30 percent of antibiotics prescribed in U.S. outpatient settings are unnecessary.
Learn more about the best ways to use antibiotics at www.cdc.gov/getsmart.
Honoring Choices Minnesota Executive Director Karen Peterson talks about what aspects of advance care planning can be done even after a diagnosis of dementia, and what safeguards people who anticipate developing dementia later in life choose to include in their health care directives.
Medicare Home Health Pre-Claim Review. The Centers for Medicare & Medicaid Services’ home health pre-claim review will go into effect in Michigan in 2017. Here’s what you need to know.
Nurse to Nurse Hand-Off Tool. Developed by the NW MN Community Detroit Lakes COC subgroup, this free-to-adapt and use SBAR-based nurse to nurse hand-off tool.is designed to improve transitions between care settings.
Safe Swallowing Tools and Training. Jefferson County Wis. Care Transitions Coalition’s toolkit to help avoid aspiration pneumonia due to Dysphagia (swallowing difficulty).
Tools for beneficiaries at discharge
SBAR Communication Technique for Patients and Advocates.
Transitions of Care Transfer Form with Core Safety Elements. This free-to-adapt and use form was developed by Essentia Health Fosston and their partners, now working as part of the North West MN COC Community, to ensure that the core safety elements are included in a transfer form when a patient is discharged from the hospital to a nursing home.
Adverse drug events are a leading cause of preventable patient harm. Learn what you can do to prevent them. More
Communities across MI, MN, and WI are working together to improve coordination of care. See how you can join them. More
LSQIN can help you select evidence-based interventions connected with known causes of readmission. More
Avoidable readmissions often result from poor information transfer or communication between multiple providers in multiple settings. More