Coordination of Care
Lake Superior QIN is bringing together community partners to collaborate, improve transitions of care in the community and reduce readmissions. Communities like ours have already contributed to significant gains made in reducing hospital readmissions. More.
Take part in collaborations to reduce readmissions and improve care for older adults. We are rallying communities around the shared goal of improving care coordination in their area. More.
Medication safety in all health More.is essential to care coordination and the health of Medicare consumers. are a leading cause of preventable patient harm, particularly when multiple providers prescribe high-risk medications like opioids, diabetes drugs and/or anticoagulants.
Senior Home Health Care makes a big difference in the lives of Medicare recipients learning to manage serious health conditions, and is doing its part to reduce the high cost of hospital readmissions. By ensuring that clients adhere to treatment plans, spotting exacerbations or new symptoms, and encouraging healthy lifestyle changes, the home health care provider works hard to keep clients in their homes and not returning to the hospital. More.
Advance care planning can include different types of documents. Provider Orders for Life Sustaining Treatment (POLST) is a standard for translating patient preferences (often recorded in a health care directive) into medical orders, which will be followed by EMTs and across health care sites. POLST is often used inappropriately or not used at all due to a lack of understanding of its purpose.
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