Breakthroughs: Strategic Solutions for the Readmission Challenge
Using Data and QIOs to Reduce Avoidable Readmissions
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Rate: $329 per location, includes unlimited access to CE portal and continuing education credits. Special rate available for solo practitioners and the military. Please call 301-354-1769 for details.
Each registration comes with access to the archived version of the program and the materials until December 31, 2013.
Continuing Professional Education: This program is approved for 1.5 contact hour for disability management specialists, nurses, social workers, and certified case managers..
When patients make an unplanned return to the hospital that could have been avoided by better care coordination, it delays their recovery, unnecessarily exposes them to such hospital dangers as infection, costs taxpayers money, and consumes increasingly scarce healthcare resources.
Empirical data shows that avoidable readmissions are caused for many reasons and involve multiple providers across multiple settings. To understand this complex problem and develop strategies to address them, health systems and payers need to focus not only on what is going on within their hospital walls but also on what is taking place after the patient re-enters the community.
Join us to learn from professionals working at the point of care who are making progress in identifying patients at risk for readmissions and working together within their community networks through their quality improvement organizations to analyze and understand the reasons for readmissions – and, most important, to develop strategies and solutions that can reduce unnecessary readmissions.
About the Webinar
The United States has a 19.6% rate of hospital readmissions within 30 days of discharge, which accounts for nearly one-third of the total $2 trillion spend on healthcare in the United States. The process by which patients move from hospitals to other care settings is increasingly problematic as hospitals shorten lengths of stay and as care becomes more fragmented. Studies have found that re-hospitalization rates and health care utilization can vary substantially across geographic locations, suggesting opportunities for improvement in areas with higher observed rates. The Medicare Payment Advisory Commission estimates that up to 76% of readmissions within 30 days of discharge may be preventable.
Everyone knows that all readmissions cannot be avoided. In the majority of cases, hospitalization is necessary and appropriate. However, a substantial number of all hospitalizations are patients returning to the hospital soon after their previous stay. These re-hospitalizations are costly, potentially harmful, and often avoidable. In short, identifying those at risk and the root causes for readmissions is critical for payers and providers to understand in order to reverse these trends.
Today, there are evidence-based tools that can help nurses, case managers and other members of the care coordination team to better identify those at risk for readmissions. Once identified, targeted strategies can be put into place to minimize the potential for avoidable readmissions.
In addition, the quality improvement organizations (QIOs) in every state and territory, united in a network administered by the Centers for Medicare & Medicaid Services (CMS), are responding to providers and payers in local communities. The QIOs are partnering with hospitals, nursing homes, home care agencies and other providers to help communities analyze data to determine the root causes for their readmissions. Because healthcare is local, the QIOs are convening statewide learning and action networks (LANs) that recognize everyone has knowledge that can contribute to better care. By participating in a LAN, healthcare providers can harness the power of a 24/7 community for addressing common challenges, connect with a peer facility for mentoring, and be the first to know about improvement breakthroughs – and how they can replicate them in their own facility or practice.
Communities that partner with the QIOs are contributing to a three-year, 20% national reduction in readmissions within 30 days of hospital discharge. The program allows participants join in a local care transitions coalition that bring together hospitals, nursing homes, home health agencies, dialysis centers, hospices and palliative care facilities, senior advocates like area agencies on aging, and other local stakeholders to work together and share data and ideas. QIOs in every state and territory are working with these coalitions and are providing technical support as they implement a comprehensive, fully integrated approach to reducing avoidable readmissions.
In this webinar, we will hear about this tools, strategies and resources that can assist nurses, case managers, social workers and other members of the care coordination team across the continuum to improve their practice and quality of care provided for their patients.
Discuss tools to identify patients at risk for readmissions.
Describe the role of the Quality Improvement Organizations in working in communities to identify the root cause analysis for avoidable readmissions.
Learn how collaboration between providers and payers in sharing and analyzing data is reducing avoidable readmissions and improving the quality of care for patients.
|Janet McCollor, RN, Community Case Management with Redington-Fairview General Hospital
Janet McCollor, RN is a Community Care Manager at Redington-Fairview General Hospital in the rural town of Skowhegan, Maine. Janet has been a registered nurse for 30 years and has a unique combination of nursing skills which includes working in care coordination and quality improvement across the healthcare continuum. Janet currently provides care coordination through inpatient care management for patients with chronic conditions. This management consists of disease specific care maps, self-care education and outpatient telephonic care support. She is committed to a healthcare culture of excellence, quality outcomes and collaboration through patient/family centered care. While nursing is Janet’s passion, she likes to spend time quilting and traveling with her family
Lynn Beres, BSN, RN, CPHQ, FMQAI Quality Specialist, Care Transitions, FMQAI
Lynn has extensive experience in quality management, and she has served as Director of Utilization Management, Case Management, Infection Control, and Social Work in hospital settings. She has guided efforts in root-cause analysis, developed tools to improve core measure results, and led educational events for hospital staff and executive leadership. She has served as the facility’s contact person for regulatory compliance and facilitated improvement initiatives and JCAHO accreditation surveys. Along with her certifications in nursing and in healthcare quality, Lynn holds a BS and BSN from the University of Akron (Ohio)
Anne Llewellyn RN-BC, MS, BHSA, CCM, CRRN
Editor in Chief, Case Management Products
Dorland Health, a division of Access Intelligence
Who Should Attend
$329 per location, unlimited viewing per location. A special rate is available for solo practitioners and the military. Please call 301-354-1769 for promo code for a price reduction if you qualify.
Live Webinar Registration – $329 (per-site fee)
Webinar Recording on CD-ROM – $329
Live Webinar and CD-ROM – $389
Nurses: This program is approved for 1.5 contact hours for nurses by Commonwealth Educational Seminars (CES). As an approved provider by the California Board of Registered Nursing (Provider Number CEP 15567), CES Programs are accepted by every State Board of Nursing with the exception of Delaware.
Certified Case Managers: This program is approved for 1.5 contact hours for case managers through the Commission for Case Manager Certification.
Disability Management Specialists: This program is approved for 1.5 contact hours through the Certification of Disability Management Specialists Commission.
Social Workers: Commonwealth Educational Seminars (CES) #1117, is approved as a Provider for Social Work Continuing Education by the Association of Social Work Boards (ASWB, 400 South Ridge Parkway, Ste B, Culpepper, VA 22701) www.aswb.org. Social workers should contact their regulatory board to determine course approval. Social Workers receive 1.5 continuing education clock hours participating in this course.
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How Does the Webinar Work?
The live audio is delivered to your location over the telephone or your computer speakers. The Power-Point presentations are presented over the Internet and are available to print out before the program. This is like a talk-radio program with visuals on the Web. You and your team will be able to have a live Q&A with all the speakers.
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