Coordination of Care

One in five Americans aged 65 and older is readmitted to the hospital within 30 days of discharge, but most readmissions are preventable.

Healthcare providers have made national gains in reducing admissions and readmissions in hospitals, but care coordination does not begin or end with an in-patient hospital stay.

Older adults typically receive medical care from many different providers in their communities with little way of knowing whether the providers are communicating with each other. This can lead to poorly coordinated care, unnecessary medical and diagnostic tests and increased risk of adverse drug events.

atom Alliance is bringing together state-wide communities to create powerful collaborations of change that promote the seamless coordination of care for older adults.

The goal: Reduce 30-day hospital readmissions, admissions and adverse drug events

We invite you to join.

atom Alliance will

  • Support community meetings and promote care coordination activities
  • Host face-to-face and virtual learning events
  • Assist facilities and communities in selecting measures for quality reporting
  • Prepare data feedback reports and provide technical assistance
  • Share the collective tools and resources of the five-state atom Alliance
  • Download Fact Sheet

See how atom Alliance initiatives align with Care Coordination.


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Coordination of Care Blog

  • Care Coordination Q&A with Christina Goatee

    Care Coordination Q&A with Christina Goatee

    Care Coordination Q&A with Christina Goatee Christina Goatee, MSN, RN is a nurse consultant and the Centers for Medicare & Medicaid Services’ (CMS) subject matter expert for care coordination under the Quality Improvement Organization (QIO) Program. Her primary responsibilities include serving as a subject matter expert and overseeing Quality Innovation Network-QIOs’ (QIN-QIOs) quality improvement efforts… Read More »
  • How One Patient’s Experience Inspired a Tool to Help Many

    How One Patient’s Experience Inspired a Tool to Help Many

    How One Patient’s Experience Inspired a Tool to Help Many Polypharmacy—the use of multiple drugs to treat a single or several medical issues—is a growing concern for Medicare beneficiaries. According to the Centers for Disease Control and Prevention (CDC), 82 percent of American adults take at least one medication, and 29 percent take five or… Read More »
  • Quality of Care Review Changes – Updates from KEPRO

    Quality of Care Review Changes – Updates from KEPRO

    Beneficiary and Family Centered Care Quality Improvement Organizations (BFCC-QIOs) will no longer review a specific number of short-stay claims based on a hospital’s size of large vs. average. Now, CMS will sample the top 175 providers with a high or increasing number of Short Stay claims per Area with a request for 25 cases, and… Read More »

Blog Archive

Coordination of Care Readmissions - atom Alliance


The problem of avoidable readmissions involves multiple providers across multiple settings. See how you can help.

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Coordination of Care Interventions - atom Alliance


We work with providers within their communities to help select evidence-based interventions associated with known causes of readmission.

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Coordination of Care Adverse Drug Events - atom Alliance

Adverse Drug Events

Adverse drug events are a leading cause of preventable patient harm. Learn what you can do to prevent them.

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Coordination of Care Communities - atom Alliance


Communities across the country are working together to improve care coordination for older adults.  Join One

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