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Coordination of Care

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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

  • Helping Home Health Agencies Improve Heart Health in Kentucky One Milestone at a Time

    Helping Home Health Agencies Improve Heart Health in Kentucky One Milestone at a Time

    Helping Home Health Agencies Improve Heart Health in Kentucky One Milestone at a Time Home Health Agency (HHA) staff work tirelessly to complete day-to-day tasks, so finding the time to review diagnosis-specific tracking information can be a challenge. Sometimes HHAs need a little outside help to pause, evaluate where they are and stay on the right…
  • New Resource for Preventing Harm in Nursing Homes

    New Resource for Preventing Harm in Nursing Homes

    New Resource for Preventing Harm in Nursing Homes One-third of nursing home residents experience an adverse or temporary harm event, and the majority of those are preventable. To raise awareness of nursing home safety and support safer care, the Centers for Medicare & Medicaid Services (CMS) and the Quality Innovation Network National Coordinating Center (QIN-NCC)…
  • Vaccinations Protect Residents and Staff, also Affect Nursing Home Composite Scores

    Vaccinations Protect Residents and Staff, also Affect Nursing Home Composite Scores

      Vaccinations Protect Residents and Staff, also Affect Nursing Home Composite Scores Influenza Vaccinations Around 3,500 people die of the flu each year across the nation. An institutional Influenza A outbreak can result in up to 60 percent of the population becoming ill, with 25 percent of those affected developing complications severe enough to result…

Blog Archive

Coordination of Care Readmissions - atom Alliance

Readmissions

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

Coordination of Care Interventions - atom Alliance

Interventions

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

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.

Coordination of Care Communities - atom Alliance

Communities

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