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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

  • Communication Tool Helps Reduce Hospital Readmissions

    Communication Tool Helps Reduce Hospital Readmissions

    Communication Tool Helps Reduce Hospital Readmissions Effective communication is essential to high-quality healthcare. atom Alliance team members in Indiana are successfully facilitating improvement in transitions of care with the Wabash Valley Care Coalition (WVCC). They are using a communication tool that encourages openness and clarity as a patient’s care is transferred from one member of…
  • Measure Changes Coming to the HHCDR in 2018

    Measure Changes Coming to the HHCDR in 2018

    Measure Changes Coming to the HHCDR in 2018 Two new cardiovascular measures were recently added to HHQI’s Home Health Cardiovascular Data Registry (HHCDR). Beginning with January 2018 episode discharges, participating home health agencies will have the opportunity to submit patient data regarding statin therapy (HHQI Measure #438) and cardiac rehab referral (HHQI Measure #0643). HHQI…
  • Discussions About End of Life Care Help Patients and Providers Be Prepared

    Discussions About End of Life Care Help Patients and Providers Be Prepared

    Discussions About End of Life Care Help Patients and Providers Be Prepared The U.S. Agency for Healthcare Research and Quality reports that only 12 percent of patients with an advance directive had received input from their physician in its development. Healthcare providers should discuss options for care at the end of life with their patients. It is covered…

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