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Care Coordination


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Older Americans are admitted to the hospital more often than any other age group. Then, after they leave the hospital, one in five ends up back within 30 days. Most of the time, this is preventable.

Part of the problem is that people with Medicare often get medical care from many different doctors and don’t know if they are talking with each other. This can lead to care that is not well coordinated and result in unneeded tests and medication errors. We aim to change that.

Qsource is working to keep older Americans out of the hospital and improve their care, but we need your help.

Find-A-Community

Here’s what you can do to protect yourself and your loved ones

ATOM_Logo_Device_Transparent-20px-20pxGet Educated

Look through the Resource tabs below for help with how to stay out of the hospital and improve your coordination of care. You can also search our online library.

ATOM_Logo_Device_Transparent-20px-20pxGet Active

Have you filled out a personal health record? Made a living will? Talked about all of your medications with your doctor? These are all tools that have been used by others to improve their use of medications.

Use the tabs to the right to search for specific tools and resources related to this page.

You can also search our comprehensive library of online resources, where you can sort by Qsource state, initiative, patient or provider focus or simply type in a keyword for quick access to the tools and resources you need.

Qsource Pinterest Board: Hospital Readmissions & Care Coordination
Qsource Pinterest Board: Caregivers
Safety after a Stroke
Information from the National Stroke Association on how to stay safe and prevent falls after suffering a stroke
Quality Care Finder
Find and compare doctors, plans, hospitals, suppliers and other providers.
What You Can Do To Prevent Falls
Learn what changes to make to lower your chances of falling.
Safety As You Go from Hospital to Home
Get tips on how to be safe at home after hospital discharge.
National Transitions of Care Coalition
Offers resources for consumers and family caregivers
The Care Transitions Program: Tools for Patients and Caregivers
With funding from the John A. Hartford and Robert Wood Johnson Foundations, the program designed tools to support patients as they make the transition from hospital to home.
Medline Plus: Interactive Health Tutorials
Learn about the symptoms, diagnosis and treatment for a variety of diseases and conditions. Also learn about surgeries, prevention and wellness.
Taking Care of Myself: A Guide for When I Leave the Hospital
Provides information patients need to help them care for themselves when they leave the hospital
I’m a Caregiver
Get resources, stories, and newsletters about taking care of someone with Medicare.
Questions to Ask Your Doctor
Provides lists of questions to ask your doctor before, during and after appointments
Next Step in Care
Provides easy to use guides to help caregivers and healthcare providers work closely to plan and implement smooth transitions for chronically or seriously ill patients
American Bar Association: Commission on Law and Aging
Commission examines a wide range of legal issues affecting older persons, resulting in policy and practice research and development, coordination and collaboration, education (professional and public) and technical assistance
AARP: Caregiving Resource Center
Information, tools and tips for caregivers
Caring Connections
Provides people with information and support when they are planning ahead, caring for a loved one, living with an illness or grieving a loss
End of Life Issues
Page sponsored by the U.S. National Library of Medicine and the National Institutes of Health contains links to useful materials for both patients or caregivers faced with planning end-of-life of care
Eldercare Locator
A public service of the U.S. Administration on Aging connecting you to services for older adults and their families
Health Information in Multiple Languages: MedlinePlus
Offers access to high quality health information for patients in 40 languages; more than 2,500 links to nearly 250 health topics
Kentucky Department for Aging and Independent Living
Patients Like Me is a website for sharing, support and research. Learn from others, connect with people like you and track your health.
The Center for Excellence in Assisted Living

Care Coordination Blog

  • Your Recommendation Often Determines a Patient’s Vaccination Decision

    Your Recommendation Often Determines a Patient’s Vaccination Decision

    Your Recommendation Often Determines a Patient’s Vaccination Decision Patient barriers often prevent patients from receiving the vaccines they need. Barriers may include lack of education, misinformation and fear of vaccines. Studies show that spending more time talking with patients about vaccines and making strong recommendations improves outcomes. Every encounter with a physician office, hospital, home… Read More »
  • MIPS Quality Measure Spotlight: Influenza Immunization

    MIPS Quality Measure Spotlight: Influenza Immunization

    MIPS Quality Measure Spotlight: Influenza Immunization In preparation for the 2019-2020 flu season, many clinicians have chosen to report on the Preventive Care and Screening: Influenza Immunization MIPS quality measure (Quality ID: 110). This measure tracks the percentage of patients 6 months and older who were seen for a visit between October 1 and March… Read More »
  • From the Center of My Care Team

    From the Center of My Care Team

    From the Center of My Care Team by Janet Pollock, Kentucky In 2002, I began an exciting career journey with the Kentucky Quality Improvement Organization (QIO). During my early days with the QIO, my focus was outreach – teaching Medicare beneficiaries about their benefits, when and how to file a complaint, and what to expect… Read More »

Blog Archive

News Releases

  • Community Coalition Building

    Community Coalition Building

    Community Coalition Building The Beatles song, “With a Little Help from My Friends”, could very well be the theme song for the statewide community coalition effort designed to get healthcare providers talking, interacting and …
  • Nursing Home Recruitment

    Nursing Home Recruitment

    Nursing Home Recruitment Being a caregiver isn’t an easy job. We know what it’s like to care for patients, while trying to deal with complex policies and procedures on a daily basis. In fact, …
  • Direct Contracting Model Options Payment – Part 1 Webinar

    Direct Contracting Model Options Payment – Part 1 Webinar

    Join the Direct Contracting Model Options Payment Part 1 Webinar! The Center for Medicare and Medicaid Innovation (CMMI) will host a webinar on January 15, 2020 to provide an overview of the Direct Contracting …
  • Qsource Selected as a Recipient of QIN-QIO Task Order 1 Award

    Qsource Selected as a Recipient of QIN-QIO Task Order 1 Award

    Qsource Selected as a Recipient of QIN-QIO Task Order 1 Award under the 12th Statement of Work INDIANAPOLIS: On November, 1, 2019, the Centers for Medicare & Medicaid Services (CMS) awarded a five-year contract …

Partners

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Healthcare-Associated Infection Prevention

About one in every 25 patients admitted to a hospital gets an infection.

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Nursing Home Care

There are 1.4 million Americans living in our nation’s 15,600 nursing homes.
 
 

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Drug Safety

Medication errors are a leading cause of preventable harm for people aged 65 and over with Medicare.
 

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