HEADER_CareCoordination_960x300

Care Coordination

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.

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

Get 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.

Get 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

53694b2c3d18d

The Secret to Long Life, New York Times

Can We Talk About It?
The Conversation Projects talks and listens to others about end-of-life care

6 Ways to Protect Older Americans from Falls

I Am a Caregiver Because My Mom Cared for Me
Caregiver Homes: A daughter shares her role as a caregiver for her aging mother

Ask Me 3 – Questions to Ask Your Provider

Video: Medicare & You: Hospice

Medicare Made Clear—Peter Teaches to You to Read (Your Prescriptions)

Care Coordination Blog

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 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 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

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 under the 12th Statement of Work INDIANAPOLIS: On November, 1, 2019, the Centers for Medicare & Medicaid Services (CMS) awarded a five-year contract …
CMS Updates Consumer Resources for Comparing Hospital Quality
CMS Updates Consumer Resources for Comparing Hospital Quality The Centers for Medicare & Medicaid Services (CMS) updated hospital performance data on the Hospital Compare website and on data.medicare.gov to empower patients, families, and …
CMS Launches Podcast to Reach Stakeholders via Modern Platform
CMS Launches Podcast to Reach Stakeholders via Modern Platform New podcast “CMS: Beyond the Policy” offers regular episodes that discuss agency updates and policies in a user-friendly medium Today, the Centers for Medicare & …