Care Transitions QIOSC

The Care Transitions Quality Improvement Organization Support Center (QIOSC) assists Medicare Quality Improvement Organizations (QIOs) to promote seamless transitions from the hospital to home, skilled nursing care, or home health care.

 

The Care Transitions Learning Sessions are back in session!

Check out the Learning Sessions page for upcoming calls and recordings of all of the past calls.

 

Learning Sessions Archive

  • December 11, 2008 - Michael P. Silver, MPH - Keeping Patients at Home – A Home Health Performance Improvement Pilot
    Recorded Call | Call Notes
  • November 20, 2008 - Parish Nurse Ministries of New York Inc. & Stall Geriatrics, LLC - Niagara University Nursing Program
    Recorded Call | Handout 1 | Handout 2
  • October 30, 2008: Joanne Lynn, MD - Using Population Segmentation to provide Better Health Care for All: The " Bridges to Health" Model
    Recorded Call
  • September, 11, 2008: Mary Perloe, RN, MS, GNP - Improving Nursing Home Care by Reducing Avoidable Acute Care Hospitalizations.
    Handout | Interact Tool Kit | Recorded Call
  • July 24, 2008: Cheri Lattimer - Coordinating Transition As The Collaborative Team: Patient, Caregiver & Provider
    Handout | Recorded Call
  • July 17, 2008: Vanessa Flint, MPH, MBA - Discharge Planning Checklist
    Handout | Recorded Call
  • July 10, 2008: W. Kline Bolton, M.D., FASN and Alvin H. Moss, MD - End-Stage Renal Disease
    Handout | Recorded Call
  • June 26, 2008: Mary Fermazin, MD, MPA - Improving Care Transitions, Measuring Progress
    Handout | Recorded Call
  • June 19, 2008: David Goodman, MD MS - Defining Populations and Providers for Measuring Health Care
    Handout | Recorded Call
  • June 12, 2008: Lori A. Gerhard, CASP, NHA - AAA’s and ADRC’s Role in Care Transitions
    Handout | Recorded Call
  • June 5, 2008: Lori Nichols, Marc Pierson, MD - Explore the Shared Care Plan PHMS; Implementation in Your Community; How Does HealthVault Fit In?
    Handout | Recorded Call
  • May 29, 2008: Michael P. Silver, MPH - Causes of Avoidable Hospitalization in Home Health Preliminary Results from a Field Study
    Handout | Recorded Call
  • May 22, 2008: Maulik S. Joshi, Dr.P.H. - Local Action for National Transformation and Harold D. Miller - Reducing Hospital Admissions by Transforming Chronic Care
    Handout 1 | Handout 2 | Recorded Call
  • May 15, 2008: Judith Tobin, PT, MBA - CARE (Continuity Assessment Record & Evaluation) Overview
    Handout | Recorded Call
  • May 8, 2008: Stephen F. Jencks, MD, MPH - Rehospitalization: The Scope of the Problem
    Recorded Call
  • May 1, 2008: Marc Pierson, MD, Bill Mahoney, PhD, Lori Nichols - Transitional Care Whatcom County Perspectives
    Handout | Recorded Call
  • April 24, 2008:Gail A. Nielson, BSHCA - Creating an Ideal Transition Home for Patients with Heart Failure
    Handout | Recorded Call
  • April 17, 2008: Patricia Sodomka, FACHE - Sharing the Patient- and Family-Centered Care Experience at the Medical College of Georgia
    Handout | Recorded Call
  • April 10, 2008: Brian Jack, MD, Testing the Re-Engineered Discharge
    Handout | Recorded Call
  • April 3, 2008: Jennifer L. Wolff, MHS, PhD, Family Involvement in Transitional Care Among Medicare Beneficiaries
    Handout | Recorded Call
  • March 27, 2008: VALUE Project Final Results (CO and NM)
    Handout | Recorded Call
  • March 20, 2008: VALUE Project Final Results (CA and NJ)
    Handout 1 | Handout 2 | Recorded Call
  • March 13, 2008: Chad Boult, MD, MPH, MBA, The Guided Care “Medical Home” for High-Risk Beneficiaries
    Handout | Recorded Call
  • March 6, 2008: Joseph G. Ouslander, MD, Improving Nursing Home Care by Reducing Avoidable Acute Care Hospitalizations and Mary Jane Koren, MD, MPH, Safely Preventing Hospitalization of NH Residents
    Handout 1 | Handout 2 | Recorded Call
  • February 28, 2008:Nan Holland, PGP Demonstration Project - Factors Influencing Performance Year 1 Quality & Efficiency Results
    Handout | Recorded Call
  • February 21, 2008: Richard D. Brumley, MD, Palliative Care Across the Continuum Kaiser Permanente
    Handout | Recorded Call
  • February 14, 2008: Re-Designing Health Care for Quality: The Case for Investing in System-wide Quality Improvement, Continued
    Handouts are the same as the previous call
    Recorded Call
  • February 7, 2008: Bonnie Brossart, Chief Executive Officer, Health Quality Council in Saskatchewan, Canada - Re-Designing Health Care for Quality: The Case for Investing in System-wide Quality Improvement
    Handout 1 | Handout 2 | Handout 3 | Recorded Call
  • January 31, 2008: Dr. Jane Brock (CFMC) and Mark Gottlieb, PhD (NMMRA) - Developing Metrics for VALUE
    Handout 1 | Handout 2 | Handout 3 | Recorded Call
  • January 24, 2008: Donald E. Casey Jr., MD, MPH, MBA, FACP - Findings from the CHP "HF GAP" initiative and Atlantic Health's Approach to Palliative Care
    Handout 1 | Handout 2 | Handout 3 | Handout 4 | Recorded Call
  • January 17, 2008: Donald M. Berwick, MD, MPP, FRCP - Eating Soup with a Fork
    Handout | Recorded Call
  • January 10, 2008: Joseph Lau - “Non-pharmacological Peri Discharge Interventions and Outcomes in Heart Failure (HF)"
    Handout | Recorded Call
  • January 3, 2008: Thomas Edes, MD, MS - VA Home Based Primary Care
    Presentation | Handout 1 | Handout 2 | Recorded Call
  • December 20, 2007: Eric Coleman MD, MPH - Care Transitions Intervention
    Handout | Recorded Call
  • December 13, 2007: Shannon Brownlee - "Overtreated"
    Handout | Recorded Call
  • December 6, 2007: Mary Naylor PhD, RN - Transitional Care Model
    Handout 1 | Handout 2 | Recorded Call
    Article about Brownlee's book, "Overtreated," in The New York Times
The Colorado Foundation for Medical Care (CFMC), the Medicare Quality Improvement Organization for Colorado, prepared this material under contract with the Centers for Medicare & Medicaid Services (CMS), an agency of the U.S. Department of Health and Human Services. The contents do not necessarily reflect CMS Policy.