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Care Transitions Learning and Action Network - Integrating Care for Populations & Communities
The Care Transitions LAN will focus on improving the quality of care for Medicare beneficiaries as they transition between providers. Participants will form relationships with community organizations and health care providers and coordinate activities to ensure community-wide adoption of best practices.
Who Should Attend?
- skilled nursing facilities
- home health care agencies
- nursing homes
- hospice and palliative care providers
- non-medical home organizations
- patient advocacy groups
- community-based organizations
- physician offices
- healthcare associations
The goal of the care transitions LAN is to improve the quality of care for Medicare beneficiaries as they transition between care settings by promoting community-wide adoption of evidence-based best practices. LAN activities will support state and national goals:
- 7% reduction in 30-day hospital readmissions, 5% reduction in hospital admissions, and
2% reduction in costs in communities tackling care transitions together by July 2014
- 2% relative improvement rate decrease in 30-day readmissions and admissions statewide by July 2014
- 20% reduction in avoidable hospital readmissions by 2014, aligning with the Partnership for Patients. Click Here to Join the Partnership.
Interested in Participating?
Archived Biweekly Care Transitions Roundup Newsletters from CFMC
Free Webinar Learning Sessions
- "Shining Stars Across the Nation" 2nd and 4th Thursdays of every month.
- CORHIO - Health Information Exchange: February 28, 2013
- CFMC Participation/ Data Sharing Agreement: February 11, 2013
- PAM Data Entry Training Webinar: November 27, 2012
- How do I monitor my progress and measure my success?: August 21, 2012
- What interventions should my community use? Part 1: June 19, 2012
- Why are patients being readmitted?: May 15, 2012
- Why is this a community problem?: April 17, 2012
- Who is my community?: March 20, 2012
- Introduction to the LAN: March 6, 2012
For more information about the CFMC Integrating Care for Populations and Communities program, contact Lacey McFall at email@example.com or 303-784-5746.