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Care Transitions is a Centers for Medicare & Medicaid Services quality improvement project for Texas' Lower Rio Grande Valley administered through TMF Health Quality Institute. It is a regional, collaborative effort to reduce avoidable hospitalizations by improving patient care transitions.

  Volume 1, Issue 8 June 2009
 
In This Issue
Why Is Health Care in McAllen the Nation's Most Costly?, See How Much Health Care Costs Around the U.S., Flu Shot Season May Start Earlier
Hospitals: CMS Proposes Rate Changes, Creating a Better Discharge Summary
Skilled Nursing Facilities: CMS Proposes More Accurate Payment Rates, One-Time Cash Benefit for Nursing Home Residents
Physicians: ePSS App for the iPhone
Upcoming National Webinar
 
New Models of Care
Thursday, June 25, 2009
2:00-3:00 CT
  
Sign in: Password CTLS
Phone:  1-800-410-9381with access code
147005 

Speaker:
W. June Simmons, CEO, Partners in Care Foundation 
 
Complete descriptions and registration information for TMF events >>
Newly Posted
 Newly posted resources to Care Transitions Web site.Visit the"What's New" section of the Care Transitions Web site to access newly posted resources and tools. 
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In the News

Why Is Health Care in McAllen the Nation's Most Costly?
Medicare beneficiaries in McAllen receive $15,000 of care per year--twice the national average. This article in The New Yorker magazine seeks to find out what's different about health care in McAllen.

Interactive Map: See How Much Health Care Costs Around the U.S.
Based in information from the Dartmouth Atlas of Health Care, this map shows reimbursements, surgeries and Medicare enrollee populations per hospital referral region.

Flu Shot Season May Start Earlier and Include Second Round
Amid concerns of a resurgence of the H1N1 flu in the fall, U.S. health officials are considering an earlier flu vaccination season to allow time for second round of shots if needed.

Medicare Beneficiary Episodes Study Released (118-page, 1.14MB PDF)
The study found that over one-third of all beneficiaries discharged from acute care hospitals use other services.  This research examines the relative importance of these different services and how their use varies by individual beneficiary characteristics.

What to Do After the Hospital Stay
New York Times blogger Maggie Jones describes her family's struggle in placing her father-in-law in a nursing facility and offers tips on how families can aid in successful transitions from the hospital to the next care setting. The posting is open for comments.

Preventable Hospitalizations in 2006: Rates and Costs Study Released (9-page, 132kb PDF)
The Healthcare Cost and Utilization Project recently published this statistic brief that tallies rates and costs of potentially avoidable rehospitalizations, including an analysis by patient's ZIP Code and income. The study concluded that 4.4 million admissions in 2006 were avoidable. These admissions totaled $30.8 billion, and Medicare patients accounted for nearly two-thirds of that cost.

Advanced Care Planning: Preferences for Care at the End of Life (20-page, 161kb PDF)
This "Research in Action" document from the Agency for Healthcare Research and Quality provides an overview to help physicians and other health care professionals with advance care planning by assessing the patient's preferences for care at the end of life.

AARP Newest "Beyond 50" Focuses on Chronic Care
The ninth volume of the AARP Public Policy Institute's "Beyond 50" series examines chronic illness from the consumer perspective. Focus groups and surveys inform this look at the health care system and the challenges of coordinating care.
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HOSPITALS
 
CMS Proposes Rate Changes for In-Patient Stays
The Centers for Medicare & Medicaid Services (CMS) recently proposed the fiscal year 2010 policies and payment rates for inpatient services furnished to people with Medicare by both acute care hospitals and long-term care hospitals. The proposed rule (CMS-1406-P) is on display at the Federal register and can be found under Special Filings.

Creating a Better Discharge Summary: How an Electronic Version Improves Communication
An electronic discharge summary was associated with more timely communication with outpatient physicians and improved communication of potential patient safety problems, such as test results that were pending at the time of discharge.

What Happens If Health Care Quality Cannot Meet Public Expectations?
Health care is seeing unprecedented gains in quality and safety, but the public is losing patience with what it considers the slow pace of improvement, said Joint Commission President Mark Chassin while delivering a keynote address at the Society of Hospital Medicine's annual meeting.
NURSING HOMES
 

CMS Proposes More Accurate Payment Rates for Medicare SNFs in FY 2010
The Centers for Medicare & Medicaid Services (CMS) has proposed adjustments to fiscal year 2010 payment rates to better reflect the cost of caring for Medicare beneficiaries in nursing homes.

One-Time Cash Benefit Made Available to Nursing Home Residents
The Recovery Act provides for a one-time cash benefit of $250 to certain eligible individuals who receive a Social Security benefit, Railroad Retirement pension, Veterans Administration disability pension, and Supplemental Security Income (SSI). The payments began in May 2009 and will be distributed by check or electronic transfer to eligible beneficiaries by June 4, 2009. Many residents in nursing homes will be eligible for this cash benefit (although some who receive SSI benefits at a reduced rate may not be eligible).

PHYSICIANS and CLINICS

 
AHRQ Develops ePSS for the iPhone
This free app from the Agency for Healthcare Research and Quality (AHRQ) helps primary care physicians identify screening, counseling and preventive medication services that are appropriate for their patients. The interface was designed specifically for the iPhone and iTouch, and allows searches by patient characteristics, such as age, sex and risk factors.

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This material was prepared by TMF Health Quality Institute, the Medicare Quality Improvement Organization for Texas, under contract with the Centers for Medicare & Medicaid Services (CMS), an agency of the U.S. Department of Health and Human Services. The contents presented do not necessarily reflect CMS policy. 9SOW-TX-CT-09-45