HealthInsight
Care Transitions Briefing

May
  
2013
Patients w/ Doctor
      

Teach-BackTeach-Back Program Gaining Momentum 

HealthInsight staff is providing Teach-Back training to healthcare facilities along the Wasatch Front. The program is gaining momentum since beginning this year; requests for training have increased in number. The audience makeup has also increased to include home health and long-term care agencies, along with hospitals and outpatient clinic providers. One hospital system, for example, has deployed a computer-based training module that all clinical and new employees will learn during their yearly compliance training.  

 

Local training efforts to date include:

    • Huntsman Cancer Institute's unit managers
    • Ogden Regional Medical Center's social workers and case managers
    • Lakeview Hospital case management and other clinical staff
    • Logan Nursing & Rehab
    • Timpanogos Regional Hospital
    • Gunnison Home Health and Hospice
    • Southern Utah Home Health and Hospice

Along with the training efforts mentioned above, twenty-three additional Teach-Back trainings have been requested from organizations throughout the state.  

What is Teach-Back?  

 

Teach-Back is a proven intervention to help reduce unnecessary readmissions and ensure successful transitions of care. Teach-Back is used to measure how well healthcare providers explain medical issues to patients. Its use is known to increase patient engagement and health literacy as patients reiterate instructions to providers, ensuring effective communication and subsequent understanding.

 

Why is it important?

 

Patients, who have a clear understand­ing at discharge, are 30 percent less likely to be readmitted or visit the emergency department than patients who lack this information, according to a study funded by the Agency for Healthcare Research and Quality (AHRQ) and published in the Annals of Internal Medicine.i



i Brian W. Jack, MD, Veerappa K. Chetty, PhD, David Anthony, MD, MSc, et al, "A Reengineered Hospital Discharge Program to Decrease Rehospitalization," Annals of Internal Medicine 150(3), Feb. 3, 2009, pp. 178-187, http://www.annals.org/content/150/3/178 . abstract
 

There_HomeThere and Home Again, Safely  

"This report aims to improve the safety of care transitions across the entire continuum of care by focusing particular attention on a relatively neglected aspect of care transitions: the appropriate roles and responsibilities of ambulatory practices (i.e., outpatient clinics and other similar settings) in ensuring the safety of patients transitioning in and out of inpatient settings. Patients moving to and from the hospital, often coming from and going back to their homes, are, in effect, experiencing a care transition out of, and then back into, an ambulatory setting." Read more... 

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CPT_CodesRural Health Clinics and Federally Qualified Health Centers Also Qualify to Use "Transitional Care Management" CPT Codes

CMS has posted a list of Frequently Asked Questions (FAQs)Dr w/ iPad which state CPT codes 99495 and 99496 should be used to bill TCM services by Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs). See page 2 of the "Improving Transitions of Care: New Reimbursement Opportunities" flyer.   

  

Cooperative_NetworkCooperative Network Improves Patient Transitions Between Hospitals and Skilled Nursing Facilities, Reducing Readmissions and Length of Hospital Stays

"Summa Health System created the Care Coordination Network, a cooperative process that strives to ensure smooth transitions between the hospitals and 40 local skilled nursing facilities. The network uses a simplified transfer form, an electronic referral system, regular meetings, and other communication tools to boost the likelihood that each patient is discharged promptly to a facility that can meet his or her medical needs on arrival." Read more... 

  
  

AboutOurWorkAbout Our Work 

This information is provided by HealthInsight, a private, non-profit, community-based organization dedicated to improving health and health care. HealthInsight serves as the Medicare Quality Improvement Organization in Utah and leads an initiative to improve care coordination and reduce hospital readmissions across settings of care.
 
To learn more about us, visit our website:
Sincerely,
 
Larry Garrett, HealthInsight
 
 

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In This Issue

 

Last Chance to Take Our Readership Survey  

  
Local Events

Healthcare Transformation: From Management to Leadership, The IC3 Utah Beacon Story*

May 20-21, 2013

 

Conference topics include:
 
- Federal Healthcare Reform Agenda and Strategy for Success
 
- The IC3 Beacon Community Collaborative Project
 
- The Necessity of Patient Engagement
 
-Stories from the Clinical Front Lines

 
*12 CME credits available
 

Register today at www.projectmanager.org   


National Events

"Shining Stars

Across the Nation"

Webinar Series

Presented by

CFMC, the Medicare Quality Improvement Organization for Colorado


When?

2nd & 4th Thursdays

1-2 PM MT 

 

Who?

QIOs, healthcare providers, partners, HHS, and consumers 

 

Register 

For information: 

Call 866-639-0744

 

Visit Qualitynet Website 

(Password:Community) 

 

View PDF of schedule 

 


Learning & Action Network: Discovery Learning Series


When?

2nd & 4th Wednesdays

3-4 PM (ET)  

 

Who?

Healthcare Providers, partners & supporters 

 

For more information, please visit the events section on www.healthinsight.org 

 


Robert Wood Johnson Foundation Offers Continuing Education for Physicians & Nurses

 

For more information, please visit www.CareAboutYourCare.org   

 


Transitions in Care and the Importance of Checklists: Lessons from the Front Line

When?
Thursday, May 23, 2013 at 11:00 AM (MST)

To register for the online event, click here 

 
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You are receiving this newsletter as a result of your participation in the Patient Centered Care in Action - Care Transitions Learning and Action Network, or simply for your involvement in care transitions in your setting.  Each month, this briefing will include a variety of information on different topics, tools and resources, upcoming trainings or events and your improvement stories. 
 
This material was prepared by HealthInsight, the Medicare Quality Improvement Organization for Nevada and Utah, 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.  10SOW-UT-2013-CT-48