Connecting for Health
The Centers for Medicare & Medicaid Services (CMS) Care Transitions initiative will improve care coordination and reduce hospital readmissions across settings of care.
HealthInsight works with providers, purchasers, payers, and consumers in Nevada and Utah in an effort to achieve the best possible outcome after a hospital discharge.
What is a Learning and Action Network?A Learning and Action Network (LAN) is an improvement initiative that brings together healthcare professionals, patients and other stakeholders around an evidence-based agenda to achieve rapid, wide-scale improvement. The LAN model includes collaborative projects, online interactions, and peer-to-peer education to facilitate shared commitment, energy, and knowledge that allows participants to learn from each other as well as from the QIO.
Quality Improvement Organization, Medicare Changes to Affect Utahns
On August 1, 2014, KePro becomes the Beneficiary and Family Centered Care QIO (BFCC-QIO) for Utah, assuming responsibility for all QIO case reviews on behalf of Utah Medicare beneficiaries.
Separate entities for medical review and quality improvement
Beginning August 1, 2014, the QIO Program will separate medical case review from quality improvement work. QIO work will be carried out in each state under two types of regional contracts:
- Medical case review-to be performed by Beneficiary and Family Centered Care QIOs (BFCC-QIOs)
- Quality improvement and technical assistance-to be performed by Quality Innovation Network QIOs (QIN-QIOs)