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Change Starts Here. The One about Root Cause Analysis & Intervention Selection ICPC National Coordinating Center. - PowerPoint PPT Presentation
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Change Starts Here.The One about Root Cause Analysis &
Intervention SelectionICPC National Coordinating Center
This material was prepared by CFMC (PM-4010-077 CO 2011), the Medicare Quality Improvement Organization for Colorado 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.
Interventions to Improve Care Transitions
• Care Transitions Intervention℠• Transitional Care Model• INTERACT II• HHQI Best Practice Intervention Packages• Project Boost• Bridge model• Project RED• GRACE Model• STAAR Initiative
System-Level Drivers of Readmission
Poor Provider-Patient interfacemedication management, no effective patient
engagement strategies, unreliable f/u
Unreliable system supportLack of standard and known processesUnreliable information transferUnsupported patient activation during transfers
No Community infrastructure for achieving common goals
Building a Community-based Program
Root Cause Analysis
ID Driver of Readmission
Select Intervention
Measure Intervention
Did Intervention Address Driver
Interventions and DriversIntervention Patient
ActivationStandard Process
Information Transfer
Care Transitions Intervention℠ •••••• •Transitional Care Model • ••• •••••INTERACT II •• ••HHQI Best Practices •• •• ••Project Boost •••••• •••Bridge model ••• •••Project RED •••••• •••GRACE Model ••• •••STAAR Initiative •• •• ••
Questions?
CO-ICPCTechnical@coqio.sdps.org
The ICPC National Coordinating Center – www.cfmc.org/integratingcare
Change Starts Here.
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