Comprehensive management of post-acute care transitions — hospital to home, hospital to nursing home and even ER to home — has been demonstrated to curb avoidable healthcare utilization and close gaps in care, while improving the patient experience and provider reimbursement levels.
Consequently, CMS is putting $500 million behind its new Community-Based Care Transitions Program (CCTP) demonstration. CCTP is designed to help hospitals improve Medicare patient handoffs between care sites, reduce hospital readmissions, test sustainable funding streams for care transition services and document measureable savings to the Medicare program.
So critical are skills and expertise in patient handoffs between sites of care that the Case Management Society of America (CMSA) and the American Board of Quality Assurance and Utilization Review Physicians, Inc. (ABQAURP) are collaborating to create a sub-specialty certification for transitions of care.
The Care Transitions Toolkit examines current and emerging trends in care transition management, providing actionable data and case studies from industry thought leaders on key elements of their care transition programs.