Care coordination is a key priority for the Centers for Medicare & Medicaid (CMS) to improve quality and achieve safer and more effective care. This quickinar series will help address gaps in care with short, 30-minute presentations. Register for Phase 2 (sessions 12-20), or scroll down to find the recordings for Phase 1 (sessions 1-11) of the series.
Register for Phase 2: Continuation of the Care Coordination Series
September 2022–July 2023 (Sessions 12–20).
bit.ly/cc-quickinars2
Tuesday, September 13, 2022 | 11:00–11:30 a.m. PT
This presentation will provide an overview of the quickinar format and discuss how to use readmission data to implement change at your facility.
Objectives
- Discover how to access your Medicare fee-for-service (FFS) readmissions data in the Quality Improvement Innovation Portal (QIIP).
- Discuss how HSAG, the Quality Improvement Organization (QIO), can support you in your readmission efforts.
- Review the tools available on the HSAG Care Coordination website.
- Examine how to use the dashboard to guide and measure your readmissions progress.
Tuesday, October 4, 2022 | 11:00–11:30 a.m. PT
This presentation will discuss the case management program one health system implemented to address the needs of their super utilizers.
Objectives:
- Describe case management strategies for super utilizers.
- Explore the strategy implemented by the hospital to address their super utilizer population.
- Discuss and share relevant resources.
Tuesday, January 10, 2023 | 11:00–11:30 a.m. PT, 12 noon–12:30 p.m. MT
This session will introduce the HSAG Care Coordination Assessment and Toolkits as resources you can use at your facility.
Objectives:
- Review the elements of the HSAG Care Transitions Assessments and Toolkits.
- Discuss how to use the assessment as a tool to implement to drive change at your facility.
- Explore the quality improvement tools available in the toolkits.
Tuesday, February 7, 2023 | 11:00–11:30 a.m. PT, 12 noon–12:30 p.m. MT
This session will examine specific strategies to reduce hospitalizations related to uninary tract infections (UTIs) and pneumonia.
Tuesday, March 7, 2023 | 11:00–11:30 a.m. PT, 12 noon–12:30 p.m. MT
This session will review the different readmission data elements in the Quality Improvement Innovation Portal (QIIP) and how they can be used to identify areas of opportunity at your facility.
Objectives:
- Discover how to access the performance dashboard in the HSAG QIIP.
- Examine the features and data elements available in the QIIP dashboard.
- Review how to use the dashboard to guide and measure your readmissions progress.
- Identify readmission data as the basis for implementing a quality improvement project/area of focus.
Tuesday, April 4, 2023 | 11:00–11:30 a.m. PT
This session will introduce tools to address health disparities and social determinants of health (SDOH) that impact readmissions.
Event Recording - Coming soon!
Objectives:
- Use Area Deprivation Index (ADI) to visualize your community’s level of social need.
- Examine the various social need screening tools available to collect patient-level SDOH data.
- Discuss how to use Z codes to document SDOH in the medical record.
- Review HSAG tools and resources for addressing health equity.
Webinar online link: https://hsagonline.webex.com/hsagonline/onstage/g.php?MTID=e0807c03c17658ac70debe2c4d4f9033e
Event number: 2462 790 1895
Call in phone #: 1.415.655.0003
Tuesday, May 2, 2023 | 11:00–11:30 a.m. PT
This presentation will continue the discussion about the role health literacy plays in care coordination.
Objectives:
- Define health literacy as a tool for effective healthcare communication.
- Describe how to become a health literate organization.
- Demonstrate utilization of tools and strategies to address health literacy.
Webinar online link: https://hsagonline.webex.com/hsagonline/onstage/g.php?MTID=ef99bb75d06b05e32fb6ec1364c09c211
Event number: 2450 543 4695
Call in phone #: 1.415.655.0003
Tuesday, June 6, 2023 | 11:00–11:30 a.m. PT
This session will describe strategies to engage patients to improve care coordination and reduce readmissions.
Learning Objectives:
- Define patient engagement as it relates to care coordination.
- Describe how higher levels of patient involvement leads to better outcomes.
- Discuss practical tips to improvement patient engagement.
- Examine the patient activation tool (PAM) and how to apply it at your facility.
- Introduce patient engagement educational tools and resources.
Webinar online link: https://hsagonline.webex.com/hsagonline/onstage/g.php?MTID=e8ee91e15f3e9d80784da53c9a760fee4
Event number: 2465 770 4076
Call in phone #: 1.415.655.0003
Tuesday, July 11, 2023 | 11:00–11:30 a.m. PT
This session will describe how the COVID-19 pandemic has permanently shifted patient care to the virtual setting as a new normal for how care is provided.
Objectives:
- Describe the movement toward virtual care and services.
- Review the proposed 2023 Medicare Physician Fee Schedule (PFS) rule.
- Examine the challenges with telehealth.
Webinar online link: https://hsagonline.webex.com/hsagonline/onstage/g.php?MTID=e76617249ec8c230e4c502879dc0e6301
Event number: 2460 093 7676
Call in phone #: 1.415.655.0003
Catch up on past Phase 1 Sessions (January–August 2022)
Tuesday, January 18, 2022
This presentation will provide an overview of the Quickinar format and reintroduce care coordination in the era of COVID-19.
Objectives:
- Examine the journey of care coordination pre and post COVID-19.
- Discuss the Hospital Readmission Reduction Program (HRRP) and SNF VBP.
- Review the HSAG readmission website.
- Map out care coordination process for 2022.
- Introduce the HSAG care coordination assessment.
Tuesday, February 1, 2022
This session will introduce the HSAG Care Transitions Assessment for various healthcare settings.
Objectives:
- Describe the main categories of the Care Transitions assessment.
- Discuss experiences, challenges, and lessons learned using the assessment.
Tuesday, February 15, 2022
This presentation will review evidence-based strategies and tactics for facilitating a root cause analysis for opportunities of improvement identified in the care transition assessment.
Objectives:
- Discuss and identify the components of the Gap/Root Cause Analysis tool
- Identify other resource audit tools (7-day audit tool, patient interview, 5 whys, HSAG data reports)
Tuesday, March 1, 2022
This presentation will review evidence-based strategies and tactics for facilitating a root cause analysis for opportunities of improvement identified in the care coordination assessment.
Objectives:
- Discuss and identify the components of the gap root cause analysis tool.
- Identify other resource audit tools (7-day audit tool, patient interview, 5 whys, and HSAG data reports).
Tuesday, March 15, 2022
This presentation will discuss the unique challenge super utilizers present in care coordination.
Montage PowerPoint presentation
Objectives:
- Define super utilizer as is relates to care coordination and readmissions.
- Describe the impact of super utilizers in healthcare settings.
- Discuss care management/care transition strategies to address super utilizers.
Identify available resources in your community.
Tuesday, April 5, 2022
This presentation will discuss how hot spotting and other resources can assist to identify super utilizer, dedicate resources, and implement targeted interventions.
HonorHealth PowerPoint Presentation
Objectives:
- Review data and other tools/mechanisms to identify super utilizers.
- Explain strategies to improve coordination of care and reduce utilization for super utilizers.
Tuesday, April 19, 2022
This presentation will introduce the HSAG Quality Improvement Innovation Portal (QIIP) performance dashboard, an analytic tool, to provide an overview of how you can use the tool to leverage your care coordination efforts.
Objectives:
- Discover how to access the performance dashboard in the HSAG QIIP.
- Review the features and data available in the dashboard.
- Identify how to use the dashboard to guide and measure your readmissions progress.
Tuesday, May 3, 2022
This presentation will discuss how a facility can identify the contributing factors that impact health equity and readmissions.
Objectives:
- Explain community characteristics that impact health equity.
- Review the hospital required Community Health Needs Assessment (CHNA).
- Introduce the HSAG health equity assessment.
Tuesday, June 7, 2022
This presentation will discuss the role health literacy plays in care coordination.
Objectives:
- Define health literacy as a tool for effective healthcare communication.
- Discuss how to assess health literacy levels.
- Identify tools and strategies to address health literacy.
Tuesday, July 5, 2022
This presentation will discuss teach-back as a tool to address health literacy.
Objectives:
- Discuss the role and value of teach-back to improve care coordination.
- Discuss teach-back resources.
- Identify strategies/steps for implementing teach-back in your facility.
Tuesday, August 2, 2022 | 11:00–11:30 a.m. PT
This presentation will discuss how to form and run effective community and post-acute care meetings.
Objectives:
- Illustrate the essential elements of a successful community collaborative.
- Discuss ways to collaborate with preferred post-acute providers.
- Identify metrics to measure community success in reducing readmissions.
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Care Coordination AssessmentsDownload PDF versions: |
