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OSF deploys care transition program, reduces readmission rate from 29% to 9%

Healthcare It News

THE PROBLEM This issue stemmed largely from gaps in continuous care during transitions between these settings. "The existing systems were fragmented, with each care setting operating in a silo ," he explained. "All interventions and patient outcomes are thoroughly tracked and analyzed," he added.

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State Policy Considerations to Support Equitable Systems of Care for Children and Youth with Special Health Care Needs 

NASHP

5 Compared to white, non-Hispanic CYSHCN, CYSHCN who are Black or Latinx are at particular risk of receiving infrequent, low-quality care, 6 while American Indian and Alaska Native CYSHCN are less likely to be able to access specialty treatment or receive culturally sensitive services.

Medicaid 124
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Supporting the Continuum of Care for Serious Illness in Medicaid Managed Care

NASHP

Well-coordinated care that anticipates and manages the symptoms and stressors of serious illness can help people with these and other complex conditions reduce pain and suffering , avoid receiving treatment that does not align with their wishes , and prevent overutilization of care. Quality and performance measures.

Medicaid 102
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National Care Coordination Standards for Children and Youth with Special Health Care Needs (CYSHCN) Implementation Guide

NASHP

Shared Plan of Care. Care Coordination Workforce. Care Transitions. health plans, providers, families of CYSHCN) in using, adapting, and implementing the National Care Coordination Standards for CYSHCN to develop or improve care coordination systems. Financing care coordination systems.