At Northeast Health, we've embraced quality as our number one priority. That's why we're committed to these nationally recognized, network-wide quality initiatives -
Improving patient care transitions is a network-wide issue at Northeast Health. In September 2009, Northeast Health joined the IHI in a campaign in a year-long initiative to reduce readmissions. A cross-continuum improvement team of about 20 individuals was formed representing our acute care hospitals, home care, nursing homes, primary care and hospitalists.
In December 2009, Eddy Visiting Nurse Association collaborated with Albany Memorial and Samaritan hospitals in a successful week-long Kaizen event to improve the transition from hospital to home care and improve communications with community primary care physicians. The cross-divisional event was driven by a suggestion from the Board of Directors Quality Committee. In addition, The Eddy Endowment Committee approved funding to establish a care transitions program between Eddy VNA and the two patient care hospitals, along with Eddy Heritage House Nursing and Rehabilitation Center and Sunnyview Rehabilitation Hospital. This funding will enable Eddy VNA to hire RN coaches at Albany Memorial and Samaritan and train them in the highly successful Eric Coleman model to reduce readmissions within the first 30 days after hospital discharge with the goal of reducing the readmission rate by 30 percent by the end of 2010.
Additionally, Eddy VNA was approached by CDPHP (Capital District Physicians Health Plan) to pilot a "transitions in care program" which would provide a nurse visit for all Medicare members discharged from Albany Memorial or Samaritan. In addition, Eddy Heritage House signed an agreement with IPRO, an independent not-for-profit healthcare consulting organization, to participate in the CMS (Center for Medicare and Medicaid Services) Care Transitions Initiative through 2011 with the goals of reducing hospitalizations; as well as improving communications of transfer information, patient/caregiver self-management and follow-up care, and patient satisfaction.
We are confident these initiatives will help us succeed in reaching our goal.