Ebook Nutrition and healthy aging in the community: Part 2
➤ Gửi thông báo lỗi ⚠️ Báo cáo tài liệu vi phạmNội dung chi tiết: Ebook Nutrition and healthy aging in the community: Part 2
Ebook Nutrition and healthy aging in the community: Part 2
NutriUon and Healthy Aging in the Community: Workshop Summary4Transition to Community Care: Models and OpportunitiesThe focus of this session, moderat Ebook Nutrition and healthy aging in the community: Part 2ted by Julie L. Locher, associate professor of medicine. Division of Gerontology. Geriatrics, and Palliative Care at the University of Alabama at Birmingham. was to identify models of transitioning to community care and opportunities for using these models to provide nutrition services. Presenters J Ebook Nutrition and healthy aging in the community: Part 2anies A. Hester. Daniel J Schoeps. Lori Gerhard, and Heather Keller each provided a discussion of specific models of transitional care and providing sEbook Nutrition and healthy aging in the community: Part 2
en ices 111 the community setting. The models discussed were the following:•Centers for Medical e Ẳ Medicaid Sen ices Innovation Center Modelso PatienNutriUon and Healthy Aging in the Community: Workshop Summary4Transition to Community Care: Models and OpportunitiesThe focus of this session, moderat Ebook Nutrition and healthy aging in the community: Part 2dian Models of Screening and Assessment 111 the Community•Evergreen Action Nutrition Program in CanadaINNOVATIONS IN CARE TRANSITIONS: AN OVERVIEWPresenter: Janies .4. HesterThe Center for Medicare and Medicaid Innovation. known as the Innovation Center, is a new vehicle for improving care transitio Ebook Nutrition and healthy aging in the community: Part 2ns said James Hester, the Acting Director of the Population Health Models Group at rhe Innovation Center in the Centers for Medicare & Medicaid ServicEbook Nutrition and healthy aging in the community: Part 2
es (CMS). The Innovation Center was created luider the Patient Protection and A ffordable Care Act Section 3021. to “test innovative payment and senicNutriUon and Healthy Aging in the Community: Workshop Summary4Transition to Community Care: Models and OpportunitiesThe focus of this session, moderat Ebook Nutrition and healthy aging in the community: Part 2ren’s Health Insurance Program benefits (P L 111-148 [May 2010]). The Innovation Center's mission is to be a trustworthy partner to identify, validate, and diffuse new models of care and payment that improve health and health care and reduce the total cost of care.4-ỈPREPUBLICATION COPY: UNCORRECTED Ebook Nutrition and healthy aging in the community: Part 2 PROOFSCopyright © National Academy of Sciences. All fights reservedNutrition and Healthy Aging in the Community: Workshop Summaryhttps’//khothuvicn cEbook Nutrition and healthy aging in the community: Part 2
om■f-2NUTRITION AND HEALTHY AGING IN THE COMMUNITYThe Innovation Center: History and OrganizationTo begin. Hester posed the question. “Why should we iNutriUon and Healthy Aging in the Community: Workshop Summary4Transition to Community Care: Models and OpportunitiesThe focus of this session, moderat Ebook Nutrition and healthy aging in the community: Part 2ng the country’s budget deficit Hester also pointed to statistics that show 20 percent of Medicare recipients discharged from the hospital (U.S million people) are readmitted within 30 days (Jencks et al.. 2009). Many of those are readmitted due to preventable hospital-acquired conditions. He noted, Ebook Nutrition and healthy aging in the community: Part 2 however, the ultimate reason for innovation is the medical community's obligation to provide better health careThe Innovation Center has S10 billionEbook Nutrition and healthy aging in the community: Part 2
in funding through 2019 and has been given authority under the Patient Protection and Affordable Care Act that disables some of the constraints on MedNutriUon and Healthy Aging in the Community: Workshop Summary4Transition to Community Care: Models and OpportunitiesThe focus of this session, moderat Ebook Nutrition and healthy aging in the community: Part 2eliminated many promising innovations. If an innovation has been implemented, tested, and found to work effectively, "the Secretary can scale it up nationally" without having to return to Congress for new legislation.The work of the Innovation Center is organized into tlnee major model groups: (1) t Ebook Nutrition and healthy aging in the community: Part 2he Patient Care Model. (2) rhe Seamless Coordinated Care Model, and (3) Conununity and Population Health Models. The Patient Care Model focuses on whaEbook Nutrition and healthy aging in the community: Part 2
t happens to a patient in a given episode of care at a given encoiuiter. One initiative under this model is "biuidled payments" in which multiple careNutriUon and Healthy Aging in the Community: Workshop Summary4Transition to Community Care: Models and OpportunitiesThe focus of this session, moderat Ebook Nutrition and healthy aging in the community: Part 2ereby providing incentive for everyone to work together effectively. A second example of this model is Partnerships for Patients, a public-private partnership for a national patient safety campaign. (See below for further discussion of this initiative.)The Seamless Coordinated Care Model involves co Ebook Nutrition and healthy aging in the community: Part 2ordinating care across the entire spectrum of the health community to improve health outcomes for patients. Hester stated that the existing health carEbook Nutrition and healthy aging in the community: Part 2
e system characteristically consists of “silos” within specific care settings resulting in rough transitions between the settings Initiatives under thNutriUon and Healthy Aging in the Community: Workshop Summary4Transition to Community Care: Models and OpportunitiesThe focus of this session, moderat Ebook Nutrition and healthy aging in the community: Part 2 Pioneer Accountable Care Organizations (ACO) Model, and the Comprehensive Primary Care initiative.The Conununity and Population Health Model explores how to improve the health of targeted populations with specific diseases, such as diabetes, as well as the well-being of conununities as a whole. At- Ebook Nutrition and healthy aging in the community: Part 2risk communities represent opportiuiities for improving health: and enhancing nutritional status IS an aspect of health that can be pursued.The InnovaEbook Nutrition and healthy aging in the community: Part 2
tion Center solicits ideas for new models, selects rhe most promising, tests and evaluates the models, and finally disseminates the successful models.NutriUon and Healthy Aging in the Community: Workshop Summary4Transition to Community Care: Models and OpportunitiesThe focus of this session, moderat Ebook Nutrition and healthy aging in the community: Part 2provementThe Partnership for Patients Initiative mentioned above has two main goals: (1) a 40 percent reduction in preventable hospital-acquired conditions over 3 years and (2) a 20 percent reduction ill 30-day readmissions 111 3 years. Success in meeting these two goals could result 111 saving 60.0 Ebook Nutrition and healthy aging in the community: Part 200 lives and S35 billion in 3 years (CMS. 2011a). According to Hester, bipartisan support has been garnered due to the realization that improved patieEbook Nutrition and healthy aging in the community: Part 2
nt outcomes through fewer preventable acqimed conditions and fewer readmissions will result 111 large cost savings.PREPUBLICATION COPY: UNCORRECTED PRNutriUon and Healthy Aging in the Community: Workshop Summary4Transition to Community Care: Models and OpportunitiesThe focus of this session, moderat Ebook Nutrition and healthy aging in the community: Part 2 CARE: MODELSAND OPPORTUNITIESCare TransitionsHester focused his discussion on the second goal (decreased readmissions) and noted that transition from one source of care to another is a period of high risk for communication failure, procedural errors, and uiiimplcmcnlcd plans. He emphasized that the Ebook Nutrition and healthy aging in the community: Part 2 issue of poor care transitions and readmissions is concentrated in rhe most vulnerable populations people with chronic conditions, organ system failuEbook Nutrition and healthy aging in the community: Part 2
re, and frailty. Hester indicated there is strong evidence demonstrating that hospital readmissions caused by flawed transitions can be significantly NutriUon and Healthy Aging in the Community: Workshop Summary4Transition to Community Care: Models and OpportunitiesThe focus of this session, moderat Ebook Nutrition and healthy aging in the community: Part 2 guides all care, moves with the patient across care settings,, reflects the priorities of patient and family, and meets the needs of persons living with serious chronic conditions. Aecomplisliing llial vision requires a combination of patient and caregiver engagement, patient-centered care plans, s Ebook Nutrition and healthy aging in the community: Part 2afe medication practices, and communication between tire transferring and receiving providers. Importantly, the sending provider must maintain responsEbook Nutrition and healthy aging in the community: Part 2
ibility for the care of the patient until the receiving caregiver confirms the transfer and assumes responsibility, as opposed to a presumption that rNutriUon and Healthy Aging in the Community: Workshop Summary4Transition to Community Care: Models and OpportunitiesThe focus of this session, moderat Ebook Nutrition and healthy aging in the community: Part 2nter estimated that a national network of 2.600 community-based care transition coalitions, pannering hospitals with community resources, would have to be built. Furthermore, a "roadmap” would be needed to help guide partnerships. The Partnership for Patients is building on evidence from research an Ebook Nutrition and healthy aging in the community: Part 2d prlot projects to support existing coalitions and encourage the formation of new ones. The Center provides data, technical support, money, consumerEbook Nutrition and healthy aging in the community: Part 2
information, and training to support die partnerships and move the coalition forward in transition care.The Innovation Center’s strategy for the PartnNutriUon and Healthy Aging in the Community: Workshop Summary4Transition to Community Care: Models and OpportunitiesThe focus of this session, moderat Ebook Nutrition and healthy aging in the community: Part 2The aim was to have a portfolio of initiatives between communities and hospitals at various levels of development 111 providing transitional care. The Center established a simple hierarchy of these partnerships based on the level of their development, labeling them "walkers,” “joggers,” and "maratho Ebook Nutrition and healthy aging in the community: Part 2ners.”“Walkers” are the partnerships dial arc just beginning. Initiatives in place for “walkers” include the Quality Improvement Organizations (QlOs)Ebook Nutrition and healthy aging in the community: Part 2
and the Health Resources and Services Administration Patient Safety and Clinical Pharmacy Services Collaborative. QTOs are organizations staffed by heGọi ngay
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