AHRQ Innovations Exchange | Partnerships to Improve Care Coordination

AHRQ Innovations Exchange Partnerships to Improve Care Coordination

Partnerships to Improve Care Coordination

The American medical system is extraordinarily fragmented and difficult to navigate. The average Medicare patient sees seven different doctors, according to the New England Journal of Medicine. Partnerships are an important strategy to enhance care coordination for patients.  Partnerships exist between primary care practices and specialty practices, primary care practices and community-based organizations, and between community based organizations and multidisciplinary health care teams.

The featured Innovations describe two programs that have implemented strategic partnerships to enhance care coordination for seniors and veterans.

The featured QualityTools offer a guide on how to create an ideal transition home and a toolkit to prepare your organization for care transitions for seniors.

Featured Innovations:

•  Affordable Housing Community Offers Seniors Onsite Health Care Coordination and Support, Reducing Hospital Admissions and Falls and Improving Resident Health

•  Coordinated Treatment and Support Enhance Access to Care for Veterans With Post-Traumatic Stress Disorder and Traumatic Brain Injury and Their Families

Featured QualityTools:

• How-to Guide: Creating an Ideal Transition Home
Developed by Institute for Healthcare Improvement

• The Aging Network and Care Transitions: Preparing Your Organization Toolkit
Developed by Administration on Aging

Featured Articles:

• A National Campaign to Scale Up and Spread CUSP-CLABSI: Interviews with James B. Battles and Stephen Hines