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CareForce proudly introduces its new CarePack Services that are specially designed to improve the outcome of your loved one's transitions from hospital to community or from one setting to another. CarePack Services assist with discharge from the hospital, nursing home or other non-Medicare skilled setting.
We can teach you simple steps that help you gain more control during your healthcare transitions:
- Create Personal Health Record
- Improve Follow-Up Appointments
- Medication Self Management
- Symptom Self Management
Dr. Eric Coleman and his team at the University of Colorado developed the Care Transition ModelSM with sponsorship from the John A. Hartford Foundation and the Robert Wood Johnson Foundation. The Care Transition InterventionSM coaches patients and families in the use of tools and techniques to promote self-management of their condition and their care transitions. Research has shown that the Care Transition Intervention (CTISM) significantly reduces the rate of re-hospitalizations for seniors with complex care needs.
CareForce is the first non-Medicare funded provider to become authorized to use the CTISM. The CTISM becomes the flagship offering CareForce's innovative CarePack service line. While a variety of different approaches are being tried to resolve the re-admission problem, the CTISM is recognized as a leader in reducing expense and improving quality outcomes.
Our team of clinicians, trained in senior and chronic care, will develop a Plan of Care to specifically address key issues related to discharge or transitions in care settings. This Plan of Care will be based on information about treatment goals post discharge, clinical status and personal preferences. It will address coordination among all health professionals involved, including logistical arrangements and education of the patient and family.
Facts:
- Approximately 20% of Medicare beneficiaries dischaged from a hospital are re-admitted within 30 days after leaving inpatient care, according to an article published by The New England Journal of Medicine (April 2, 2009).
- A recent front page article in the Wall Street Journal (July 28, 2009) highlighted the importance of the issue of hospital re-admissions today. "The government spends an estimated $12 billion a year on "potentially preventable" re-admissions for Medicare patients, according to the Medicare Payment Advisory Commission, an independent congressional agency. U.S. leaders are trying to reduce such costs as they wrangle this week over how to retool the country's health care system. Though private insurers also pay for re-admissions, these charges are especially prevelant among the elderly covered by Medicare."
CareForce Owner, Susan 'Sam' Miller states: "As a member of the Geriatric Professional Network at the University of Washington de Tornyay Center of Healthy Aging, I became very interested in care transitions several years ago. Dr. Coleman's model has always appealed to me as very consistent with the CareForce Mission: to improve the quality of care for vulnerable people.
Let CareForce bring extra care and security to your family during periods of difficult change.
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