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Phase 2 Sessions

Medical Worker Provider in Home with Senior Patients
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Catch up on past Phase 2 Sessions (September 2022–July 2023 )

Tuesday, September 13, 2022 | 11:00–11:30 a.m. PT

Event Recording

PowerPoint Presentation

This presentation will provide an overview of the quickinar format and discuss how to use readmission data to implement change at your facility.

Objectives

  • Discover how to access your Medicare fee-for-service (FFS) readmissions data in the Quality Improvement Innovation Portal (QIIP).
  • Discuss how HSAG, the Quality Improvement Organization (QIO), can support you in your readmission efforts.
  • Review the tools available on the HSAG Care Coordination website.
  • Examine how to use the dashboard to guide and measure your readmissions progress.

Tuesday, October 4, 2022 | 11:00–11:30 a.m. PT

This presentation will discuss the case management program one health system implemented to address the needs of their super utilizers.

HSAG Intro Slides

Super Utilizers Slides

Recording 

Objectives:

  • Describe case management strategies for super utilizers.
  • Explore the strategy implemented by the hospital to address their super utilizer population.
  • Discuss and share relevant resources.

Tuesday, January 10, 2023 | 11:00–11:30 a.m. PT, 12 noon–12:30 p.m. MT

Event Recording

Presentation Slides

This session will introduce the HSAG Care Coordination Assessment and Toolkits as resources you can use at your facility. 

Objectives:

  • Review the elements of the HSAG Care Transitions Assessments and Toolkits.
  • Discuss how to use the assessment as a tool to implement to drive change at your facility.
  • Explore the quality improvement tools available in the toolkits.

Tuesday, February 7, 2023 | 11:00–11:30 a.m. PT, 12 noon–12:30 p.m. MT

Event Recording

Presentation Slides

This session will examine specific strategies to reduce hospitalizations related to uninary tract infections (UTIs) and pneumonia.

Tuesday, March 7, 2023 | 11:00–11:30 a.m. PT, 12 noon–12:30 p.m. MT

Event Recording 

Presentation Slides

This session will review the different readmission data elements in the Quality Improvement Innovation Portal (QIIP) and how they can be used to identify areas of opportunity at your facility.

Objectives:

  • Discover how to access the performance dashboard in the HSAG QIIP.
  • Examine the features and data elements available in the QIIP dashboard.
  • Review how to use the dashboard to guide and measure your readmissions progress.
  • Identify readmission data as the basis for implementing a quality improvement project/area of focus.

 

Tuesday, April 4, 2023 | 11:00–11:30 a.m. PT

This session will introduce tools to address health disparities and social determinants of health (SDOH) that impact readmissions.

Event Recording

Presentation Slides

Objectives:

  • Use Area Deprivation Index (ADI) to visualize your community’s level of social need.
  • Examine the various social need screening tools available to collect patient-level SDOH data.
  • Discuss how to use Z codes to document SDOH in the medical record.
  • Review HSAG tools and resources for addressing health equity.

 

Tuesday, May 2, 2023 | 11:00–11:30 a.m. PT

This presentation will continue the discussion about the role health literacy plays in care coordination.

Event Recording 

Presentation Slides 

Objectives:

  • Define health literacy as a tool for effective healthcare communication.
  • Describe how to become a health literate organization.
  • Demonstrate utilization of tools and strategies to address health literacy.

Tuesday, June 6, 2023 | 11:00–11:30 a.m. PT

This session will describe strategies to engage patients to improve care coordination and reduce readmissions.

Event Recording

Presentation Slides

Learning Objectives:

  • Define patient engagement as it relates to care coordination.
  • Describe how higher levels of patient involvement leads to better outcomes.
  • Discuss practical tips to improvement patient engagement.
  • Introduce patient engagement educational tools and resources.

Tuesday, July 11, 2023 | 11:00–11:30 a.m. PT

Event Recording

Presentation Slides

Objectives:

  • Discuss the role and value of teach-back to improve care coordination and reduce readmissions.
  • Discuss teach-back resources.
  • Identify strategies for implementing teach-back at your facility.