Get Rewarded for Improved Transitions of Care

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Get Rewarded for Improved Transitions of Care

07/12/2024

When patients transition from the hospital back to home, their care coordination can be negatively affected.

Some of the issues include:

  • Lapses between inpatient and outpatient providers.
  • Intentional and unintentional medication changes; incomplete diagnostic workups.
  • Inadequate patient, caregiver, and provider understanding of diagnoses, medication and follow-up needs.

To help improve these outcomes, the Transitions of Care HEDIS® measure is included in our Quality Incentive Program (QIP). You can earn incentives and help your patient have a successful transition from hospital to home.

This measure requires:

  • One follow-up visit within 30 days of discharge.
  • Discharge medications to be reconciled with outpatient medications in the patient medical record within 30 days of discharge.

Please visit Quality Improvement | EmblemHealth or Quality Improvement | ConnectiCare for more information about the QIP program. The brochure provides detailed measure and coding information along with helpful tips to ensure you receive credit for providing these services.

Provider Update