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.
