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Press Release

HealthInsight Nevada Selected by CMS to Lead an Initiative to Reduce Avoidable Hospitalizations among Nursing Facility Residents

Published on Thu, Oct 4, 2012 (1:27 p.m.)

Las Vegas, October 4, 2012 – HealthInsight Nevada is one of seven organizations across the nation selected by the Centers for Medicare & Medicaid Services (CMS) to lead the Initiative to Reduce Avoidable Hospitalizations among Nursing Facility Residents. The Initiative will test models to improve the quality of care and help reduce avoidable hospitalizations by 67% in 25 of Nevada’s Medicare-Medicaid certified eligible nursing facilities by 2016.

Nursing facility residents often experience potentially avoidable inpatient hospitalizations. These hospitalizations are expensive, disruptive, and disorienting for frail elders and people with disabilities. Nursing facility residents are especially vulnerable to the risks that accompany hospital stays and transitions between nursing facilities and hospitals, including medication errors and hospital-acquired infections. HealthInsight Nevada will implement the “Admissions and Transitions Optimization Program,” by partnering with local nursing facilities to provide hands-on assistance with evidence-based interventions that both improve care and lower costs. Interventions will include testing and redesigning care processes, implementing improvements to the nursing facilities’ clinical and organizational culture, as well as improving the transitioning process of residents between inpatient hospitals and nursing facilities.

“We are thrilled with this opportunity to work, in a new and more clinical way, with nursing facilities across the state, including our rural communities,” said Deborah Huber, HealthInsight Nevada Executive Director. “This Initiative will enable nursing facilities to receive clinical resources to reduce avoidable readmissions and enhance the care experience for nursing home residents. This will fill a gap in care that has long existed in our Nevada care delivery system.”

HealthInsight Nevada has worked with nursing homes in Nevada for over 10 years on various initiatives providing expertise in reducing healthcare-acquired conditions such as pressure ulcers, pain, and depression and has helped to improve the overall quality of life for residents by reducing the use of physical restraints. Expanding on this good work through the prevention of avoidable and unnecessary hospital admissions is possible through the good relationships established with Nevada’s nursing facilities and the strong commitment to quality demonstrated by partnering nursing homes.

This Initiative supports the Partnership for Patients' goal of reducing hospital readmission rates by 20% by the end of 2013.

About HealthInsight
HealthInsight is a private, non-profit, community-based organization dedicated to improving health and health care that is composed of locally governed organizations in three western states: Nevada, New Mexico and Utah. The HealthInsight enterprise holds contracts, grants and accreditation in key areas of healthcare improvement. This work includes an Agency for Healthcare Quality and Research Chartered Value Exchange (Nevada, Utah); Medicare Quality Improvement Organization (Nevada, New Mexico, Utah); Robert Wood Johnson Foundation Aligning Forces for Quality (New Mexico); Office for the National Coordinator (ONC) Beacon Community (Utah); Medicaid External Quality Review Organization (New Mexico); Health Information Technology Regional Extension Center (Utah, Nevada; New Mexico subcontractor); a Community Health Information Exchange (Nevada); Prescription Improvement Coalition (New Mexico); Utah HealthScape, www.utahhealthscape.org (Utah); and URAC accreditation (Nevada). HealthInsight is a recognized leader in quality improvement; transparency and public reporting; health information technology programs; healthcare system delivery and payment reform efforts; and human factors science research and application. Visit our website at www.healthinsight.org.

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This material was prepared by HealthInsight Nevada as part of our work to improve care for long-stay nursing facility residents under Cooperative Agreement #1E1CMS331084-01 from the Centers for Medicare & Medicaid Services. This Cooperative Agreement has been awarded for a four year project period, and funded exclusively by federal dollars of $3,043,001 for the first year.

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