The Greater Lansing area is one of the 14 communities accross the country that has improved coordination accross healthcare settings and equipped Medicare beneficiaries to take a more active role in managing their health after a hospitalization. This community's achievement in reducing avoidable hospital readmission within 30 days of patient discharge has established a foundation for the new Integrate Care for Populations and Communities Initiative led by MPRO on behalf of the Centers for Medicare and Medicaid Services.
Overview
MPRO's Integrate Care for Populations and Communities Initiative will engage communities and assist healthcare providers throughout the State of Michigan in:
Promoting better health for communities
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Providing affordable care as a result of improved process
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Producing measurable improvements through best practices
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Implement interventions that result in process improvements in medication management, post-discharge follow-up, communication and coordination of care.
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Interact with leaders and innovators in the field of Care Transitions at Learning and Action Networks, a collaborative network of providers sharing best practices;
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Connect with up-to-date information including funding opportunities;
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Participate in activities to help meet regulatory and accreditation requirements;
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Enhance current initiatives including BOOST (Better Outcomes for Older Adults through Safe Transitions), RED (Re-Engineered Discharge), and MI-STA*AR (MIchigan State Action on Avoidable Rehospitalizations) through community activation.
