Care Transitions underway at two hospitals; April kick off planned

Thursday, March 22, 2012

Care Transitions continues to move forward with the project getting underway officially this month at The Christ Hospital and The Jewish Hospital -- Mercy Health. The additional three hospitals in the project are being phased in. A kickoff event is planned for some time in April.

Care Transitions is a health coaching and intervention program in Greater Cincinnati for older adults who have been hospitalized for serious and usually chronic conditions, such as heart failure. It is designed to:

  • Help frail seniors who have been discharged from the hospital avoid future preventable hospital admissions
  • Help patients access the most appropriate post-acute medical care and home and community-based services (and avoid the more costly nursing facility placements when not necessary 

The program is operated by the Southwest Ohio Care Transitions Collaborative at five regional hospitals. Partners include Council on Aging of Southwestern Ohio; the Greater Cincinnati Health Council; Hamilton County Mental Health and Recovery Services Board; HealthBridge; Health Care Access Now; the Health Collaborative; and the following hospitals: The Christ Hospital; Clinton Memorial Hospital; The Jewish Hospital -- Mercy Health; Mercy Health -- Fairfield Hospital; and UC Health -- University Hospital.

To see a new fact sheet about Care Transitions, click here.