Care Transitions receives honor from Cincinnati Chamber

Thursday, December 5, 2013

WE Award
Council on Aging's Care Transitions program was selected as the runner-up for the Cincinnati USA Regional Chamber's WE Celebrate Award in the Best New Product category. Pictured left to right are: COA's Danielle Amrine, Kim Clark and Ken Wilson with Sheri Vogel, Greater Cincinnati Health Council, a lead partner in the Southwest Ohio Care Transitions Collaborative

Council on Aging has been honored as the runner-up for the Cincinnati USA Regional Chamber’s 8th Annual WE Celebrate Awards in the Best New Product category.  Our Care Transitions program has been recognized for its excellence and innovation. The program was selected from among five finalists in the category.

WE Celebrate winners were announced at a breakfast event this morning, Dec. 5. WE stands for Women Excel , which is a leadership development and recognition program of the chamber.

Care Transitions is a health coaching and intervention program 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 more costly nursing facility placements)

COA’s Care Transitions program began as a small pilot at one hospital and was able to expand by winning a contract with the U.S. Centers for Medicare and Medicaid Services (CMS) for its Community-based Care Transitions Program. To design and implement the expansion, COA formed the Southwest Ohio Care Transitions Collaborative with the Greater Cincinnati Health Council, several other health care organizations and five hospitals: The Christ Hospital, Clinton Memorial Hospital, the Jewish Hospital-Mercy Health, Mercy Health-Fairfield Hospital, and University of Cincinnati Medical Center.

The most recent quarterly report from CMS shows that we served nearly 2,000 people between February 2012 and April 2013 and continue to reach more patients each quarter. While CMS does not allow us to release their readmission data, results show that the rate of 30-day hospital readmissions for participants in our program is below the average rate of other participants in the national Community-based Care Transitions Program.

Recently, Kim Clark, Manager of the Care Transitions program, was invited to join the Community-based Care Transitions Program (CCTP) Learning Collaborative Faculty. The Learning Collaborative is a way for care transitions programs across the country to share their successes and lessons learned. Faculty members are selected based on their leadership qualities, commitment to achieving results, and enthusiasm for sharing with and learning from others in the collaborative.

Care transitions is designed to achieve what is known as the “triple aim” of health care reform: Better Care, Better Health, and Lower Costs.