The (CMS) Centers for Medicare and Medicaid is awarding contracts to groups of hospital providers who implement programing to improve outcomes for patients with complex situations. Under CMS funding the group of hospitals employ a staff to facilitate an enhanced discharge planning service.
The focus of the staff employed through CMS funding is to connect inpatient providers to community staff who support the patient during health system transitions. The CMS funded program is working with hospital staff and community providers to build a better care delivery system.
Hospital patients with complex health and social conditions are identified and linked with support services (www.homecarepath.com) capable of reducing the risk of a hospital readmission. The hospital becomes an effective partner in the work of managing individual health throughout the community being served.
PATH ALONG is a provider that the hospital staff would link the patient in need of additonal support with. PATH ALONG delivers the service the hospital staff are being trained by the CMS funded program to link in to.
HOSPITAL -- CMS Program facilates community links -- PATH ALONG
PATH ALONG is an inpatient and outpatient supportive care agency designed to support the Wisconsin hospital with reducing readmission rates. PATH ALONG is an evidence based model with three defined services to help the hospital staff fulfill their continuity of care role. The focus is on care filled transitions.
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Check out this site with free access for more information
http://www.homecarepath.com/Pages/PRESSRELEASEOriginalWisconsinModelToReduceHospitalReadmissionRates.aspx
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