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Phase 1 Sessions

Medical Team Provider in Home with Senior Patients
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Catch up on past Phase 1 Sessions (January–August 2022)

Tuesday, January 18, 2022

Event recording

PowerPoint presentation

This presentation will provide an overview of the Quickinar format and reintroduce care coordination in the era of COVID-19.

Objectives:

  • Examine the journey of care coordination pre and post COVID-19.
  • Discuss the Hospital Readmission Reduction Program (HRRP) and SNF VBP.
  • Review the HSAG readmission website.
  • Map out care coordination process for 2022.
  • Introduce the HSAG care coordination assessment.

Tuesday, February 1, 2022 

Event recording

PowerPoint presentation

This session will introduce the HSAG Care Transitions Assessment for various healthcare settings.

Objectives:

  • Describe the main categories of the Care Transitions assessment.
  • Discuss experiences, challenges, and lessons learned using the assessment.

Tuesday, February 15, 2022 

Event recording

PowerPoint presentation 

This presentation will review evidence-based strategies and tactics for facilitating a root cause analysis for opportunities of improvement identified in the care transition assessment.

Objectives:

  • Discuss and identify the components of the Gap/Root Cause Analysis tool
  • Identify other resource audit tools (7-day audit tool, patient interview, 5 whys, HSAG data reports)

Tuesday, March 1, 2022

This presentation will review evidence-based strategies and tactics for facilitating a root cause analysis for opportunities of improvement identified in the care coordination assessment.

Event Recording 

PowerPoint presentation

Objectives:

  • Discuss and identify the components of the gap root cause analysis tool.
  • Identify other resource audit tools (7-day audit tool, patient interview, 5 whys, and HSAG data reports).

Tuesday, March 15, 2022 

This presentation will discuss the unique challenge super utilizers present in care coordination.

Event Recording 

HSAG PowerPoint presentation

Montage PowerPoint presentation

Objectives:

  • Define super utilizer as is relates to care coordination and readmissions.
  • Describe the impact of super utilizers in healthcare settings.
  • Discuss care management/care transition strategies to address super utilizers.
    Identify available resources in your community.

Tuesday, April 5, 2022 

This presentation will discuss how hot spotting and other resources can assist to identify super utilizer, dedicate resources, and implement targeted interventions.

Event Recording

HSAG PowerPoint Presentation

HonorHealth PowerPoint Presentation

Objectives:

  • Review data and other tools/mechanisms to identify super utilizers.
  • Explain strategies to improve coordination of care and reduce utilization for super utilizers.

 

Tuesday, April 19, 2022 

This presentation will introduce the HSAG Quality Improvement Innovation Portal (QIIP) performance dashboard, an analytic tool, to provide an overview of how you can use the tool to leverage your care coordination efforts.

Event Recording

PowerPoint Presentation

Objectives:

  • Discover how to access the performance dashboard in the HSAG QIIP.
  • Review the features and data available in the dashboard.
  • Identify how to use the dashboard to guide and measure your readmissions progress.

 

Tuesday, May 3, 2022 

This presentation will discuss how a facility can identify the contributing factors that impact health equity and readmissions.

Event recording

PowerPoint presentation

Objectives:

  • Explain community characteristics that impact health equity.
  • Review the hospital required Community Health Needs Assessment (CHNA).
  • Introduce the HSAG health equity assessment.

Tuesday, June 7, 2022 

This presentation will discuss the role health literacy plays in care coordination.

Event Recording

PowerPoint Presentation 

Objectives:

  • Define health literacy as a tool for effective healthcare communication.
  • Discuss how to assess health literacy levels.
  • Identify tools and strategies to address health literacy.

Tuesday, July 5, 2022 

This presentation will discuss teach-back as a tool to address health literacy.

Event Recording

HSAG PowerPoint Presentation

AHRQ PowerPoint Presentation

Objectives:

  • Discuss the role and value of teach-back to improve care coordination.
  • Discuss teach-back resources.
  • Identify strategies/steps for implementing teach-back in your facility.

Tuesday, August 2, 2022 | 11:00–11:30 a.m. PT

This presentation will discuss how to form and run effective community and post-acute care meetings.

Event recording

Slide presentation

Objectives:

  • Illustrate the essential elements of a successful community collaborative.
  • Discuss ways to collaborate with preferred post-acute providers.
  • Identify metrics to measure community success in reducing readmissions.