The Initiative to Reduce Avoidable Hospitalizations was initiated in March of 2012 as an effort to implement strategies to reduce/avoid hospitalizations for dual eligible beneficiaries in LTC facilities. Since that time, CMS has partnered with Enhanced Care and Coordination Providers (ECCPs) to test a model to improve care for long-stay nursing facility residents through clinical and educational interventions. Results have been promising, and CMS announced the continuation of this initiative with the next phase which will begin in fall 2016 and is expected to last four years.

Facilities and physicians will receive increased payments for care to include more complex medical treatments and staff education. According to the CMS website, the focus will be on six medical conditions that, together, are linked to about 80% of potentially avoidable admissions: pneumonia, dehydration, Congestive Heart Failure, urinary tract infection, skin ulcers/cellulitis, Chronic Obstructive Pulmonary Disease/asthma

Read here for more information about this initiative, including both current activities and this new phase.

By Kindred Rehabilitation Services