Improving Care Transitions

• What are Health Plans Doing to Improve Members' Care Experiences? - Marylou Buyse, MD - President, Mass. Association of Health Plans
  
• Improving Care Transitions: A Key Strategy to Improve Health Care - Kenneth LaBresh, MD - Member, Health Care Quality and Cost Council
  
• The View from Partners: Clinical Transitions and Readmissions - Terrence O'Malley, MD - Medical Director, Non-Acute Care Services, Partners HealthCare System
  

Community-based Care Transitions Projects

• MOLST: Medical Orders for Life-Sustaining Treatment - Dominique Kim - Program Manager, Partners Healthcare System
  
• A Tale of Two Projects: RED & BOOST - Jeffrey Greenwald, MD - Co-Investigator, Boston Medical Center
• The Role of Home Care in Care Transitions - Cheryl Pacella - Quality Improvement Manager, Hebrew Senior Life
• Pharmacist-Led Transition Services to Avoid Costly Readmissions - Karyn Rizzo, RN, CHPN, GCNS  - Director of Clinical Services, Dovetail Health

Patient- & Family-Centered View of Care Transitions

• Transitions in Care: What Patients and Families Need- Carol Levine - Director, Families and Health Care Project

Preventing Unnecessary Hospital Readmissions

• Reducing Potentially Avoidable Hospitalizations of Nursing Home Residents - Alice Bonner - Executive Director, Mass. Senior Care Foundation
• Potentially Preventable Readmissions - Kate Nordahl - Assistant Commissioner for Policy and Research, Division of Health Care Finance and Policy
• STAAR Initiative: STate Action on Avoidable Rehospitalizations - Amy Boutwell, MD, MPP - Content Director, Institute for Healthcare Improvement (IHI)
• Hospital Perspectives on Readmissions - Karen Nelson - Senior VP of Clinical Affairs, Mass. Hospital Association

Issue Brief - Summary Transcript

• Care Transitions Seminar Summary Transcript - Seth Eckhouse, MPH - Health Policy Analyst, Mass. Health Data Consortium