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Resource Links | | Project BOOST
A National initiative led by the Society of Hospital Medicine to improve the care of patients as they transition from hospital to home. BOOST provides a wealth of materials and tools to help you optimize the discharge process at your institution.
The Commonwealth Fund
A Private Foundation Working Toward a High Performance Health System.
The Hospital to Home (H2H) National Quality Improvement Initiative
The Hospital to Home (H2H) initiative, led by the American College of Cardiology and the Institute for Healthcare Improvement (IHI), is a national quality improvement campaign to reduce cardiovascular-related hospital readmissions and improve the transition from inpatient to outpatient status for individuals hospitalized with cardiovascular disease.
Institute for Healthcare Improvement
An independent not-for profit-organization based in Cambridge, Massachusetts, IHI focuses on motivating and building the will for change; identifying and testing new models of care in partnership with both patients and health care professionals; and ensuring the broadest possible adoption of best practices and effective innovations.
Interventions to Reduce Acute Care Transfers
INTERACT is a quality improvement program that focuses on the management fo acute change in resident condition. It includes clinical and educational tools and strategies for use in every day practice in long-term care facilities
The Chronic Care Model
The Chronic Care Model (CCM) identifies the essential elements of a health care system that encourage high-quality chronic disease care. These elements are the community, the health system, self-management support, delivery system design, decision support and clinical information systems. Evidence-based change concepts under each element, in combination, foster productive interactions between informed patients who take an active part in their care and providers with resources and expertise. The Model can be applied to a variety of chronic illnesses, health care settings and target populations. The bottom line is healthier patients, more satisfied providers, and cost savings.
National Transitions of Care Coalition
NTOCC believes that patients are at the center of care and can play an active role in improving communications and use tools to ensure effective transitions. We have brought together industry leaders who have created resources to help you better understand transitional challenges and empower you as part of the care giving team.
The Remington Report
The Alliance mission is to provide the latest information on health care reform, emerging models and to position home care as a integrated solution
The Transitional Care Model
The Transitional Care Model (TCM) provides comprehensive in-hospital planning and home follow-up for chronically ill high-risk older adults hospitalized for common medical and surgical conditions
Improving Chronic Illness Care
(ICIC) has worked for more than a decade with national partners toward the goal of bettering the health of chronically ill patients by helping health systems, especially those that serve low-income populations, improve their care through implementation of the Chronic Care Model.
Project RED
Project Re-Engineered Discharge is a research group at Boston University Medical Center that develops and tests strategies to improve the hospital discharge process in a way that promotes patient safety and reduces re-hospitalization rates
STAAR
A state-wide strategy for reducing avoidable rehospitalizations
Centers for Medicare & Medicaid Services
CMS:Home Health Agency(HHA) Center
The Administration on Aging (AoA) is the Federal agency responsible for advancing the concerns and interests of older people and their caregivers. AoA works with and through the Aging Services Network to promote the development of a comprehensive and coordinated system of home and community-based long-term care that is responsive to the needs and preferences of older people and their family caregivers. AoA is part of the Department of Health and Human Services and is headed by the Assistant Secretary for Aging, who reports directly to the Secretary.
Community Links
Vermont Association of Hospitals and Health Systems
VAHHS is a member-owned organization devoted to improving the health status of communities throughout Vermont. Activities include advocacy, policy development, education and research. They work in partnership with dozens of Vermont health care organizations on a wide variety of issues. They provide educational and research services for members and non-members alike.
Northeast Health Care Quality Foundation
NHCQF is a non-profit, educational health care organization, headquartered in Dover, New Hampshire. NHCQF contracts with the United States Centers for Medicare & Medicaid Services (CMS) to serve as the Medicare Quality Improvement Organization (QIO) for the states of Maine, New Hampshire, and Vermont.
The Vermont Assembly of Home Health and Hospice Agencies VAHHA
The Vermont Assembly of Home Health and Hospice Agencies is the professional association for the not-for-profit home health and hospice agencies and Visiting Nurse Associations in Vermont.
The Vermont Health Care Association
VHCA is the voice of the long term care provider community in Vermont. They promote quality long term care services and professional development opportunities for their staff. They advocate for necessary and reasonable public policies including adequate government reimbursement so that professional and compassionate care can be given to those Vermonters entrusted to their care
Vermont Department of Health
They focus on prevention, which is perhaps the best investment that can be made in health. They educate and inform Vermonters about eating a healthy diet, regular exercise and not smoking. They promote and improve access to immunizations, mammograms, HIV/AIDS testing and care, and prenatal care. They license physicians and hospitals, inspect food and lodging establishments, and enforce health regulations. They prepare for and respond to public health emergencies and threats, and provide the public with information to help them stay safe and healthy
Vermont Blueprint for Health
The Blueprint is a state led program dedicated to achieving well coordinated and seamless
health services, with an emphasis on prevention and wellness, for all Vermonters. Acting
as an agent of change, the Blueprint is working with a broad range of stakeholders to
implement a novel health services model that is designed to; Improve the health of the
population; Enhance the patient experience of care (including quality, access, and
reliability); and to Reduce, or at least control, the per capita cost of care.
Bi-State Primary Care Association
Bi-State works with federal, state, and regional policy makers, foundations, and payers to develop effective strategies, policies, and programs that are designed to sustain community-based, primary health care services.
New England Rural Health Roundtable (Vermont Section)
The New England Rural Health RoundTable is a forum for promoting healthy rural communities and solutions to the unique health challenges facing rural New England.
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