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CMS Awards Funding for Regional Care Transitions Program to AAA8

Wednesday, April 4, 2012

CMS Awards Funding for Regional Care Transitions Program to
Buckeye Hills Area Agency on Aging 8

Marietta - A unique multi-county, multi-hospital collaborative effort among five hospitals and three Area Agencies on Aging (AAAs) has been awarded funding for the Medicare Community-Based Care Transitions Program (CCTP) sponsored by the Centers for Medicare & Medicaid Services (CMS). The program is designed to make the transition from the hospital to another setting as seamless as possible.

Targeting a 26-county region including rural Appalachia, this program will work to further reduce unnecessary readmissions and achieve a reduction in Medicare costs. The target population for this program is Medicare Fee-for-Service patients with a primary diagnosis of Acute Myocardial Infarction, Chronic Obstructive Pulmonary Disease (COPD), Coronary Artery Disease, Heart Failure, or Pneumonia preparing for discharge.

This program focuses directly on improved patient outcomes such as reduced readmission to hospitals; decreased emergency department visits; discharging patients to the most appropriate, cost effective setting and streamlining access to quality long-term services and support.

“Care Transitions is a program that has been tested in other states and proven to be effective in helping prevent folks from returning to the hospital,” said AAA8 Director Rick Hindman. “We are very excited about the regional partnerships it is creating across health systems serving 26 counties.”

“There is an obvious underlying goal to reduce unnecessary hospital readmissions and reduce Medicare costs, but more importantly, the goal is to empower people to be an active part of their health care. It provides proven supports for individuals to help them heal and be at home – where most people say they would rather be. The Area Agencies on Aging are focused on connecting individuals to key home and community-based care resources,” added Hindman.

The participating Area Agencies on Aging include Buckeye Hills AAA8 – Southeast Ohio ( Marietta) as the lead agency, AAA6 - Central Ohio ( Columbus) and AAA7 – Southern Ohio ( Rio Grande). The hospital partners include Fairfield Medical Center ( Lancaster), Memorial Health Systems ( Marietta), Adena Regional Medical Center ( Chillicothe), Holzer Medical Center (Gallipolis) and the Southern Ohio Medical Center ( Portsmouth). Learn more at http://www.areaagency8.org/services/care-transitions.

“Care Transitions supports patients in learning more about their illness and healthcare needs,” said Memorial Health System CEO Scott Cantley. “We encourage our patients to ask questions to better understand and manage their illnesses, to know their medications, and to communicate and follow up with their doctors.”

AAA nurses and social workers will provide the evidence-based Care Transition Intervention (CTISM) program developed by Eric A. Coleman, MD, MPH at the University of Colorado, Denver Health Science Center. This consumer-centered intervention tool is designed to improve quality and contain costs for individuals with complex care needs as they transition across settings specifically from the acute setting back to the home and community.

The Southern Ohio initiative was one of 23 sites announced by CMS in March 2012. CCTP currently includes more than 126 acute care hospitals across 30 sites to provide care transitions services for an estimated 223,172 Medicare beneficiaries in 19 states. CTTP  was created by the Affordable Care Act and will continue to grow and add sites.

About The Area Agencies on Aging The Area Agencies on Aging provide older adults and their caregivers long term care choices, consumer protection and education to achieve the highest possible quality of life.
AAA6 - Central Ohio ( Columbus) §  1-800-589-7277§  http://www.coaaa.org
AAA7 – Southern Ohio ( Rio Grande)
§  1-800-582-7277 § http://www.aaa7.org
Buckeye Hills AAA8 ( Marietta)
§  1-800-331-2644 § 

About the Health System Partners
Fairfield Medical Center
(Lancaster) §  740- 687-8000  § www.fmchealth.org
Serving more than 250,000 residents in Fairfield, Perry, Hocking and Athens counties and employing more than 2,000 individuals, Fairfield Medical Center is a 222-bed, nonprofit, 501 (c) 3 hospital located in Lancaster, Ohio, providing full-service, general acute health services.

Memorial Health Systems (Marietta)  § (740) 374-1400 § www.mhsystem.org
The Memorial Health System, located in Marietta, Ohio is a not-for-profit health system of hospitals and providers including Marietta Memorial Hospital, Selby General Hospital, Harmar Place Nursing & Rehabilitation Center, Glenwood Retirement Community, the Memorial Health Foundation, Marietta Occupational Health Partners, Marietta Health Care Physicians, Inc. and our Home Nursing Care Partner, Amedisys. Together, these organizations provide health care and living options for over 140,000 residents in the mid-Ohio valley. The focus is on the patient and providing an outstanding level of care to the community.

Adena Regional Medical Center ( Chillicothe) §740-779-7500 § www.adena.org
Serving more than 650,000 people in 13 counties in South Central Ohio.

Southern Ohio Medical Center ( Portsmouth) § 740-356-5000 §  www.somc.org
Southern Ohio Medical Center (SOMC) is a 222-bed hospital in Portsmouth, Ohio, providing
emergency and surgical care, as well as a wide range of other health-care services
Holzer Medical Center (Gallipolis) § (740) 446-5000 §  www.holzer.org
Holzer Health Systems provides the most advanced and innovative treatments in the
Southeastern Ohio Valley.


Copyright © 2017 Area Agency on Aging District 8
A Program of Buckeye Hills-Hocking Valley Regional Development District