IMPACT to Reduce Readmissions Collaborative
In an effort to reduce the number of avoidable hospital admissions and readmissions of nursing home residents, Greater New York Hospital Association (GNYHA) and the United Hospital Fund have launched the IMPACT (IMprove Processes and Care Transitions) to Reduce Readmissions Collaborative. Supported by a United Hospital Fund grant, the collaborative aims to strengthen relationships between hospitals and nursing homes to avert the increased risks and trauma that preventable readmissions pose for patients and their families, and the increased costs they bring to the health care system, especially with new Affordable Care Act penalties for such admissions.
Preventable rehospitalizations of nursing home residents can often be traced to inadequate communication between facilities, lack of advance directives spelling out patients’ wishes for end-of-life care, or failure to execute treatment plans in nursing homes. The IMPACT collaborative will help bridge communication gaps by enhancing the ways critical patient information is shared by institutions and with patients and family caregivers. It will also focus on advance care planning prior to hospital discharge and on increasing the effectiveness of patient and family engagement.
The collaborative is leveraging and building on existing hospital and nursing home process improvement activities, as well as resources such as the INTERACT (Interventions to Reduce Preventable Acute Care Transfers)-NY education and training program. The United Hospital Fund’s own Next Step in Care campaign—which provides guides and other resources to help family caregivers and health care providers work together effectively to plan and implement safe and smooth transitions between care settings for chronically or seriously ill patients—will also be a primary resource.
Nineteen hospitals are partnering with 28 nursing homes (1 to 4 nursing homes per hospital) in the program.
The Participating Hospitals are:
- Brookdale University Hospital
- The Brooklyn Hospital Center
- Jamaica Hospital Medical Center
- John T. Mather Medical Center
- Long Island Jewish Medical Center
- Lutheran Medical Center
- Maimonides Medical Center
- Montefiore Medical Center
- The Mount Sinai Hospital
- Mount Sinai Beth Israel
- Mount Sina Beth Israel Brooklyn
- Mount Sinai Queens
- Mount Sinai Roosevelt
- Mount Sinai St. Luke's
- NYU Langone Medical Center
- St. John's Episcopal Hospital
- St. Luke's Cornwall Hospital
- Trinitas Regional Medical Center
- Wyckoff Heights Medical Center