Care Coordination
Who we are
Superior Health Quality Alliance (Superior Health) is a regional Quality Innovation Network – Quality Improvement Organization (QIN-QIO) under the direction of the Centers for Medicare & Medicaid Services (CMS). Superior Health’s Care Coordination team is committed to improving hospital admission and readmission rates by working with all levels of care. Care Coordination also focuses on emergency department over-utilization rates by addressing patients living with chronic conditions and patients accessing the emergency department for non-medical services.
How we help
Superior Health will work with health care and community organizations to identify root causes of unnecessary admissions, readmissions, and emergency department over-utilization to find data-driven, person-centered, cross-setting improvement plans. We will provide relevant best practices, educational resources and tools in formats best suited to your organization’s needs. Superior Health will use evidence-based strategies such as person-centered care planning, medication reconciliation across care settings and care transitions communication tools to address care coordination challenges.
One such initiative is the Superior Health Regional Home Health Care (HHA) Workgroup. This group of dedicated HHAs and related organizations comes together monthly to evaluate emergency department over-utilization root causes. By sharing challenges, best practices and data, this group is currently developing targeted interventions to address and support high-risk patients from using the emergency department as their primary source of health care.
Why engage?
Your organization is a health care community member committed to:
- Actively working to reduce health disparities and provide patient-centered, culturally responsive care.
- Reducing hospital admission and readmission rates for patients by engaging community partners across all care settings.
- Reducing hospital emergency departments over-utilization through innovative interventions across the continuum of care.
What you will receive
Enrolling with Superior Health gives your organization free access to:
- Assistance with designing/implementing improvement plans based on
identified opportunities. - Best practices and lessons learned in readmissions and admission reduction as well as reduction in emergency department over-utilization.
- Data-driven support.
- Subject matter experts in readmissions and admission reduction as well as reduction in emergency department over-utilization.
- Opportunities to participate in high-quality educational sessions tailored to meet your organization’s specific needs.
- Networking opportunities.
What participants say
“I recently had the pleasure of participating in the Superior Health Leadership, Organizing, and Action (LOA) Tele ECHO six-week training series. This interactive class was an excellent platform for all participants to immediately implement the training provided by the subject matter experts. The course supplied a workbook and materials that assisted learners in the ‘how to’s’ of organizing active healthcare coalitions within their own workgroups. Working together in breakout sessions allowed everyone to develop professional relationships and share resources in real time. I highly recommend this style of learning and look forward to future Tele ECHO offerings through Superior Health Alliance.”
– Sarah R. Jordan
ABF Home Health Services, LLC
Market Manager
Sample resources
Care Transition Model Resource Guide
This compendium identifies external care transitions resources by care setting(s), key points and estimated time commitment for implementation if applicable. Use the guide’s care setting comparison table to jump to a resource or scroll through resource descriptions identified by care settings in which the resource was implemented and/or researched.
Using Leadership, Organizing, and Action to Build a Coalition – Participant Guide
This training will help you mobilize new stakeholders, deepen relationships with existing stakeholders and accelerate progress with your current initiatives.
Foundation Components to Support a Safety Culture Assessment
This assessment provides a quick evaluation of your organization’s alignment with supporting a safety culture.