MedClimate is Participating in Health 2.0 Care Transitions Challenge

Background
The Office of the National Coordinator for Health Information Technology (ONC), in collaboration with the Partnership for Patients, seeks to stimulate innovative approaches to care transitions and improving patient safety by launching the “Ensuring Safer Transitions from Hospital to Home Challenge.” The Partnership for Patients is a new nationwide public-private partnership launched by Secretary of Health and Human Services Kathleen Sebelius to tackle all forms of harm to patients. Its aims include a 20% reduction in readmissions over a three year period and a 40% reduction in preventable hospital acquired conditions.

Nearly one in five patients discharged from a hospital will be readmitted within 30 days. A large proportion of readmissions can be prevented by improving communications and coordinating care before and after discharge. The Centers for Medicare and Medicaid Services (CMS) provides a discharge checklist to help patients and their caregivers prepare to leave a hospital, nursing home, or other care setting. Research has shown that empowering patients and caregivers with information and tools to manage the next steps in their care more confidently is a very effective way to reduce errors, decrease complications, and prevent a return visit to the hospital.

Challenge Decription
ONC is challenging software developers to improve care transitions and build upon these tools by generating an intuitive and easy-to-use application to empower patients and caregivers that fits into existing ways that providers communicate. The ideal application will:

  1. Incorporate the content of the CMS Discharge Checklist
  2. Help patients and caregivers access the information and materials needed to answer the checklist’s questions about their condition, their medications and medical equipment, and their post-discharge plans
  3. Share this information with doctors, pharmacists, nurses and other professionals in their next care setting (e.g., home, nursing home, hospice)
  4. Identify community-based organizations or others who can provide valuable assistance
  5. Leverage and extend NwHIN standards and services including, but not limited to, transport (Direct, web services), content (Transitions of Care, CCD/CCR), and standardized vocabularies

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