ReACH National Demonstration Collaborative: early results of implementation.
The Reducing Acute Care Hospitalization (ReACH) National Demonstration Collaborative is a two-year multi-wave initiative using a "virtual" Collaborative Learning Model to reduce acute care hospitalization rates among home care patients. ReACH aims to reduce hospitalization to 23%, as recommended by the Centers for Medicare and Medicaid Services in its 8th Scope of Work for Quality Improvement Organizations. This article reports on the early implementation experience of a sample of 17 of 65 home health agencies participating in Wave I of ReACH. It examines agency challenges in implementing a structured practice improvement initiative, improving hospital to home transitions and focusing appropriate resources on high risk patients. Lessons learned will inform future home health care quality improvement initiatives.
Simino Boyce
Patricia
P
Visiting Nurse Service of New York, 107 E. 70th Street, New York, NY 10021, USA.
Feldman
Penny Hollander
PH
D000208:Acute Disease; D003299:Cooperative Behavior; D018574:Home Care Agencies / Q000592:standards; D006760:Hospitalization / Q000639:trends*; D006801:Humans; D007407:Interviews as Topic; D011785:Quality Assurance, Health Care / Q000458:organization & administration*; D040242:Risk Reduction Behavior; D014481:United States