title: ReACH National Demonstration Collaborative: early results of implementation.
abstract: 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.
authors.affiliation: Visiting Nurse Service of New York, 107 E. 70th Street, New York, NY 10021, USA.
authors.forename: Patricia
authors.initials: P
authors.lastname: Simino Boyce
authors.forename: Penny Hollander
authors.initials: PH
authors.lastname: Feldman
mesh_terms: 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