South Central Pennsylvania

Creating Regional Partnerships to Improve Care Transitions
 
As patients move from one care setting to another, problems such as lack of follow-up care and miscommunication among clinicians often occur and can put patients at risk for serious complications and hospital readmission. Some patients have additional problems such as depression, social isolation, or a lack of housing or transportation that may increase their risk of hospital readmission. Nearly one in five Medicare patients discharged from the hospital is readmitted within 30...
 
Patients without the skills to manage their health care incur costs up to 21 percent higher than those of patients who are highly engaged in their care, according to recent research published in Health Affairs. Patient engagement begins with giving patients the tools they need; at its most advanced, it also can mean that patients work directly with providers to provide feedback and strive to improve quality.
 
Patient Partners is an advanced form of consumer engagement where patients volunteer to join their ambulatory care...

Certain patients present a health care conundrum. “Super-utilizers” account for only five percent of patients, but they accrue more than 60 percent of health care costs. These patients make frequent trips to hospital emergency rooms or have repeated inpatient hospital stays, resulting in costly health care, but not necessarily good-quality care. For example, one Pennsylvania woman had more than 50 CAT scans within a short span of time at various area hospitals. Super-utilizers often have multiple chronic medical conditions and social complexities that make their care difficult...

The Aligning Forces for Quality (AF4Q) initiative in South Central Pennsylvania is led by The Healthy York County Coalition (HYCC). Their mission is to engage consumers in order to improve the quality of health care for all who live, work and play in this community. Goals are accomplished by sharing resources and information, implementing proven practices on the ground and measuring outcomes. The Leadership Team includes people and organizations from five main community stakeholder groups: providers, employers, consumers, community leaders and health plans. AF4Q - South Central PA’s health care partner providers (Family First Health, Hanover Hospital, Memorial Hospital and WellSpan Health) have committed to championing the incorporation of more efficient strategies to manage care within their health systems.

Visit the Alliance and Public Reporting Website Here.

Contact Us

South Central Foundation
Aligning Forces for Quality – SCPA
116 S George Street
3rd floor
York, PA 17401
 
 
717-801-4823
Ms. Christine Amy
Aligning Forces for Quality – SCPA
Project Director