Care Coordination - Resource

Standards for Quality Improvement Reporting Excellence (SQUIRE) Reports share new knowledge about healthcare quality improvement and describe systems-level work that improves quality, safety and value of healthcare.


2019

2018

  • Organizing Communities to Address Health Care Concerns with Leadership and Organizing in Action
    In this report posted in July 2018, the Telligen QIN-QIO shares the history and use of Leadership and Organizing in Action (LOA) in two Colorado community groups addressing unnecessary hospitalizations on a grassroots level. LOA provides a framework for individuals or organizations to come together in a functional community group to set goals and create initiatives to address healthcare challenges.
    Colorado 2018 Standards for Quality Improvement Reporting Excellence (SQUIRE) Report (2 downloads)
  • The Intersection of Health Care and Transportation: Addressing Social Determinants of Health and Reducing 30-Day Hospital Readmission
    Rates for Medicare Beneficiaries
    In this report posted in July 2018, the Telligen QIN-QIO team shares how they partnered with one Illinois community to help improve transportation services and education in clinical care settings to effectively engage and manage the needs of vulnerable and disenfranchised patients.
    Illinois 2018 Standards for Quality Improvement Reporting Excellence (SQUIRE) Report (5 downloads)
  • Reducing Readmissions from the Post-Acute Care Setting: A Community Effort
    In this report posted in July 2018, the Telligen QIN-QIO team shares how they partnered with one community to help improve the unplanned transfer rate from post-acute care settings, specifically skilled care, to the area hospitals.
    Iowa 2018 Standards for Quality Improvement Reporting Excellence (SQUIRE) Report (6 downloads)


2017

  • One Community’s Goal to Answer “What’s Your Plan?”
    In this 2017 report, the Telligen QIN-QIO team shares how they partnered with one Northern Colorado community to facilitate advance care planning among community members.
    Colorado 2017 Standards for Quality Improvement Report (SQUIRE) (8 downloads)
  • The Bridge Model of Transitional Care: Using a Data-Driven Approach to Implement a Social-Worker Led Intervention to Reduce 30-Day Hospital Readmission Rates for Medicare Beneficiaries with Pneumonia and COPD
    In this 2017 report, the Telligen QIN-QIO team shares how they partnered with one Illinois community to help reduce 30-day hospital readmission rates for Medicare beneficiaries with pneumonia and chronic obstructive pulmonary disease (COPD) using a social-worker led intervention called The Bridge Model.
    Illinois 2017 Standards for Quality Improvement Report (SQUIRE) (25 downloads)
  • Improving Communication at Transitions of Care: A Community’s Effort to Reduce Readmissions
    In this 2017 report, the Telligen QIN-QIO team shares how they partnered with one Iowa community to help improve care transitions between one large hospital system and surrounding nursing homes and skilled nursing facilities.
    Iowa 2017 Standards for Quality Improvement Report (SQUIRE) (18 downloads)

2016