The Centers for Medicare & Medicaid Services recently featured one of the 2021 Health Quality Innovators of the Year, SoutheastHEALTH in their Quality in Action blog.
The SoutheastHEALTH team has made great strides in improving patient care and outcomes related to chronic disease management, readmissions, and social determinants of health issues in their local community. These collaborations have had positive results on patients, from a 48.87% reduction in the number of discharges of multi-visit patients to a 17.8% reduction in all-cause readmissions between the collaborating skilled nursing facilities. The palliative care program, which started with one provider and the referral of 25 patients, has grown to four providers and 245 patients.
