IPRO Supports Care Transitions Initiatives

Seven of an initial eight federal Community-based Care Transitions Program (CCTP) awards in New York received technical support from IPRO. Created by the Affordable Care Act, CCTP tests models for enhancing care coordination between hospitals and other settings in order to reduce readmissions among high-risk Medicare beneficiaries and thereby reduce costs. Under their current workplan, QIOs like IPRO are tasked with assisting local provider alliances in their efforts to secure CCTP funding. The four most recent awardees in New York involve the Eddy Visiting Nurse Association in partnership with local service agencies and five northeastern New York State-area hospitals; Mt. Sinai Hospital and Mt. Sinai Hospital in Queens in cooperation with a network of federally-qualified health centers; New York Methodist hospital in an arrangement with Brooklyn based skilled nursing facilities, home health agencies and community programs; and a program led by the Visiting Nurse Service of Schenectady & Saratoga Counties in partnership with six community-based care organizations and eight rural acute-care hospitals. At press time, the Centers for Medicare & Medicaid Services (CMS) was scheduled to review an additional five applications from New York-based CCTP provider groups. For more information on CCTP, visit the Partnership for Patients section of www.innovations.cms.gov/initiatives/Partnership-for-Patients/CCTP/index.html.