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OMC Receives $593,160 Improving Transitions of Care Consortium Grant

OMC Receives $593,160 Improving Transitions of Care Consortium Grant

Ozarks Medical Center (OMC) recently received a grant worth $593,160 to be used to focus on improving transitions of care, reducing hospital readmission rates, and reducing the unnecessary usage of the emergency department, each of which has been recognized by the Centers for Medicare and Medicaid Services as critically important to health care reform initiatives.

The population to be served includes Medicare beneficiaries, age 65 and over, who are being discharged from in-patient care at OMC to one of three nursing and rehabilitation care facilities (Brooke Haven Healthcare, National Healthcare Corporation, or West Vue). OMC’s service area for this grant includes residents in a seven-county area (Douglas, Howell, Oregon, Ozark, Shannon, Texas and Wright) in south central Missouri. OMC is anticipating serving 450 individuals annually.

The grant funds will enable OMC to offer an improved hospital discharge process, an in-person staff visit within three days of admission to a nursing or rehabilitation care facility and the development of shared goals of care.

OMC believes that by developing shared goals of care -- care goals that are collaboratively developed between the medical team and the patient/family -- OMC can reduce unnecessary trips to the emergency department and/or demands for hospital readmission.

The Transitions of Care Program Director is Addy Van Os Keuls, Transitions Coach is Ranae Rutledge, and the Data Specialists is Lisa Schiffleger.

“It is a privilege to be funded to work in a grant program that will help Medicare recipients with complicated health problems,” stated Van Os Keuls. “We look forward to working together with patients, families, and nursing homes to provide the best possible care.”

“This project is supported by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) under grant no. D04RH28410, Rural Health Care Services Outreach Program, total award amount $593,160. This information or content and conclusions are those of the author and should not be construed as the official positon or policy of, nor should any endorsements be inferred by HRS< HHA or the U.S. Government.”

For more information about the program, contact Jo Wagner at 417-256-9111.

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