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Training

Multiple-admission patient program

EQIC’s MAP program is designed to identify patients who are frequently admitted to the hospital, provide patient-specific interventions to address contributing factors and engage community-based organizations to reduce preventable readmissions.

The MAP program focuses on reducing readmissions for patients with four or more hospital admissions within a 12-month period. EQIC developed the four-step implementation framework to help hospitals: design a MAP program; identify patients that meet MAP program criteria; assess readmission risk; and customize interventions. Hospitals can use the sprint recordings and associated tools below to implement a MAP program.

Care partner program

The care partner delivery model can decrease readmissions and improve patient satisfaction. Through this model, a care partner becomes an active part of the healthcare team, participates in the development of the patient’s plan of care and acts as a proxy navigator for the management of the post-hospital care plan. The EQIC care partner program includes evidence-based practices to facilitate patient-centered care throughout hospitalization and discharge.

EQIC developed a four-step care partner implementation framework:

  • commit to becoming a care partner hospital;
  • identify patients’ care partner;
  • include care partners as part of the healthcare team; and
  • prepare the patient and the care partner for the transition of care while managing and addressing transitional care needs across the continuum of care.

Hospitals can use the sprint recordings and associated tools below to implement a care partner program.

To earn your EQIC Care Partner Hospital designation, submit the completed implementation checklist and attestation form to your project manager.

Partnering with skilled nursing facilities

Through a collaborative work approach, hospital and SNF teams can partner to reduce readmissions from the SNF to the hospital. EQIC’s best practices for improving the patient and care partner experience across care transitions includes implementing workflows and tools to strengthen communication between facilities.

EQIC recordings