I’m Jane Brock, Chief Medical Officer for the Colorado Foundation for Medical Care, the Medicare Quality Improvement Organization (QIO) for Colorado. I work primarily with the Integrating Care for Populations and Communities National Coordinating Center team to help QIOs across the country improve care transitions and reduce unnecessary hospital readmissions at the community level. I will be talking about the intersections of government policy and behavior change interventions during the “Tracking Opportunities and Enablers for Scaling Programs and Sustaining Change” session. We recently completed a 14-state QIO initiative, funded by the Centers for Medicare & Medicaid Services (CMS), to improve the quality of care transitions between care settings and reduce preventable hospital readmissions through patient engagement and activation. One of the primary lessons we learned from that project was the importance of local community ownership to create and sustain collective action and impact. We are now part of the team assisting CMS in diffusing these principles through the Community Based Care Transitions program, which supports collective community action using a new Medicare payment mechanism.
(editors note. This “and now a word of introduction from…” comes from Dr. Jane Brock, one of 20 conference presenters. From time to time we’ll post an intro as a way for Models for Change conference attendees and other interested parties to learn a bit more about a speaker beyond the title and bio)