CMS to Host Teleconference on Community-Based Care Transitions Programs

The Centers for Medicare and Medicaid Services (CMS) invites you to join a teleconference on June 13, 2014, 12-1 p.m. to learn about three evidenced-based social work Community-based Care Transitions Programs (CCTP). The CCTP is a CMS initiative, and the projects stemming from it are relevant to many of the initiatives currently underway on both the federal and state level. The CCTP was mandated by the Affordable Care Act and provides funding to test care transitions models for high risk Medicare beneficiaries. These models are relevant for organizations considering participating in a project under the Delivery System Reform Incentive Payment (DSRIP) program, as care transitions are featured prominently in the DSRIP Project Toolkit. In fact, the program highlights how the models improve transitions to reduce hospital readmissions, and features the use of the INTERACT tool, specifically highlighted in the DSRIP Toolkit as a project.

To participate: Dial 1-877-267-1577 and use WebEx Meeting Number: 992 080 286#

The call will include the following topics and presenters:

• Community-based Care Transitions Program (CCTP): The Social Work Perspective
• The CCTP Bridge Social Work Model: Robyn Golden, MA, LCSW, ACSW, Director of Health and Aging, Rush University Medical Center, Chicago, IL
• University of Missouri School of Nursing CCTP Interdisciplinary Model (uses Ouslander's INTERACT program): Dr. Colleen Galambos, Professor, University of Missouri, School of Social Work, Columbia, MO
• Connecticut Community Care, Inc. (CCCI) Social Work Led CCTP (Uses Modified Coleman Model): Molly Rees Gavin MSW, LCSW, ACSW, President Connecticut, Community Care, Inc., Hartford, CT

Contact: Diane Darbyshire, ddarbyshire@leadingageny.org, 518-867-8828