Dr. Jane Mahoney and Betsy Abramson from The Wisconsin Institute for Healthy Aging (WIHA) recently spoke on Wisconsin Public Radio about the types of programs that WIHA offers to support older adults and people living with chronic illnesses, as well as the many benefits of the programs. In collaboration with WIHA, the Health Innovation Program helped support the development of Healthy Living with Diabetes, one of the programs that they discuss in the interview.
The NIH-National Institute on Aging has just funded a 5 year Project (Project PI: Dr. Amy Kind) for a prospective, single-blind randomized controlled trial of the Coordinated-Transitional Care (C-TraC) program. The primary goal of this study is to determine C-TraC's impact on 30-day rehospitalizations, caregiver stress, and the patient-centered post-hospital outcomes of delirium prevention/resolution, functional maintenance/recovery, and falls prevention in patients with dementia discharged from the hospital to the community.
Dr. Nancy Pandhi and Dr. Gretchen Schwarze have been selected to receive New Investigator awards from the Wisconsin Partnership Program for their projects, "Aligning Preferences in Older Adults with Decision for High Risk Surgery" and "The Effectiveness of an Integrated Mental Health and Primary Care Model for Wisconsin Patients with Severe Mental Illness," respectively.
The U.S. Department of Veterans Affairs' central office in Washington, DC recently released an article discussing the Coordinated Transitional Care (C-TraC) program directed by HIP investigator Dr. Amy Kind. Read the article here.
In addition, the UW Institute for Clinical and Translational Research recently featured Dr. Kind and the C-TraC program in the "Spotlight on Success" section of their newsletter.
VA C-TraC Team Awarded the 2013 Innovations in Practice Award from the National Gerontological Nursing Association
The VA Coordinated-Transitional Care (C-TraC) team was awarded the 2013 Innovations in Practice award from the National Gerontological Nursing Association. At the Association's annual convention on October 3-5, 2013 in Clearwater, FL, the VA C-TraC program's nurse case manager, Laury Jensen, presented "Development and Implementation of the VA Coordinated Transitional Care (C-TraC) Program: Successes, Challenges, and Lessons Learned."
The Access Community Health Centers Integrated Primary Care Consulting Psychiatry Toolkit includes a detailed flow diagram of key communications between primary care physicians, behavioral health consultants, and consulting psychiatrists working together within a clinic. It emphasizes a team approach for addressing patients’ behavioral and mental health needs while supporting and encouraging efficient, whole-person care.
The Integrated Primary Care Consulting Psychiatry Toolkit was developed by researchers and clinicians at Access Community Health Centers and the University of Wisconsin-Madison. View the toolkit here.
Dr. Christie Bartels recently developed the Rheumatoid Arthritis (RA) Disease Activity & Monitoring Toolkit, which centers around a flowsheet built in the electronic health record that allows clinicians to dynamically assess RA activity consistent with national RA quality indicators advocating disease activity monitoring. The flowsheet longitudinally displays pertinent lab and clinical data for RA/medication management, as well as cardiovascular disease risk monitoring.
The RA Disease Activity & Monitoring Toolkit was developed by researchers and clinicians at the University of Wisconsin-Madison School of Medicine & Public Health – Department of Medicine, Rheumatology Division. View the toolkit here.
The VA Coordinated-Transitional Care (C-TraC) program is profiled in the July 31st issue of the Agency for Healthcare Research and Quality's Health Care Innovations Exchange, a web-based program designed to support health care professionals in sharing and adopting innovations that improve health care quality.
The VA Coordinated-Transitional Care (C-TraC) team, which includes Amy Kind, Laury Jensen, Marilyn Bazinski, and Brock Polnaszek, has been awarded the Greater Madison Federal Agency Association's (GMFAA) Partnership/Teamwork award for 2013 for their work to bridge gaps among federal, state, and private/local health care settings to improve patient care quality and outcomes.
The GMFAA Federal Team Recognition Award is granted to an individual or team whose accomplishments have fostered effective working relationships within and among the various entities of government and the private sector. Read more about the C-TraC program here.
The UW Primary care Academics Transforming Healthcare (PATH) collaborative was recently formed to bridge primary care clinical transformation and rigorous scientific study in order to improve the UW Health system for the benefit of patients and communities. The collaborative is a multidisciplinary coalition of physicians and change leaders, and members are experienced in clinical delivery and span all three primary care departments (family medicine, internal medicine, pediatrics), Quality, Safety, and Innovations, Population Health, and the Center for Patient Partnerships.
UW PATH will disseminate learnings locally and nationally, emphasizing scholarly contributions, and aims to enter the national discourse on primary care redesign by highlighting some of UW Health's important work to date.