The ACO REACH Model: Health IT to Support Success

In February 2022 the Centers for Medicare and Medicaid Innovation (CMS Innovation Center) introduced the ACO REACH Model to promote greater health equity among the beneficiaries receiving care through accountable care organizations (ACOs). In this article, we define...

Timely Discharge Document Retrieval for ACO Care Transitions

Most healthcare providers didn’t choose their careers because they were eager to spend time chasing down clinical documents for their patients. However, the current reality is that the process of clinical document retrieval is often time-consuming, burdensome, and too...

Social Determinants of Health in Healthcare IT Standards

Social determinants of health, as defined by the Office of Disease Prevention and Health Promotion, are the conditions in the environments where people are born, live, learn, work, play, worship, and age that affect a wide range of health, functioning, and...

Improving Georgia Maternal Health: A Multipronged Approach

While the high maternal mortality rate in the U.S. has been a major public health concern, it has been of particular importance in Georgia, ranked 46 out of 50 states for maternal health. The latest data shows that Georgia has a maternal mortality rate of 27.7 per...

What is Transitional Care Management?

Transitional Care Management (TCM) is the management of patient transitions between settings of care, including the transition back home. This article outlines the key components, goals, and impact of adequate transitional care. To provide a more comprehensive answer...