AgeWell New York implemented quality improvement programs to encourage its beneficiaries to utilize preventive services, complete health actions (e.g. exercise, maintain a balanced diet), and become more engaged in their care. Encouraging self-monitoring is key to improving the health and quality of life of our beneficiaries.
Disease Prevention Program
AgeWell New York has a Disease Prevention Program that aims to improve wellness, increase positive health outcomes, and empower members through health literacy.
Chronic Care Improvement Project
AgeWell New York leads in its efforts for diabetes management with its Chronic Care Improvement Project (CCIP), a 3-year program focused on decreasing poor control HbA1c levels (≥9) of its beneficiaries. Our primary goal is to empower and motivate our members with diabetes to better manage their disease, and avoid complications. Improved wellness and quality of life can lead to a reduction in health care costs associated with uncontrolled disease status.
What can you do to stay healthy and up-to-date with your care?
- Schedule regular visits and annual screenings and exams as needed.
- Communicate with your doctor and/specialists about your questions or concerns.
- Make a list of all medications—including prescription, over-the-counter, and supplements you are taking. Alert your physicians and pharmacists to prevent harmful drug interactions.
- Keep your advanced care directives up-to-date. This legal document specifies what actions should be taken for your health if you are no longer able to make decisions for yourself.
- Exercise, eat healthily and take time to do things you enjoy.
Managed Long-term Care (MLTC)
IPRO/DOH Performance Improvement Project (PIP)
AgeWell New York’s MLTC performance improvement project (PIP) for 2019 – 2021 focuses on Transitions of Care. Through this project, the plan intends to provide effective, coordinated care in a team-based environment to improve coordination post-discharge and provide a seamless transition from care setting to care setting to reduce readmission rates.
Hospital readmissions are most times avoidable when interventions, such as effective care coordination, education and consistent support are implemented at the time of discharge. It is also important for patients to have their medications reconciled within 30 days of discharge to reduce adverse reactions and ensure that members understand plan treatment for optimal adherence.
The project has three focus areas that will aid in improving care transitions:
- Obtaining discharge information within 10 days of discharge from the hospital
- Conducting a post-discharge assessment (UAS-NY CHA) within 30 days of discharge from the hospital
- Discharges that resulted in readmission to the hospital
If you have any questions about our quality improvement projects, contact our member services department at 1-866-237-3210 TTY/TDD 1-800-662-1220.