Partnership for patients to improve care and lower costs for Americans

New partnership between Administration, the private sector, hospitals and 
doctors to
make care safer, potentially save up to $50 billion

Health and Human Services Secretary Kathleen Sebelius, joined by leaders of 
major hospitals, employers, health plans, physicians, nurses, and patient 
advocates, today announced the Partnership for Patients, a new national 
partnership that will help save 60,000 lives by stopping millions of 
preventable injuries and complications in patient care over the next three 
years.  The Partnership for Patients also has the potential to save up to $35 
billion in health care costs, including up to $10 billion for Medicare.  Over 
the next ten years, the Partnership for Patients could reduce costs to Medicare 
by about $50 billion and result in billions more in Medicaid savings.  Already, 
more than 500 hospitals, as well as physicians and nurses groups, consumer 
groups, and employers have pledged their commitment to the new initiative.

"Americans go the hospital to get well, but millions of patients are injured 
because of preventable complications and accidents," said Secretary Sebelius.  
"Working closely with hospitals, doctors, nurses, patients, families and 
employers, we will support efforts to help keep patients safe, improve care, 
and reduce costs. Working together, we can help eliminate preventable harm to 
patients."

Leaders from across the nation pledged their commitment to this new initiative. 
 To launch this initiative, HHS announced it would invest up to $1 billion in 
federal funding, made available under the Affordable Care Act.  On Tuesday, 
$500 million of that funding was made available through the Community-based 
Care Transitions Program.  Up to $500 million more will be dedicated from the 
Centers for Medicare & Medicaid Services (CMS) Innovation Center to support new 
demonstrations related to reducing hospital-acquired conditions.  The funding 
will be invested in reforms that help achieve two shared goals:


 *   Keep hospital patients from getting injured or sicker. By the end of 2013, 
preventable hospital-acquired conditions would decrease by 40-percent compared 
to 2010.  Achieving this goal would mean approximately 1.8 million fewer 
injuries to patients, with more than 60,000 lives saved over the next three 
years.
 *   Help patients heal without complication. By the end of 2013, preventable 
complications during a transition from one care setting to another would be 
decreased so that all hospital readmissions would be reduced by 20-percent 
compared to 2010.  Achieving this goal would mean more than 1.6 million 
patients will recover from illness without suffering a preventable complication 
requiring re-hospitalization within 30 days of discharge.

The Partnership will target all forms of harm to patients but will start by 
asking hospitals to focus on nine types of medical errors and complications 
where the potential for dramatic reductions in harm rates has been demonstrated 
by pioneering hospitals and systems across the country.  Examples include 
preventing adverse drug reactions, pressure ulcers, childbirth complications 
and surgical site infections. The CMS Innovation Center will help hospitals 
adapt effective, evidence-based care improvements to target preventable patient 
injuries on a local level, developing innovative approaches to spreading and 
sharing strategies among public and private partners in all states.  Members of 
the partnership will identify specific steps they will take to reduce 
preventable injuries and complications in patient care.

"With new tools provided by the Affordable Care Act, we can aggressively 
implement programs that will help hospitals reduce preventable errors," said 
CMS Administrator Donald Berwick, M.D.  "We will provide hospitals with 
incentives to improve the quality of health care, and provide real assistance 
to medical professionals and hospitals to support their efforts to reduce harm."

HHS has committed $500 million to community-based organizations partnering with 
eligible hospitals to help patients safely transition between settings of care. 
 Today, community-based organizations and acute care hospitals that partner 
with community-based organizations can begin submitting applications for this 
funding.  Applications are being accepted on a rolling basis.  Awards will be 
made on an ongoing basis as funding permits.

In coordination with stakeholders from across the health care system, the CMS 
Innovation Center is planning to use up to $500 million in additional funding 
to test different models of improving patient care and patient engagement and 
collaboration in order to reduce hospital-acquired conditions and improve care 
transitions nationwide.   These collaborative models will help hospitals adopt 
effective interventions for improving patient safety in their facilities.


The programs announced on Tuesday are just two of the many ways the Affordable 
Care Act is helping improve the health care system.  Last month, HHS announced 
the first-ever National Quality Strategy, which will serve as a tool to help 
coordinate quality initiatives between public and private partners as well as 
to leverage and coordinate existing efforts by federal agencies and departments 
to improve patient care.  HHS also announced new rules to help doctors, 
hospitals, and other providers better coordinate care for Medicare patients 
through Accountable Care Organizations (ACOs).  By 2015, a portion of Medicare 
payments to the majority of hospitals will be linked to whether hospitals are 
delivering safer care, using information technology effectively and meeting 
patient needs.  Payment incentives and supports to improve quality and lower 
costs will also be available to state Medicaid programs.



"No single entity can improve care for millions of hospital patients alone," 
said Berwick.  "Through strong partnerships at national, regional, state and 
local levels - including the public sector and some of the nation's largest 
companies - we are supporting the hospital community to significantly reduce 
harm to patients."


For more information about the Partnership for Patients, visit 
www.HealthCare.gov/center/programs/partnership<http://www.healthcare.gov/center/programs/partnership>.
  For a fact sheet on today's announcement, visit 
www.HealthCare.gov/news/factsheets/partnership04122011a.html<http://www.healthcare.gov/news/factsheets/partnership04122011a.html>.
  For more information about the Community-based Care Transitions Program 
funding opportunity, visit 
www.cms.gov/DemoProjectsEvalRpts/MD/itemdetail.asp?itemID=CMS1239313<http://www.cms.gov/DemoProjectsEvalRpts/MD/itemdetail.asp?itemID=CMS1239313>.





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