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More Than Just a Partnership: Why a Hospital and a Community-Based Organization Joined Together to Provide Population Health

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Peninsula Regional Medical Center and MAC, Inc., (Maintaining Active Citizens) Area Agency on Aging (AAA) and its Living Well Center of Excellence provide support for patients ready to return home through home- and community-based programs and services—to help reduce hospital readmissions.

This web seminar will describe the value this partnership brings to the AAA, the healthcare system, providers and, most importantly, to the people being served. Presenters will describe how the relationship began; the value a community-based organization (CBO) adds to service delivery and improved health outcomes; the types of patients who can be helped; the culture change needed to make the partnerships work; and the roles of the healthcare system and the CBO.

Presenters will describe how this population health model benefits the healthcare system and share progress and outcomes to date, including impacts on patients and providers. Presenters will also lay out the current initiative accessing the statewide hospital reporting system Chesapeake Regional Information System for Patients, to determine the return on investment of evidence-based programs in reducing healthcare admissions, readmissions and length of stay.

Participants in this web seminar will be able to:

  • Identify key strategies for establishing healthcare/CBO partnerships;
  • List conditions necessary for a CBO and its healthcare partner to share data successfully; and,
  • Describe how to link CBO services and programs to clinical outcomes.