In 2019, AgeWell New York implemented new Quality Improvement Projects 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 is to not only improving the health of our beneficiaries, but their quality of life as well.
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.
Quality Improvement Program
AgeWell New York leads in its efforts for diabetes management with its Quality Improvement Program (QIP), 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 full list of all medications—including prescription, over the counter, and supplements you are taking. Make sure your physicians and pharmacists are aware to prevent harmful drug interactions.
- Keep your advanced care directives up-to-date. This is a legal document which specifies what actions should be taken for your health if you are no longer able to make decisions for yourself.
- Exercise, eat healthy and take time for yourself 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 – 2020 focuses on Transitions of Care. Through this performance improvement 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 (3) 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 a readmission to the hospital
If you have any questions about our quality improvement projects you can contact our member services department at 1-866-586-8044 TTY/TDD 1-800-662-1220 and ask to speak with a Wellness Coach.