About Us
Mission
The mission of the Care Transitions Coalition is to improve the quality of life by improving the quality of care for Kenosha County health care consumers who transition among health care settings through a comprehensive community effort including improving cross setting communication, care coordination and patient/caregiver self-management. The Coalition is committed to:
Providing education to the Coalition membership at least 3 times a year
Providing education to the community at least 1 time a year
Increasing enrollment in PACT at least 10% each year of the charter period
Identifying, collecting, and sharing reliable accessible County-wide aggregated healthcare data to inform interventions to reduce readmissions and improve transitions of care.
Piloting at least one new intervention within the next charter period incorporating the focus areas of workforce development, medication management and advance care planning.
Maintaining a negative slope in 30-day readmission rates over time compared to the state rate.
Revised: 2/21/2023
Vision
The Care Transitions Coalition envisions the transition of health care consumers between health care settings and practitioners in our community will be well coordinated between all institutions, practitioners and community service organizations with the patient, family and caregiver as the center of care.
Purpose
To promote effective systems for transitions of care
To promote the inclusion of the patient and family voice
To encourage person-centered and person-directed models of care
To collaborate and encourage efforts and best practices of health and human service organizations which share our vision
To advocate for public policies that further the vision of the Kenosha County Care Transitions Coalition
History
The Coalition began working together November 2011. In early 2012, coalition members signed a participation agreement with MetaStar, the Quality Improvement Organization (QIO) contracted with the Center for Medicare and Medicaid Services (CMS) for Wisconsin, to provide resources, data and support to the project.
A Community Charter was adopted and signed in January 2012 and a data sharing agreement was signed in March 2012. The charter has been updated four times since our inception.
Coalition members have provided leadership and participation in a broad array of evidence based and local pilot interventions. For more information, please see our overview document.