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Abstract WP109: Framework for Evaluating Sequential Patterns in Post-Acute Transitions of Care Among Ischemic and Hemorrhagic Stroke Survivors: Analysis of Medicare Beneficiaries in the State of Texas

Stroke Journal

Methods:Data were retrieved from a CMS Qualified Entity housing healthcare utilization data for ≥80% of the Texas state population (100% of Medicare Fee-for-Service). Analytical sample included all Medicare enrollees with a primary discharge diagnosis (AIS or ICH) from 2016 to 2020. and 82.3% (Panel D).Conclusion:Post

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Abstract NS8: Enhancing Post-Stroke Care: Implementing the Transitional Care Model

Stroke Journal

This initiative aimed to enhance the post-discharge process to improve care quality and reduce missed follow-ups.Methods:We implemented a streamlined follow-up process for stroke patients discharged home, aligning with the Centers for Medicaid and Medicare (CMS) definition of the Transitional Care Management (TCM).

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Abstract WMP82: Stroke Transitional Care Model: An Advanced Practice Provider Led Initiative

Stroke Journal

This initiative, led by Advanced Practice Providers (APPs), aimed to refine the post-discharge process to enhance care quality and reduce missed follow-ups.Methods:We introduced a streamlined follow-up process for stroke patients discharged home, adhering to the Centers for Medicaid and Medicare (CMS) Transitional Care Management (TCM) model.

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Bridging the Gap: Enhancing Stroke Recovery Through Digital Health Solutions

DAIC

I know the nurse explained my medications to me at the hospital. This math deficit was not recognized until I got home. I lived alone and I had to take care of myself, and I was unable to cope. The simple act of maintaining post-care medications was extremely difficult for me. This missing puzzle piece matters now more than ever.

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Abstract WP140: Early Post Acute Care Pathways are Predictive of 1-Year Home Time among Patients with Acute Ischemic Stroke: Analysis of Clinical and Claims Linked Data

Stroke Journal

We evaluated the influence of early (30-day) post-acute care (PAC) pathways on 1-year HT.Methods:We analyzed a cohort of Medicare AIS patients at a 7-hospital stroke certified health system (2016 to 2020). All claims within 1 year of hospitalization were collated and grouped into corresponding care pathways. One-year HT (i.e.,

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Abstract 280: Risk Factors in 90day Ischemic Stroke Readmissions

Stroke: Vascular and Interventional Neurology

Study Population includes all patients with an ischemic stroke inpatient admission in 2018 and were continuously enrolled with Medicare FFS for 1 year prior to and following their initial 2018 stroke admission. Discharge disposition of subacute nursing facility (SNF) represents 36.1% female and 83.1% in study population).

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ACO REACH: A New Evolution in At-Risk Primary Care

The Beat Blog

Elliott Fisher during a 2006 public meeting with the Medicare Payment Advisory Committee (MedPAC). Then, six years later in 2012, The Patient Protection and Affordable Care Act (ACA) authorized the use of Accountable Care Organizations (ACOs) to improve the safety and quality of care and reduce health care costs in Medicare.