CIMRO of Nebraska was awarded a contract by CMS to conduct a cutting-edge initiative to improve care transitions between healthcare settings in the Omaha metropolitan community. CIMRO of Nebraska's local project, CareTrek, is bringing together appropriate healthcare providers, stakeholders and community organizations to develop and implement an evolving intervention plan to reduce rehospitalization among Medicare beneficiaries residing within Douglas and Sarpy counties. The goal is to implement sustainable care models to reduce unnecessary hospital readmissions by addressing patient medication management, patient self-management, post-discharge follow-up and plans of care for patients who move across healthcare settings.
CIMRO of Nebraska is accountable for ongoing project management and facilitation and assists providers and the community in creating resources for more effective transitions and in implementing improvement activities beyond the period of hospital discharge.
For more information about CareTrek or how you can participate, please contact CIMRO of Nebraska at 800-458-4262.
