BAYSTATE NOBLE HOSPITAL WORKS TO IMPROVE CARE USING C.H.A.R.T. GRANT
Baystate Noble Hospital has been awarded a $1.2 million CHART Grant from the Massachusetts Health Policy Commission to improve patient care in Greater Westfield. The Community Hospital Acceleration, Revitalization and Transformation Investment Program (CHART) is a two-year long initiative to focus attention on avoidable hospital re-admissions, celebrate how hospitals and communities are working together to improve care transitions, and help patients and families understand the role they can play in their healthcare.
“The purpose of the CHART Investment Program is to accelerate the transformation of healthcare in Massachusetts by keeping care in the community setting. We hope that the focused project aims, along with technology and planning requirements, will enable the Commonwealth’s community hospitals to provide efficient, effective care that meets the community needs,” said Paul Hattis, MD, JD, MPH, Commissioner of the Health Policy Commission.
Baystate Noble Hospital is one of 30 community hospitals in Massachusetts sharing the $60 million in CHART grant awards.
One of the biggest focuses of the CHART program is to reduce hospital re-admissions. Repeated hospital visits are bad for a patient’s health; expensive for hospitals, insurance companies, and consumers; and burdensome for caregivers and families. In order to reduce re-admissions, hospitals must work with local organizations, patients, and families to support patients. Patients more likely to be admitted multiple times may include those with chronic diseases, a lack of continued outside support (services or family), insufficient transitional care, a lack of knowledge about health or nutrition, and those without primary or specialty providers.
The Baystate Noble CHART team consists of 3 nurses, 3 social workers, 1 care coordinator, and the steering committee:
- Kelley Crowley LICSW, Director of Behavioral Health and Clinical Investment Operator
- Linda Puchalski, Project Manager
- Dr. Britt Percy, Chief of Hospital Medicine
- Ed Guzik, RN, Director of Emergency Department
- Laurie Gilbert, Administrative Assistant
The team will work to identify patients who have had 3 or more inpatient admissions or 9 or more emergency admissions over a year’s time. They will meet with those patients to complete medical and behavioral health assessments and identify possible future problems. In addition to educating patients about their health problems, tests, and medications while in the hospital, the CHART team will help coordinate care with other providers and services after discharge. Team members will also make follow up visits and phone calls to continue the patient’s care and avoid unnecessary re-admissions.