Kevin Allen

Netsmart to Provide Care Coordination Technology for Care Transitions Network

Initiative in New York State seeks to reduce re-hospitalization rates for people with Serious Mental Illness (SMI)

Overland Park, Kan., March 7, 2016 – Netsmart will provide key care coordination and care management technology capabilities for the Care Transitions Network for People with Serious Mental Illness (SMI), a key initiative of the National Council for Behavioral Health. The announcement was made at the National Council Conference (NatCon) in Las Vegas, Nev.

The Care Transitions program in New York State will provide support for patients after their discharge from psychiatric hospitalizations, ensuring engagement with outpatient practices for coordinated services and care. The goal of the four-year project is to reduce all-cause re-hospitalization rates for people with serious mental illness in the State of New York by 50 percent.

Netsmart will provide care management and coordination solutions to support providers across New York State as part of the initiative. The Netsmart CareManager solution will support the workflow as individuals with SMI diagnoses transition out of the hospital back into the community.

“Quality transitions of care improve patient safety, eliminate redundant or unnecessary testing and better engage clients in their treatment,” said Netsmart CEO Mike Valentine. “We’re pleased to be part of this program designed to reduce re-hospitalizations and impact thousands of lives.”

According to the New York State Office of Mental Health, 82 percent of patients with hospital readmissions have mental health or substance use disorders. While these patients have psychiatric diagnoses, the majority (59 percent) of the readmissions are for medical disorders.

The Care Transitions Network will work with more than 4,000 clinicians across the State of New York over the next four years to implement pragmatic treatments for patients suffering from the most severe mental illnesses, including schizophrenia, bipolar disorder and chronic depression. It will employ a robust data infrastructure to ensure that primary and behavioral health care services are better aligned, inpatient and outpatient providers bridge the gap at discharge, and payer and provider priorities are better in sync.

"The partners in this effort – Netsmart, Montefiore Medical Center, Northwell Health (formerly North Shore-LIJ Health System), the New York State Office of Mental Health, and the National Council for Behavioral Health – are all deeply committed to connecting historically siloed systems of care and ensuring that every patient with a serious mental illness receives the care he or she needs,” said Linda Rosenberg, president and CEO of the National Council for Behavioral Health.

“To reduce readmissions and ensure that patients get the best care possible, primary care and behavioral health need to be aligned, both in their work and with their data,” Rosenberg added. “The care coordination and management technology that Netsmart brings will be an important piece of the puzzle.”

The Care Transitions Network anticipates being able to avoid 1,150 hospitalizations and save $12.6 million in costs during the first year with proper medication use and care transition support. Over the four-year life of the project, 16,000 hospitalizations may be avoided for a projected $186 million savings.

The program is funded by a $29.4 million Transforming Clinical Practice Initiative grant awarded by the Centers for Medicare and Medicaid Services.

The Care Transitions Network is one of 29 Practice Transformation Networks around the country working to create new and replicable models of care for vulnerable populations and helping provider practices move into the world of value-based payments.

For more information about the Care Transitions Network, visit the Network’s website, email or call 202-684-7457.

About Netsmart

Netsmart provides technology and expertise to help health and human services providers deliver effective, outcomes-based services and care to more than 25 million persons nationwide. Netsmart clients include 450,000 users in 20,000 in organizations across all 50 states. Netsmart clients include mental health and addiction services agencies, health homes, psychiatric hospitals, private and group mental health practices, public health departments, social services, child and family services agencies, managed care organizations and vital records offices.

Netsmart’s CareFabric®, a framework of innovative clinical and business solutions and services, supports integrated, coordinated delivery of health services across the spectrum of care.

Netsmart’s HIT Value Model™, a vendor-agnostic planning and measurement system, provides a path for health and human services organizations to evaluate where on the healthcare IT spectrum they should focus their efforts, the value associated with that strategic decision and a comparison with peer organizations nationwide.

Netsmart is pleased to support the EveryDayMatters® Foundation, which was established for behavioral and public health organizations to learn from each other and share their causes and stories. For more information, visit

Learn more about how Netsmart is changing the face of healthcare today. Visit, call 1-800-472-5509, follow us on LinkedIn and Twitter, like us on Facebook or visit us on YouTube

HIT Value Model is a trademark of Netsmart Technologies, Inc.

CareFabric and EveryDayMatters are registered trademarks of Netsmart Technologies, Inc.

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