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About ARC

ARC is a partnership between Cynosure Health under the leadership of Bruce Spurlock, M.D., and the California Quality Collaborative (CQC) under the leadership of Diane Stewart, funded by the Gordon and Betty Moore Foundation.

Our Mission

Avoid Readmissions through Collaboration (ARC) is a San Francisco Bay Area focused effort to identify, implement, and share best practices to reduce avoidable readmissions. By the end of the 2013, ARC initiatives have helped hospitals eliminate over 6,400 readmissions over a three-year period, saving more than $62 million in healthcare expenditures. Our goal is to reduce 30 and 90 day all cause readmission rates by providing a forum for hospitals and their outpatient partners to understand existing evidence-based models and the fidelity required to successfully implement these models. 

The Collaborative Community consists of an open Learning Community where hospitals and their partner organizations, e.g. medical groups/IPAs, home health, long term care and health plans, participate in learning sessions as well as an Action Network of organizations who are fully engaged in readmission improvement work. ARC Mentor hospitals are considered content and implementation experts in care transition improvement and provide support to other hospitals interested in improving their care transition efforts. To see a list of ARC's Mentor Hospitals click here.

The Problem

A 2009 study published in the New England Journal of Medicine demonstrated that almost one-fifth (19.6%) of Medicare patients are readmitted to the hospital within 30 days of discharge. Here in California, a study released in 2010 by the State of California showed one-third of the 1.7 Californians who received hospital care in 2005, regardless of insurance coverage, were re-hospitalized within 12 months. There are proven strategies to reduce re-admissions. This program reviews the evidence-based models and helps organizations adapt them for their patients.
ARC Mentor Hospitals
St Rose Hospital
Lodi Memorial Health
El Camino Hospital
Palo Alto VA Hospital
Mills-Peninsula Medical Center/Palo Alto Medical Foundation
St. Mary's Medical Center
UCSF Medical Center 
Click here for more information about the ARC Mentor Hospitals.
Participating Hospitals
Here is a list of hospitals participating in the ARC Action Network.
San Francisco Bay Area

Alameda County Medical Center
Alta Bates Medical Center
California Pacific Medical Center
Chinese Hospital
Eden Medical Center
El Camino Hospital
Marin General Hospital
Mills-Peninsula Hospital
O’Connor Hospital
San Francisco General Hospital Medical
Santa Clara Valley Medical Center
Sequoia Hospital
Seton Medical Center
St. Francis Memorial Hospital
St. Mary’s Medical Center
St. Rose Hospital
Stanford Hospital
UCSF Medical Center
VA Medical Center of San Francisco
VA Palo Alto Medical Center
ValleyCare Health System
Washington Hospital Healthcare System
Beyond the Bay

Lodi Memorial Hospital
St. Francis Medical Center
Saint Vincent Hospital
Sutter Delta Medical Center
Our Partners and Supporters
Gordon And Betty Moore Foundation  
Gordon and Betty Moore Foundation
Established in September 2000, the Gordon and Betty Moore Foundation seeks to advance environmental conservation, scientific research, and patient care--around the world and in the San Francisco Bay Area. The Foundation is devoted to the inspirational vision articulated by our founders: "creating positive outcomes for future generations." This vision guides our mission: "to achieve significant, lasting and measurable results in environmental conservation, science, patient care, and the San Francisco Bay Area." A set of core values—impact, integrity, disciplined approach, and collaboration—directs our work.
Cynosure Health
A non-profit dedicated to improving healthcare. We believe that health care improves further and faster when organizations collaborate. As expert facilitators, the Cynosure team promotes the exchange of peer-to-peer knowledge that combines the "what to do" with the "how to do it", reliably day after day. We also believe that quality improvement must be a broad skill mastered by many beyond the quality department. Cynosure accelerates the spread of knowledge of healthcare innovations and facilitates their local adoption.
California Quality Collaborative
California Quality Collaborative (CQC) is a healthcare improvement organization dedicated to advancing the quality and efficiency of the healthcare delivery system in California. The CQC will generate scalable and measurable improvement in care delivery in ways important to patients, purchasers, providers, and health plans. Led by national experts in the field, CQC offers a range of healthcare improvement programs, including: healthcare quality improvement training programs which engage California physician groups and hospital leadership teams to manage change across their organizations to achieve evidence-based, patient-centered care, and topic-specific collaboratives that offer access to national experts and leading physician peer group leaders to facilitate the adoption of best practices in patient satisfaction, clinical care, and efficiency.