Mason District Hospital, Havana, Illinois

June 2020
Organization: 
National Rural Health Resource Center (The Center)

Mason District Hospital (MDH), located in Havana, Illinois, is one of only four critical access hospitals across the United States to receive national recognition for its care coordination program.

Mason District Hospital (MDH) built its care coordination program from the ground up.  When the Care Coordinator at MDH accepted her position, there was not a care coordination program in place. This worked to their advantage by allowing them to align their initial areas of focus with the patient-centered goals promoted by their Accountable Care Organization (ACO). MDH joined the Illinois Rural Community Care Organization (IRCCO)—an ACO who provided them a playbook that laid out a framework of best practices that were implemented to increase care coordination while reducing the overall patient spend for attributed Medicare patients.

MDH hardwired basic quality initiatives such as promoting Medicare Wellness Visits before adding additional levels of care coordination. A few months later they introduced full care coordination to all providers practicing in their three rural health clinics. “As providers began to realize the benefits of care coordination, the number of participating patients grew”, said Doug Koiser, Mason District Hospital CEO.

Mason District Hospital Receives CAH Recognition Award

Doug Kosier, CEO, Mason District Hospital, and Amy Ewalt, Care Coordinator, proudly accept the National Rural Health Resource Center’s Certificate of Recognition for demonstrating excellence and innovation in care coordination initiatives.

Positive Outcomes

  • Patient participation in the care coordination program grew from three patients at the end of 2018 to over 132 patients at the start of 2020.
  • HbA1c levels have been successfully lowered by providing education and medication management via care coordination for diabetic patients. 
  • Depression screening quality score improved for one MDH clinic, from 2.9% in 2018 to 67.3% in 2019.

Top Accomplishments

Tracking and managing the current providers of patients, referrals, and upcoming specialist appointments has ensured that MDH primary care providers are providing the appropriate follow-up care and are preventing duplication of services. In addition, care coordination education for providers and staff has helped drive the adoption of preventative care initiatives and vastly improved MDH clinic quality scores.

“We’re honored to have received this national recognition for our care coordination efforts. We’ve put a lot of work into implementing a chronic care management program to offer to patients within our rural health clinics, said Doug Kosier, Mason District Hospital CEO. Doug shared that the CCM program was developed with guidance from ICAHN’s 12-week development course in 2018. "Now that it has grown, our providers are beginning to see the difference in the care of their patients who are enrolled. One of them recently said he is 'thrilled with his patients in the program and is more up-to-date with their care than he has ever been’ in reference to specialist referral tracking. CCM puts the patient at the center of their care by providing them a personalized care plan to share with all of their providers and caretakers." 

This project is/was supported by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) under grant number UB1RH24206, Information Services to Rural Hospital Flexibility Program Grantees, $1,205,000 (0% financed with nongovernmental sources). This information or content and conclusions are those of the author and should not be construed as the official position or policy of, nor should any endorsements be inferred by HRSA, HHS or the U.S. Government.