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Health Care Leader Action Guide to Reduce Avoidable Readmissions
Reducing avoidable hospital readmissions is an opportunity to improve quality and reduce costs in the health care system. This guide, developed by the Health Research and Educational Trust, is designed to serve as a starting point for hospital leaders to assess, prioritize, implement, and monitor strategies to reduce avoidable readmissions. The guide is available as a PDF and requires Adobe Reader.
Identifying Potentially Preventable Readmissions
Hospital readmission rates may result from actions taken or omitted during the initial hospital stay and are an indication of the quality of patient care. Preventable readmission (PPR) methods are outlined in this paper and it addresses methods to identify potentially preventable hospital readmissions using computerized discharge abstract data. These methods will help to increase the quality of patient care; and could also compliment pay-for-performance incentives. The paper is available as a PDF and requires Adobe Reader to view it.
Implementation Guide for Readmissions
The Partnership for Patients purpose is to reduce readmissions by developing a more cohesive plan of care that is clearly communicated to the patient and family upon discharge. The main factors are medication reconciliation, communication handoff, post-discharge access and post-discharge plan of care. Their Evidence-Based Practice Guidelines based on the “Project Re-Engineered Discharge” intervention program. The toolkit is available as a PDF and requires Adobe Reader to view it.
The Aging Network and Care Transitions: Preparing your Organization Toolkit
This toolkit was developed for health care provider organizations that are ready to prepare their organization for a role in care transitions programs. Many of the patients served by the Aging Network are considered high-risk for multiple hospital readmissions and the accompanying health complications.