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Hospital Admissions

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Care Coordination & Readmissions

A collection of success stories on care coordination and readmissions from the front lines of American health care, providing free access to strategies used by hospitals and medical practices nationwide to improve care.

Reform in Action: How the U.S. Health Care System Can Reduce Avoidable Readmissions

March 5, 2013

Almost one in five elderly patients released from a hospital is back within 30 days, and more than one in three are back within 90 days. Although some readmissions are part of a patient’s treatment plan, many are avoidable.

Heart Failure Education Reduces Readmissions

February 26, 2013

Oregon Health and Science University cut readmissions for heart failure patients by 11 percent over an 18-month period through improved patient education.

Nurse Care Advocate Improves Heart Failure Care

February 26, 2013

Since implementing a Care Advocate position, Marymount Hospital has steadily maintained 100 percent compliance with core measures for heart failure care and reduced its heart failure readmission rate by 26 percent.

Hospital Uses “LACE” Assessment to Reduce Readmissions

February 15, 2013

Redington-Fairview General Hospital provided at least 95 percent of HF patients with all the recommended procedures and assessments in the Measure of Ideal Care bundle for 13 out of 15 months during the initiative.

The Revolving Door Syndrome: Patients Returning to Hospital Within Days of Being Released

February 11, 2013 | News Release

A report from the Robert Wood Johnson Foundation shows that hospitals and their community allies made little progress from 2008 to 2010 at reducing hospital readmissions for elderly patients.

Medicare Hospital Readmissions Reduction Program

October 1, 2011 | Issue Brief

This issue of Legal Notes explains the Affordable Care Act's Hospital Readmissions Reduction Program (HRRP) and its implications for regional health care quality improvement collaboratives.

Video Contest Winners Demonstrate How Better Care Transitions Can Prevent Readmissions

February 5, 2013 | News Release

Five innovative programs are the winners of the Transitions to Better Care video contest, showcasing stories of how care teams and patients have improved care transitions out of the hospital and reduced avoidable hospital readmissions.

Health Leaders Join Forces to Tackle National Problem of Hospital Readmissions

January 31, 2013 | News Release

Care About Your Care is a national conversation highlighting efforts to improve care transitions, reduce hospital readmissions, and lift overall quality of care.

Avoidable Hospitalizations in Cuyahoga County Fall by Nearly 3,000 for Patients with Common Cardiovascular Conditions, Saving More than $20 million

January 30, 2013 | News Release

Avoidable hospitalizations in Cuyahoga County, Ohio—one of RWJF’s Aligning Forces for Quality communities—fell by nearly 3,000 for patients with common cardiovascular conditions, saving more than $20 million in health care costs.

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