SUMMARY: The Partnership for Patients has set the ambitious goal to reduce hospital readmissions by 20% by 2013. Achievement of this goal will center on reducing complications during transitions from one care setting to another, particularly for patients with multiple chronic conditions. Seamless care transitions require thoughtful collaboration among hospitals, community-based organizations, patient caregivers, and patients themselves.
Care transitions refer to the movement of patients from one health care provider or setting to another. For people with serious and complex illnesses, transitions in setting of care--for example from hospital to home or nursing home, or from facility to home- and community-based services--have been shown to be prone to errors.
Nearly one in five Medicare patients discharged from the hospital is readmitted within 30 days. This translates to approximately 2.6 million seniors at a cost of over $26 billion every year. Readmission rates are also high for patients covered by Medicaid and private insurance.
Medication errors, poor communication, and poor coordination between providers from the inpatient to outpatient settings, along with the rising incidence of preventable adverse events, have drawn national attention. Health care providers and community-based organizations are aware of the negative effects of poor patient care transitions. But many struggle with fragmentation and lack of collaboration across settings, limited resources, and an expanding aging population with multiple chronic conditions.
GOAL: Reduce hospital readmissions by 20% by 2013.
Hospital-aquired Infections Linked to Higher Readmissions Rates
March 29th Webinar - Readmissions Diagnostic Review
March 29th Webinar Handouts
IHI's Readmissions Diagnostic Chart Review Tool
Roadmap to Better Care Transitions and Fewer Readmissions
Recommended Evidence-Based Resources
Health Literacy/Teachback Toolkit
HARMS-8 Risk Screening
Readmissions Learning Communities
March 6, 2012 8:30 a.m. – 3:30 p.m. The Meadows Event & Conference Center
June 5, 2012 8:30 a.m. – 3:30 p.m. The Meadows Event & Conference Center
August 28, 2012 8:30 a.m. – 3:30 p.m. The Meadows Event & Conference Center
November 28, 2012 8:30 a.m. – 3:30 p.m. The Meadows Event & Conference Center