Research studies show that 1 in 5 people diagnosed with a
chronic illness is readmitted to the hospital.
Hospital readmissions are often necessary because people need
assistance with both the simple and complex care needs that these
illnesses require or cannot accurately communicate her/his
condition and symptoms to their caregivers or physicians.
Here are some helpful resources to
Reduce Hospital Readmissions
The Community-based Care Transitions Program(CCTP)
The Community-based Care Transitions Program (CCTP), created by
Section 3026 of the Affordable Care Act, tests models for improving care
transitions from the hospital to other settings and reducing
readmissions for high-risk Medicare beneficiaries.
State Action on Avoidable Rehospitalizations (STAAR)
The Institute for Healthcare Improvement (IHI) launched the STAAR
initiative, which aims to reduce rehospitalizations by working across
organizational boundaries and by engaging payers, stakeholders at the
state, regional and national level, patients and families, and caregivers
at multiple care sites and clinical interfaces.
INTERACT (Interventions to Reduce Acute Care Transfers)
INTERACT is a quality improvement program that focuses on the
management of acute change in resident condition. It includes clinical
and educational tools and strategies for use in every day practice in
long-term care facilities.
Project BOOST (Better Outcomes for Older Adults through
Project BOOST is a national initiative to improve the care of patients as
they transition from hospital to home.
Project RED (Re-Engineered Discharge)
Project RED is a research group at Boston University Medical Center that
develops and tests strategies to improve the hospital discharge process
in a way that promotes patient safety and reduces re-hospitalization
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