Key result
Coordinated, patient-focused transition of care plans and case management programs are key elements in preventing hospital readmissions.
Coordinated transition of care plans are essential for hospital case management to prevent readmissions.
May support case management focus on transitions of care; leaves open optimal strategies without higher-level evidence.
PURPOSE/OBJECTIVES: This article examines the recent hospital emphasis on preventing hospital readmission. This article also identifies hospital programs that help prevent such readmissions by using a systematic approach to transitions of care. PRIMARY PRACTICE SETTING(S): Hospital case management departments. FINDINGS/CONCLUSIONS: A coordinated, patient-focused transition of care plan is a key element in preventing hospital readmissions. IMPLICATIONS FOR CASE MANAGEMENT PRACTICE: Leaders in hospital case management will have new demands placed on them to prevent patients from returning to the hospital after discharge. Leaders may choose to model demonstration programs, or they may implement unique strategies that support readmission prevention efforts.
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Askren-Gonzalez et al. (2012) conducted a review in Hospital readmission. Case management programs and transitions of care was evaluated on Hospital readmissions. Coordinated, patient-focused transition of care plans and case management programs are key elements in preventing hospital readmissions.
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