Resources to Reduce Hospital Readmissions

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) initiative 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 Safe Transitions)

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 rates.

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