Healthcare Intelligence Network - 5 Pillars of Healthcare Transitions
Source: The Science of Successful Care Transition Management: Leveraging Home Visits to Improve Readmissions and ROI

For access to additional details on Sun Health's care transition management strategy, order your copy today for $95.

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The Science of Successful Care Transition Management: Leveraging Home Visits to Improve Readmissions and ROI

A care transitions management program operated by Sun Health since 2011 has significantly reduced hospital readmissions for nearly 12,000 Medicare patients, resulting in $14.8 million in savings to the Medicare program.

Using home visits as a core strategy, the Sun Health Care Transitions program was a top performer in CMS's recently concluded Community-Based Care Transitions (CBCT) demonstration project, which was launched in 2012 to explore new solutions for reducing hospital readmissions, improving quality and achieving measurable savings for Medicare.

The Science of Successful Care Transition Management: Leveraging Home Visits to Improve Readmissions and ROI explores the critical five pillars of the Arizona non-profit's leading care transitions management initiative, adapted from the Coleman Care Transitions Intervention®.

This report drills down on Sun Health's approach to care transitions management, which achieved the lowest readmissions rates of all programs in CMS's five-year demo. Order your copy today for $95 in our Online Bookstore or by calling toll-free (888) 446-3530.


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The Science of Successful Care Transition Management

The Science of Successful Care Transition Management: Leveraging Home Visits to Improve Readmissions and ROI


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Susan Craft

To hold the line on hospital readmissions, a tri-county, skilled nursing facility (SNF) collaborative in Michigan evaluates participating SNFs by a host of quality metrics. In this broadcast, Ms. Craft of the Henry Ford Health System (HFHS), one of four collaborative founders, outlines a few SNF participation and reporting mandates.

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