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April Book of the Month

Reducing Readmission Risk
for the Elderly through
Care Transition Coaching


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888-446-3530

10% Discount on Reducing Readmission Risk for the Elderly through Care Transition Coaching

With the healthcare industry focused on reducing the high numbers of Medicare patients readmitted to the hospital within 30 days of discharge, landmark studies of transitions in older adults at high risk for readmission upon discharge by Eric Coleman, M.D., at the University of Colorado are transforming care management approaches across the country.

Reducing Readmission Risk for the Elderly through Care Transition Coaching presents new models of care coordination for the elderly, including an Oxford Health Plan care transition coach program modeled on Dr. Coleman's research. This book also reports on Inspiris's care team approach to managing care transitions for the frail elderly adults 65 and older who comprise 40 percent of elderly hospitalizations and who are particularly vulnerable during transitions from one care site to another.

10% Discount
Reducing Readmission Risk for the Elderly through Care Transition Coaching examines four coaching-based approaches to coordinating care across healthcare settings from Oxford Health and the impact that these programs are having on healthcare utilization:
  • Transition coach program for Medicare beneficiaries that includes patient education and empowerment, health record creation, medication management, communication with physicians, and home visits and follow-up;
  • Advanced illness and coordinated care program for seriously ill patients who do not yet meet hospice criteria but require assistance with medical symptom management as it impacts end-of-life comfort care and proactive decisions about end-of-life healthcare services;
  • Health coaching and pharmacy outreach for Medicare members designed to break down barriers to medication adherence drug and food interactions, functional issues and socioeconomic factors; and
  • Options for Living self-management classes for Medicare members living with diabetes, lung conditions and chronic pain.


Order online by April 30, 2010 and receive a 10% discount!


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