Free White Paper: Care Transitions Management in 2015: EMRs, Discharge Summaries Sharpen Communication Between Care Sites

Call it Care Transitions Management 2.0—enterprising approaches ranging from recording patient discharge instructions to enlisting fire departments and pharmacists to conduct home visits and reconcile medications. To improve 30-day readmissions and avoid costly Medicare penalties, more than one-third of respondents to the 2015 Care Transitions Management survey—34 percent—have designed programs in this area, drawing inspiration from the Coleman Care Transitions Program®, Project BOOST®, Project RED, Guided Care® and other models.

Whether self-styled or off the shelf, the approaches enhance both quality of care and utilization metrics, according to this fourth annual Care Transitions snapshot by the Healthcare Intelligence Network.

Care Transitions Management in 2015: EMRs, Discharge Summaries Sharpen Communication Between Care SitesDownload this HINtelligence report for more data on the most critical transition to manage, the top targeted health condition for care transitions efforts, the most modeled care transitions program and much more. Click here to download the report today.

Customized reports, including benchmark results by industry sector, are available upon request.

This white paper is an excerpt from 2015 Healthcare Benchmarks: Care Transitions Management, HIN's fourth annual analysis of these cross-continuum initiatives, which examines programs, models, protocols and results associated with movement of patients from one care site to another, including the impact of care transitions management on quality metrics and the delivery of value-based care. Click here for more information.

With a special focus on the patient discharge process and follow-up, this 50-page report is based on responses from 116 healthcare companies to HIN's fourth e-survey on Managing Care Transitions conducted in February 2015.

This fourth comprehensive collection of data points presents actionable new metrics on care transitions management, including the following:

  • The prevalence of existing and planned care transitions management programs;
  • Most critical care transitions managed by responding organizations;
  • Preferred care transitions models;
  • Targeted conditions and risk factors;
  • Methods to identify participants for care transitions management;
  • Responsibility for care transitions coordination;
  • Tools and training for the care transitions team;
  • Key measurements to gauge program success;
  • Sector-specific feedback on care transitions efforts by hospitals and other high-responding sectors;
  • Program challenges, impacts and ROI;
  • The complete 2015 Managing Care Transitions survey tool;
  • and much more.

Reserve your copy of 2015 Healthcare Benchmarks: Care Transitions Management today online at:


Melanie Matthews
Executive Vice President
The Healthcare Intelligence Network

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