An elderly man wheels his wheelchair bound wife away from a hospital emergency wing.

The Revolving Door: A Report on U.S. Hospital Readmissions

A new report from RWJF shows that hospitals and their community allies made little progress from 2008 to 2010 at reducing hospital readmissions for elderly patients. 

The report finds that the chance of readmission after patients leave the hospital varies markedly across regions and hospitals and that overall readmission rates did not decline meaningfully. The findings are based on new Medicare data from the Dartmouth Atlas Project that includes readmission rates for states, hospital referral regions, and more than 3,000 hospitals.

Read the report
The Revolving Door

Interactive Map: The Revolving Door

This interactive map displays the Dartmouth Atlas Project data on percent of patients readmitted within 30 days of discharge in 2010 by region.

Explore the interactive map
cayc 10 things about transitions

10 Things You Should Know About Care Transitions

These ten facts from Care About Your Care show why care transitions are so critical, outline key areas of concern, and share how the health care system is focusing on improvement.

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Series//Care Transitions and Avoidable Readmissions: The Challenge & Solutions

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  1. The Challenge: Care Transitions and Avoidable Readmissions

    America's health care system faces a dangerous and costly crisis: too many patients are readmitted to the hospital shortly after discharge due to poor care transitions.

    Solutions: Stopping the Revolving Door of Avoidable Readmissions

    In communities across America, doctors, nurses, hospitals, care facilities, and community organizations are working with patients to stop the revolving door of avoidable readmissions for good.

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The Challenge: Care Transitions and Avoidable Readmissions

America's health care system faces a dangerous and costly crisis: too many patients are readmitted to the hospital shortly after discharge due to poor care transitions.

Solutions: Stopping the Revolving Door of Avoidable Readmissions

In communities across America, doctors, nurses, hospitals, care facilities, and community organizations are working with patients to stop the revolving door of avoidable readmissions for good.

The Challenge: Care Transitions and Avoidable Readmissions

America's health care system faces a dangerous and costly crisis: too many patients are readmitted to the hospital shortly after discharge due to poor care transitions.

Solutions: Stopping the Revolving Door of Avoidable Readmissions

In communities across America, doctors, nurses, hospitals, care facilities, and community organizations are working with patients to stop the revolving door of avoidable readmissions for good.

The Challenge: Care Transitions and Avoidable Readmissions

America's health care system faces a dangerous and costly crisis: too many patients are readmitted to the hospital shortly after discharge due to poor care transitions.

Solutions: Stopping the Revolving Door of Avoidable Readmissions

In communities across America, doctors, nurses, hospitals, care facilities, and community organizations are working with patients to stop the revolving door of avoidable readmissions for good.

Fast Facts

  • Nearly 20% of Medicare patients return to the hospital within a month after discharge, costing $12 billion per year [source]
  • 90% of rehospitalizations within 30 days are unplanned [source]
  • Poor continuity of care after a patient leaves the hospital–especially for those with chronic conditions–leads to readmissions [source]
  • Poor care coordination was responsible for $25-$45 billion in wasteful health care spending in 2011 [source]

RWJF's perspective

We've had this problem in our health care system for decades. The good news is that there are teams of professionals working on the front lines that are beginning to show how together they can come up with plans that dramatically reduce re-hospitalizations.”

Risa Lavizzo-Mourey, MD
President and CEO
Robert Wood Johnson Foundation