A doctor meets with his patient in the  John Theurer Cancer Center.

Reform in Action: Reducing Avoidable Hospital Readmissions

Patients discharged from U.S. hospitals return far too often. Almost one in five elderly patients released from a hospital is back within 30 days, and more than one in three are back within 90 days. Although some readmissions are part of a patient’s treatment plan, many are avoidable.

4.4M potentially preventable trips to the hospital add $30B to US healthcare spending each yr

The Issue

10 Things You Should Know About Care 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.

See the tips

Resources For Providers

Reducing Avoidable Readmissions through Better Care Transitions

Reducing Avoidable Readmissions through Better Care Transitions

Traditionally, efforts to reduce avoidable readmissions have focused on hospitals, but it is becoming clear that many factors along the care continuum influence readmissions. These innovative national models take a broader view of care transitions, and are implementing a variety of interventions aimed at reducing avoidable readmissions.

View the resources

Resources For Patients

How to Avoid Being Readmitted to the Hospital

Reducing Avoidable Readmissions through Better Care Transitions

Traditionally, efforts to reduce avoidable readmissions have focused on hospitals, but it is becoming clear that many factors along the care continuum influence readmissions. These innovative national models take a broader view of care transitions, and are implementing a variety of interventions aimed at reducing avoidable readmissions.

Read the tips in English or Spanish

Hospital Discharge Checklist and Care Transition Plan

Hospital Discharge Checklist and Care Transition Plan

Asking questions, asking for a plan, and making sure you know what do to if your symptoms get worse can help you stay out of the hospital. If your hospital does not provide similar tools, use the Care About Your Care discharge checklist and care transition plan.

Download the discharge checklist and transition plan in English or Spanish

Series//AF4Q in Action

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  1. AF4Q alliances are working with local providers and health systems to help ensure care transitions are smoothed and avoidable readmissions are reduced in their communities.

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AF4Q alliances are working with local providers and health systems to help ensure care transitions are smoothed and avoidable readmissions are reduced in their communities.

AF4Q alliances are working with local providers and health systems to help ensure care transitions are smoothed and avoidable readmissions are reduced in their communities.

AF4Q alliances are working with local providers and health systems to help ensure care transitions are smoothed and avoidable readmissions are reduced in their communities.

Care About Your Care is a national conversation highlighting efforts to improve care transitions, reduce avoidable hospital readmissions, and lift the overall quality of care.

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What Works to Improve Care?

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A collection of success stories from the front lines of American health care provides free access to strategies used by hospitals and medical practices nationwide to improve care. This library of innovations is based on years of Robert Wood Johnson Foundation-funded hospital and community-based health care quality improvement initiatives.

Explore the library of promising practices

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