When a patient’s transition from the hospital to another care setting and eventually to home is less than optimal, the repercussions can be far-reaching — hospital readmission, an adverse medical event, and even mortality. Poorly designed discharge processes can also create unnecessary stress for medical and nursing staff causing failed communications, rework, and frustrations.
On the other hand, a comprehensive and reliable discharge plan, along with post-discharge support, can reduce readmission rates, improve health outcomes, and ensure quality transitions. Having such a plan also leads to a deeper understanding of patients’ reasons for admission and their needs after hospital care. In addition, for organizations working with bundled payments, it can also be an effective tool in achieving improved quality and reduced cost growth.
To help organizations achieve their care coordination goals, the Institute for Healthcare Improvement (IHI) is proud to offer Reducing Avoidable Readmissions by Improving Transitions in Care. During this two-day seminar, expert faculty will show teams how to assess the comprehensive needs of patients and family caregivers, use health literacy strategies to enhance patient education, develop a customized post-discharge plan, effectively communicate discharge information to patients and community providers, and facilitate appropriate post hospital follow up.
IHI has a substantial track record of working collaboratively with states, communities, hospitals, and community-based organizations to improve the quality and safety of patient transitions and reduce the number of avoidable readmissions. You and your team can benefit from our extensive work with both hospitals and community-based organizations to co-design processes that improve the transition out of the hospital, as well as the reception into the next care setting.