title: Successful initiative cuts readmissions.
abstract: Bassett Medical Center's multidisciplinary readmission reduction program resulted in a 70% drop in readmissions for high-risk diagnoses at the Cooperstown, NY, facility. Case managers assess all patients for risk of readmission and alert the team when patients are at high risk. Staff members use the teach-back method and have simplified discharge instructions. Case managers and nurses try to identify barriers to follow-up care while the patient is in the hospital. A patient services coordinator calls at-risk patients after discharge.
mesh_terms: D019090:Case Management; D006769:Hospitals, General / Q000706:statistics & numerical data*; D009518:New York; D019982:Organizational Case Studies; D009937:Organizational Objectives; D010359:Patient Readmission / Q000639:trends*; D018570:Risk Assessment