title: Hospital-SNF collaboration cuts readmission rates.
abstract: Montefiore Medical Center's collaboration with five skilled nursing facilities on improving transitions has resulted in a drop in 30-day readmission rates to 15%. A multidisciplinary team visited nursing facilities in the area, reviewed readmission rates and Nursing Home Compare information and chose five facilities that are in locations convenient to Montefiore patients. Montefiore representatives met with each facility individually and helped them adapt the INTERACT program (Interventions to Reduce Acute Care Transfers), a quality improvement program designed to improve care and reduce potentially avoidable readmissions. Now representatives from all five nursing facilities meet with the Montefiore team monthly and collaborate on ways to improve transitions.
mesh_terms: D003299:Cooperative Behavior; D006786:Hospitals, Urban; D009519:New York City; D010359:Patient Readmission; D012866:Skilled Nursing Facilities