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Hospital Re-Admission Reduction Services2018-01-03T00:11:51+00:00

Hospital Re-Admission Reduction Services

Our hospital re-admission reduction services are designed to lower re-admission rates by providing intensive care coordination and case management services intended to identify and overcome any barriers that may prevent our clients from receiving appropriate out-patient clinical services at the appropriate time. This includes insuring our clients have access to the necessary socioeconomic resources they need to become and stay well and follow through on their prescribed clinical treatment plan.

Primary Program Goals

The success of our hospital discharge care management programs are based upon a singular focus on achieving the following goals:

Points of Engagement

Program Outcomes

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of the clients in our Medicaid hospital discharge program obtained a primary care follow-up visit within 14 days of discharge
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of all specialty visits that were prescribed as a part of the hospital discharge treatment plan were obtained
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of our clients obtain a medication reconciliation with either a primary care provider or pharmacist within 7 days post discharge
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we have reduced the overall 30 day hospital re-admission rate of our partners by 19.1%
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We’ve reduced the 30 day re-admission rate of our clients with congestive heart failure by 15.9%
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We’ve reduced the 30 day re-admission rate of our clients with chronic obstructive pulmonary disease by 25.5%
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We’ve reduced the 30 day re-admission rate of our clients with acute myocardial infarction by 26.9%