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Readmissions

Readmissions

Too many patients are re-hospitalized

TMF Health Quality Institute and other partner organizations in a statewide effort to accomplish the Partnership for Patients ambitious aim of reducing readmissions following hospitalization by 20 percent by 2019. TMF leads this effort by facilitating the Readmissions Learning and Action Network.

Funded by the Centers for Medicare & Medicaid Services, this “all participate, all learn” Readmissions Learning and Action Network seeks to connect all comers in communities of directed learning that will successfully reduce avoidable hospital readmissions. Participants include hospitals, skilled nursing facilities, home health agencies, inpatient rehabilitation facilities, long-term acute care hospitals, stakeholders, patients and other motivated individuals.

A big problem with a community solution

Frequent hospital readmissions are not just a hospital problem; they are a community problem with all providers in the community having a role in achieving the high quality, coordinated and patient-centered care that prevents avoidable readmissions.

We know simply raising broad awareness of better practice will not achieve sustainable results, nor will it change behaviors on a large scale. However, a Learning and Action Network of peers and communities willing to share, interact, ask, integrate and implement creates a forceful momentum for change.