Reducing Avoidable Readmissions by Improving Transitions in Care

Venue: Washington, DC

Location: Washington, DC, United States

Event Date/Time: Nov 16, 2010 End Date/Time: Nov 17, 2010
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For high-quality, patient-centered care to be delivered at all times, many people comprising the care continuum must each play crucial roles. When there’s a shared goal to reduce rehospitalizations, hospital staff (nurses, pharmacists, physicians, case managers, and quality leaders) from a number of areas must coordinate transitions with office practice clinicians and staff, as well as the clinicians and case managers from community care settings and skilled nursing facilities. When this coordination doesn’t happen — when patients and family caregivers aren’t adequately prepared — or necessary support isn’t in place, the result is rehospitalizations that could have been avoided.

With high-quality, patient-centered care as everyone’s shared goal and hospital readmission payment reductions set to go into effect in 2012, getting effective processes in place becomes a de facto mandate for all those in the care continuum. Moreover, working to reduce avoidable readmissions is one tangible avenue for achieving broader delivery system transformation as it leads to:

Improved evidence-based longitudinal care for patients
Enhanced coordination of services across the continuum
Greater value and improved patient experiences of care

The Institute for Healthcare Improvement (IHI) has a substantial track record working with health care organizations and systems to improve the post-discharge care transition — a significant driver in any effort to reduce avoidable readmissions. This experience includes:

The Transforming Care at the Bedside initiative in which IHI worked with hospital teams to create, test, and implement changes that dramatically improved discharge processes in medical/surgical units (TCAB; initially funded by The Robert Wood Johnson Foundation)
The Hospital to Home: Excellence in Transitions program (H2H), IHI’s current strategic partnership with the American College of Cardiology that aims to reduce all-cause readmission rates among patients discharged with heart failure or acute myocardial infarction
The STate Action on Avoidable Rehospitalizations (STAAR) initiative (funded by The Commonwealth Fund) and Reducing Readmissions by Improving Transitions in Care Collaborative that draw on the work in TCAB and numerous other initiatives and help cross-continuum care teams to codesign safe and reliable transition processes, more effectively engage patients and family caregivers in managing self-care needs, ensure post-discharge support, and coordinate care at discharge across settings

IHI’s Reducing Avoidable Readmissions by Improving Transitions in Care seminar will focus on creating an ideal transition for patients from the hospital to home. During this interactive two-day program, expert faculty will describe:

Key changes to improve transitions in care after patients are discharged from the hospital
Process and outcome measures to guide their improvement work
Tools and tips to assist participants in adapting and implementing these changes in their own clinical settings


Additional Information

Regular Rate: $1,975 Group Enrollment Organizations sending three or more people to the seminar are eligible to receive a discounted rate of $1,675 per person. IMPACT Leadership Members of IHI's IMPACT Leadership network are eligible to receive a discounted rate of $1,675 per person. Special Discount Employees of independent, federally qualified health centers not affiliated with a hospital or health system, independent practices with fewer than 20 physicians, hospitals with fewer than 50 beds, employees of the Indian Health Service, and members of the National Association of Public Hospitals are eligible to receive a discounted enrollment rate. If you are interested in applying for this rate, please complete an application and submit it via email to $988 per person Scholarship Funding There is a limited amount of scholarship funding available to offset the program fees in cases of financial hardship. If you are interested in applying for a need-based scholarship, please complete an application and submit it via email to We will contact you within ten days regarding scholarship availability.