Medical Staff

Nurses and in-home visits key to reducing readmissions

Hospitalist Leadership Connection, June 8, 2011

Assigning a nurse as the clinical manager or leader of care and including in-person home visits to discharged patients seem to successfully reduce readmissions of chronically ill adults, according to a study that evaluated 21 randomized clinical trials of transitional care by Health Affairs, a health policy journal. 

“Based on these findings, we recommend several strategies to guide the implementation of transitional care under the Affordable Care Act, such as encouraging the adoption of the most effective interventions through such programs as the Community-Based Care Transitions Program and Medicare shared savings and payment bundling experiments,” the study states.
 

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