‘Best Practice’ For Reducing Readmissions For Consumers With Chronic Conditions

What does it take to set up an effective program for preventing hospital readmissions for consumers with complex chronic conditions? This is a core competency of health homes and specialty medical homes. This is also the function that can “make or break” an ACO from a budget perspective. And, the success of this type of initiative can prevent readmission penalties for hospitals.

What is the formula?  For one hospital system, FirstHealth of the Carolinas based in Pinehurst, North Carolina, the approach that is working has three key elements to close “the gaps in post-acute care.”  Patty Upham, director of . . .