A pilot collaboration program between Georgetown Home Care (GHC) and Medstar Georgetown University Hospital reduced preventable readmissions by 44% among people who had spinal surgery. Within two months, the readmission rate dropped from 12.1% to 6.7%.

The collaboration is called the Key Program. For the program, GHC nurse practitioners trained in hospital readmission mitigation visit recently discharged consumers in their homes. The first visit takes place within 48 hours of discharge. In the initial visit, and in subsequent visits over the next few weeks, the nurse practitioner helps coordinate the consumer’s care with the hospital staff and . . .

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