Fact Based List:

KimSu Marder: Five Steps to Fewer Readmissions, Improved Quality, and Lower Cost

  1. Start Discharge at the Time of Admission - communication about discharge is particularly critical.
  2. Ensure Medication Education, Access, Reconciliation, and Adherence
  3. Arrange Follow-Up Appointments
  4. Arrange Home Healthcare
  5. Have Patients Teach Back the Transitional Care Plan

Source: Health Catalyst Insights
Source URL: https://www.healthcatalyst.com/transitional-care-management-...