Rehospitalizations Resources

Online Resources
Avoid Readmissions Through Collaboration (ARC)

Readmission Projects - An Overview of Approaches and Key Resources

Care Transitions Program

Project RED (Re-Engineered DC)

Project BOOST (Better Outcomes for Older Adults through Safe Transitions)

Transitional Care Model

Transforming Care at the Bedside (TCAB)

San Diego Beacon: eHealth Community

STate Action on Avoidable Rehospitalizations (STAAR)

What a Difference a Day Makes: Cutting avoidable hospital readmissions in California by just one day could save Medicare and Medical $227 million

CMS - Community Based Care Transitions Program (CCTP)

Pittsburgh Regional Health Initiative

Health, Medical and Science Updates
    Hospital readmissions often determined by doctor decisions during original admission
 

Tools

Project BOOST Return on Investment (ROI) Calculator

Society of Hospital Medicine Care Transitions Implementation Guide

The Post-Hospital Follow-Up Visit

Heart Failure Program - Chinese Hospital


STAAR Worksheet: Chart reviews of patients who were readmitted

Reducing Repeat Hospitalizations and Emergency Room Utilization

ARC Tools
    Readmission Reduction Strategies Guide
    Action Network Measurement Plan
    Readmission Reduction Worksheet
    Provider Assessment Tool
    Patient/Caregiver Assessment Tool
    Medical Record Review Tool
   Process Review Tool

Discharge Activities List


POLST Tools and Resources
     2011 California POLST Form
     Choices and Values Exercise: Personal values in Long Term Care
     CPR/DNR
     Tube Feeding
     POLST in California Assisted Living Communities
     POLST Frequently Asked Questions

Center to Advance Palliative Care (CAPC) Tools for Palliative Care Programs
    CAPC Economic Impact Calculator
    Regional Economic Impact of Palliative Care
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