The Greater Rochester Health Foundation granted Strong Memorial Hospital nearly
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| Dr. Marc Berliant |
$600,000 over three years to reduce 30-day hospital readmissions by implementing a series of interventions for high-risk, chronically ill patients through a “virtual care center.” The project will begin in October in two of Strong Memorial’s general medicine units with a goal of reducing readmissions 20 percent. The interventions will include the following:
• Medication reconciliation
• Enrollment of patients in URMC’s patient portal, MyChart
• Collaboration with social workers to identify and eliminate readmission risk factors, such as lack of a means of transportation to and from follow-up appointments
• Enrollment of patients in supplemental transition coaching and telehealth programs led by the Visiting Nurse Service
• One- and three-week post-discharge multidisciplinary meetings to ensure communication among patients’ healthcare providers
Marc Berliant, MD, chief of URMC’s general medicine division, is the principal investigator of the project.
More Articles on Hospital Readmissions:
Florida Hospitals Improve Patient Safety, Save More Than $47M
Vanderbilt, St. Thomas West Invest in Care Transition, See Readmissions Decline
Study: Complication Rates Do Not Fully Explain Readmission Rate Variance
