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Care Transitions


Reducing hospital readmission rates is a national priority. Approximately 20 percent of Medicare beneficiaries are readmitted within 30 days of discharge, and these readmissions have been estimated to cost the American public $15 billion per year. Healthcare providers across the nation have been busy implementing programs to reduce unnecessary hospital readmissions.

Primaris is currently working with communities across the state to improve care transitions. Primaris is working to complement and enhance existing efforts by forming community coalitions and sharing data that will help identify the root causes of readmissions. Part of our role nvolves bringing communities together for learning and action to improve transitions of care between different healthcare settings.

National Resources

State Resources

Intervention Tools

Root Cause Analysis Tools

Tools for download: