With the potential for cost savings and improved care quality, readmission reduction has gained the attention of policymakers, payors, and patient advocacy groups. Causes of unplanned hospital readmissions are complex, and successful strategies for improvement are likewise complex, involving multiple disciplines and organizations. No single care transition model or clinical tool can stand alone, but is most successful when incorporated into a more comprehensive program and adapted to fit a hospital’s culture, resources, and patient characteristics. The Tennessee Center for Patient Safety supports hospital efforts to reduce readmissions through on-site assistance in identifying program gaps, provision of evidence-based models and tools, focused education programs, and opportunities for peer-to-peer sharing of practice.


Evidence-Based Care Transitions Models

Evidence-Based Clinical Tools

IHI Resources:

2016 Institute for Healthcare Improvement (IHI) Middle Manager Development Webinar Series

Part 1--Care Transitions

Part 2--Management Essentials

May 2018 - Sepsis Readmissions Summit: