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Case Management Programs for Hospital Readmission Prevention

Askren-Gonzalez, Angela MSN, ASN, BS; Frater, Jeff BSN

doi: 10.1097/NCM.0b013e318257347d
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Purpose/Objectives: This article examines the recent hospital emphasis on preventing hospital readmission. This article also identifies hospital programs that help prevent such readmissions by using a systematic approach to transitions of care.

Primary Practice Setting(s): Hospital case management departments.

Findings/Conclusions: A coordinated, patient-focused transition of care plan is a key element in preventing hospital readmissions.

Implications for Case Management Practice: Leaders in hospital case management will have new demands placed on them to prevent patients from returning to the hospital after discharge. Leaders may choose to model demonstration programs, or they may implement unique strategies that support readmission prevention efforts.

Angela Askren-Gonzalez, MSN, ASN, BS, is the Managing Editor for Milliman Care Guidelines's Recovery Facility Care, Home Care, and Patient Information Package products. She is a registered nurse that has served as Vice President of Operations and Director of Case Management, and has worked for large insurance carriers and hospital systems, and in home health care. Her nursing focus is case management across the care continuum.

Jeff Frater, BSN, is an Account Executive for Milliman Care Guidelines, he is a Registered Nurse specializing in case management with experience in a variety of settings. He is a frequently sought-after speaker and educator on case management. He is a former president of the Case Management Society of America.

Address correspondence to Angela Askren-Gonzalez, MSN, ASN, BS, Milliman Care Guidelines, 4370 LaJolla Village Drive, Suite 700, San Diego, CA, 92122 (angela.gonzalez@milliman.com).

The authors report no conflicts of interest.

© 2012 Lippincott Williams & Wilkins, Inc.