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  1. Askren-Gonzalez, Angela MSN, ASN, BS
  2. Frater, Jeff BSN


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.