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Care Coordination Best-Practices Toolkit - HSAG

care Coordination Best-Practices ToolkitCollaborating with partners, providers, patients, families,and caregivers to improve and lower healthcare overview of care Coordination best practices to avert hospital readmissionsDownload available at: | 1 Table of Contents Executive Summary .. Organizational Assessment .. Five Key Areas Known to Reduce Avoidable Readmissions .. Typical Failures in Discharge Planning .. Organizational Assessment Summary and Sample .. Admission Assessment Tool .. Discharge Observation Tool .. Preparing for Change.

aid you in the work of improving care transitions and coordination across the continuum. Many of these tools have been included in this book to serve as a guide to readmission prevention. We hope this information will help you and your organization improve care coordination efforts and result in reduced avoidable hospital readmissions.

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