Improving care transitions: complex high-utilizing patient experiences guide reform.
University of Michigan School of Nursing, 400 NIB, #2174, Ann Arbor, MI 48109. E-mail: [email protected]
- Published Article
The American journal of managed care
- Publication Date
Oct 01, 2017
Joint review of clinical characteristics and longitudinal care experiences of high-utilizing, complex patients facilitated movement of historically siloed care management programs from their focus along administrative lines to a longitudinal, patient-centered focus. Decreasing readmission rates among complex patients may require direct linkages with social, mental health, and substance use services outside the healthcare system and improved discharge planning.
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This record was last updated on 06/09/2018 and may not reflect the most current and accurate biomedical/scientific data available from NLM.
The corresponding record at NLM can be accessed at https://www.ncbi.nlm.nih.gov/pubmed/29087639