Too many patients are re-hospitalized

Partnering with other organizations in a statewide effort, TMF Health Quality Institute is aiming to accomplish the Partnership for Patients goal of reducing readmissions following hospitalization by 20 percent by 2019. By facilitating the Readmissions Learning and Action Network, TMF is leading the effort to meet this ambitious goal.

Funded by the Centers for Medicare & Medicaid Services, this “all participate, all learn” Readmissions Learning and Action Network seeks to connect all comers in communities of directed learning that will successfully reduce avoidable hospital readmissions. Participants include hospitals, skilled nursing facilities, home health agencies, inpatient rehabilitation facilities, long-term acute care hospitals, stakeholders, patients and other motivated individuals.

A big problem with a community solution

Frequent hospital readmissions are not just a hospital problem; they are a community problem with all providers in the community having a role in achieving the high quality, coordinated and patient-centered care that prevents avoidable readmissions.

We know simply raising broad awareness of better practice will not achieve sustainable results, nor will it change behaviors on a large scale. However, a Learning and Action Network of peers and communities willing to share, interact, ask, integrate and implement creates a forceful momentum for change.

We encourage you to join this important endeavor to achieve sustainable, measurable reductions in preventable hospital readmissions for all patients.