Indianapolis Coalition for Patient Safety, Inc engaged a citywide effort to reduce hospital readmissions of patients diagnosed with heart failure within 30 days of discharge. An innovative collaboration among interdisciplinary representatives of hospitals, skilled nursing facilities, and home care agencies resulted in reduction in readmissions for patients with heart failure.
Keywords: Heart failure readmissions; Home care; Hospitals; Interdisciplinary collaboration; Population health; Post-acute care; Skilled nursing facilities.
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