Preventable Readmissions

Research shows that 20 percent of patients in the U.S. are rehospitalized within 30 days of discharge. Although some patients are readmitted for medical reasons, many of the patients are readmitted for social or resource issues and not for medical issues. Effective strategies to reduce readmissions must incorporate both social and medical factors in order to be successful. Poorly executed transitions in care negatively affect the patient’s health and well-being, family resources, and unnecessarily increase the costs incurred by the health care system. WSHA is working with all the health care agencies involved in the continuum of patient care from hospital to home to ensure that patients do not end up back in the hospital.

Strategies and ToolsDoctor talking to patient

Care Transitions Toolkit 2nd Edition

Additional Recommendations and Resources

Hospital to Skilled Nursing Facility (SNF) Transition Process, Best Practices and Tools

Hospital to SNF Warm Handover Guide

Additional Resources

The Revolving Door: A Report on U.S. Hospital Readmissions

The Commonwealth Fund's Telehealth Reduced Readmissions, Hospital Days: Report 

Agency for Healthcare Research and Quality's Re-Engineered Discharge (RED) Toolkit

Dartmouth Atlas of Health Care


Amber Theel
(206) 577-1820