Designing and Delivering Whole-Person Transitional Care: The Hospital Guide to Reducing Medicaid Readmissions

Author: 
Agency for Healthcare Research and Quality (AHRQ)

This guide provides ways that evidence-based strategies to reduce readmissions can be adapted or expanded to better address the transitional care needs of the adult Medicaid population. The guide has been field tested by individual hospitals and groups of hospital quality improvement collaboratives. It provides tools and guidance on who should use the tools and what to do with the output of the tools.