Healthcare Intelligence Network
Accountable Care Organizations
Best Sellers
Behavioral Healthcare
Bundled Payment
Care Coordination
Care Transitions
Case Management
Chronic Care Management
Coming Soon
Community Health
Cultural Diversity
Data Analytics
Diabetes Management
Disease Management
Dual Eligibles
Emergency Medicine
Health Literacy
Health Risk Assessments
Health Risk Stratification
Healthcare Reform
Healthcare Trends
HIN Benchmark Reports
HIN Case Studies
Home Health
Home Visits
Hospital Readmissions
Infection Control
Information Technology
Long-Term Care
Managed Care
Medical Home
Medical Neighborhood
Medical Practice
Medical Records
Medication Adherence
Nurse Management
Palliative Care
Patient Engagement
Patient Experience
Patient Registry
Pay for Performance
Physician Practice Transformation
Physician Organizations
Physician Quality Reporting Initiative
Population Health Management
Post-Acute Care
Predictive Modeling
Quality Improvement
Remote Patient Monitoring
Revenue Cycle Management
Social Health Determinants
Training DVDs
Value-Based Reimbursement
What's New
Subscribe to the Free
'Healthcare Business Weekly Update' e-Newsletter and receive the latest trends, news and analysis in healthcare.

Click here to view this week's issue
Home > e-Books
33 Metrics for Care Transition Management
33 Metrics for Care Transition Management
33 Metrics for Care Transition Management
Be the first to review this item
Your Price:
Choose Format and Quantity
Format Recommended: Print and Instant PDF Download
Instant PDF Download
Enterprise PDF Site License
Save on Multi-User PDFs*
Quantity Price Per Copy
2-5 $64.35
6-10 $54.45
11-25 $24.75
Contact us for multiple print pricing or to order 25+ copies.
Add to Wish List
Like the convenience of an instant PDF download but still want a hard copy of this book? Order both and save 35 percent!

The quality of transitional care is shaping up to be a critical factor in value-based reimbursement. For example, under CMS's readmissions penalty program, one-third of a hospital's HCAHPS score, which comprises 30 percent of its overall value-based purchasing score, rests upon three transitional care questions added to the Experience of Care survey.

As demonstrated by the myriad pilots in this area, many hospital bouncebacks can be avoided and inpatient quality items addressed by good transitional care planning — by making sure that all medications, tests, procedures and education that patients need are in place when they leave a hospital's care and transition to the next setting of care.

33 Metrics for Care Transition Management is HIN's graphic compendium of performance benchmarks in key areas impacting care transitions — from key tasks performed at hospital discharge to the prevalence of home visits in programs to improve medication adherence.

Carefully curated to inspire innovation in transitional care and eliminate cross-system breakdowns, this 50-page resource dives deep into several years of market research to identify key influencers and tactics related to the improvement of care transitions:

  • Medication Adherence
  • Care Transitions Management
  • Reducing Readmissions
  • Case Management
  • Patient-Centered Medical Home
  • Health Coaching
The data dive reflected in 33 Metrics for Care Transition Management is based on responses from hundreds of healthcare organizations to six healthcare benchmark surveys conducted between 2010 and 2013.

Accompanying each metrics grouping is a relevant best practice or case study from industry thought leaders, as well as a list of most effective tactics, workflows and practices for improving transitions of care from survey respondents, in their own words.

In all, respondents contribute more than 100 ideas to improve the handoff of patients from one site of care to another.

Transitions of care — the movement of patients from one care site to another, such as from hospital to home or hospital to skilled nursing facility — are key opportunities for healthcare organizations to strengthen care coordination and reduce avoidable hospitalizations, particularly among the Medicare population.

As Risa Lavizzo-Mourey, MD, MBA, president and CEO of the Robert Wood Johnson Foundation, stated during a recent conference on reducing hospital readmissions: "Every patient needs to have a seamless journey back to their community."

Table of Contents: 33 Metrics for Care Transition Management

  • Medication Adherence (MA)
    • Medication Compliance During Transitions of Care
    • Targeted Populations for MA Initiatives
    • Components of MA Programs
    • MA Tools and Technologies
    • Opportunities to Initiate MA
    • Primary Responsibility for MA
    • Top Tools to Improve Medication Adherence
  • Reducing Readmissions
    • Considerations for Transitional Care in a Penalty-Based System
    • Targeted Health Conditions
    • Strategies to Prevent Readmissions
    • Hospital Discharge Checklist
    • Tools to Identify 'At-Risk' Individuals
    • Barriers to Reducing Readmission Rates
    • 10 Tools for Reducing Readmissions
  • Case Management
    • Case Management in Home Health, SNFs and Care Transitions
    • Populations Targeted for Case Management
    • Conditions Targeted for Case Management
    • Typical Duties of Case Management
    • Identification of Individuals for CM
    • Top Transitional Care Tools from CMs
  • Patient-Centered Medical Home
    • Standards in HRHC's Enhanced Care Model
    • Health IT Tools in the Medical Home
    • Patient Engagement and Education Strategies
    • Health Professionals on the Medical Home Team
    • Impact of Medical Home on Operational Metrics
  • Health Coaching
    • Integrated Health Coaching Spans Risk Continuum with Health Behavior Change Management
    • Health Risk Levels Included in Coaching
    • Health Areas Addressed by Health Coaching
    • Identification of Individuals for Health Coaching
    • Techniques and Models of Behavior Change
  • Care Transition Management
    • Hospital Discharge as 'Tipping Point'
    • Care Transitions Addressed by Program
    • Most Critical Care Transition
    • CT Model for Program
    • Transition Management Program Components
    • Training for Care Transitions Team
    • Frequency of Home Visits
    • Home Visit Checklist
    • Top Strategies for Strengthening Care Transitions

33 Metrics for Care Transition Management is an essential desktop reference for the healthcare professional charged with the movement of patients between care sites and improving the overall patient experience.

Publication Date: March 2013
Number of Pages: 50
ISBN 10: 1-939167-27-2 (Print version); 1-939167-28-0 (PDF version)
ISBN 13: 978-1-939167-27-9 (Print version); 978-1-939167-28-6 (PDF version)
Frequently Bought Together
Essentials of Embedded Case Management: Hiring, Training, Caseloads and Technology for Practice-Based Care Coordinators
Essentials of Embedded Case Management: Hiring, Training, Caseloads and Technology for Practice-Based Care Coordinators
Your Price: $117.00
2015 Healthcare Benchmarks: Care Transitions Management
2015 Healthcare Benchmarks: Care Transitions Management
Your Price: $127.00
Browse Similar Items
Disease Management
Behavioral Healthcare
Medical Home
Healthcare Trends
Emergency Medicine
Hospital Readmissions
Case Management
Health Risk Assessments
Medication Adherence
Accountable Care Organizations
Care Transitions
Best Sellers

View/Hide options
Subtotal $0
Discount(s) [DISCOUNTS]

Apply Coupon

Calculate Shipping

[shipping_city] [shipping_state] [shipping_zip]

Copyright Healthcare Intelligence Network. All Rights Reserved. eCommerce Software by 3dcart.