Transitional Care Strategies From Hospital to Home: A Review for the Neurohospitalist

摘要: Hospitals are challenged with reevaluating their hospital’s transitional care practices, to reduce 30-day readmission rates, prevent adverse events, and ensure a safe transition of patients from hospital home. Despite the increasing attention care, there few published studies that have shown significant reductions in particularly for stroke other neurologic diagnoses. Successful hospital-initiated programs include “bridging” strategy both predischarge postdischarge interventions dedicated transitions provider involved at multiple points time. Although multicomponent strategies including patient engagement, use provider, facilitation communication outpatient providers require time resources, is evidence neurohospitalists can implement program aim improving safety across continuum care.