Below is an excerpt from the recently published whitepaper, “Every Patient Deserves Follow Up: How to Improve Care Transitions to Keep Patients Safe.” To access the full text, click here.
Effective care transitions ensure patient safety. Improving patient safety requires a paradigm shift in how healthcare providers communicate with patients when they are no longer under their care after discharge.
To be effective, outreach must be scaled across populations to provide ongoing support to all patients as they transition from one care setting to the next. According to a recent study investigating the role of post-discharge follow up in readmissions risk stratification, patients who engaged with automated calls were 22% less likely to be readmitted within 30 days than those who did not . With automated outreach, providers expand their capacity to reach and engage more patients to keep them safe, on the path to recovery, and involved as active participants in their health.
If patients indicate a concern, the care team can quickly resolve the issue and provide relevant service recovery. This outreach ensures that patients feel supported and have the opportunity to request assistance as they manage their medications, pain/symptoms, and overall care plan. By proactively engaging patients during transitions of care, health systems can systematically improve patient outcomes and experiences.
To uncover the best practices your team should leverage to effectively close transitional gaps in care, click here to download the whitepaper.
 Inouye, S., Bouras, V., Shouldis, E., Johnstone, A., Silverzweig, Z., & Kosuri, P. (2015). Predicting readmission of heart failure patients using automated follow-up calls. BMC Medical Informatics and Decision Making, 15(22). Retrieved from