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How-to Guide: Improving Transitions from the Hospital to Community Settings to Reduce Avoidable Rehospitalizations

Resource Type: Toolkits
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This Institute for Healthcare Improvement (IHI) toolkit was developed to help hospitals and communities ensure optimal care transitions after hospital discharge. The toolkit includes recommendations for process improvements; an overview of recommended infrastructure changes and strategy central to successful implementation; case studies of organizations that have successfully implemented the toolkit and reduced preventable readmissions; and tools and resources to guide implementation and measure success.

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Citation: Rutherford P, Nielsen GA, Taylor J, Bradke P, Coleman E. How-to Guide: Improving Transitions from the Hospital to Community Settings to Reduce Avoidable Rehospitalizations. Cambridge, MA: Institute for Healthcare Improvement; June 2013. http://www.ihi.org/resources/Pages/Tools/HowtoGuideImprovingTransitionstoReduceAvoidableRehospitalizations.aspx. Accessed March 20, 2020.
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