Description
This study evaluates a program to reduce hospital readmissions by engaging community-based resources to assist high-risk seniors. The grant supports Mills Peninsula Health Services in partnership with PAMF and Peninsula Family Services in the development, implementation, and evaluation of a transitional care program to reduce readmissions for patients age 65 and older. The goal of this grant is to achieve a sustained reduction in both 30- and 90-day readmission rates by at least 30% compared to a 2011 baseline
Funder
Gordon and Betty Moore Foundation; Mills Peninsula Hospital Foundation
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