Moving Beyond Readmission Risk Flags: Clinical Trials Show Actionable Care Transitions Recommendations Improve Patient Outcomes

Readmission risk assessment tools — both internally developed and commercially available — have been widely adopted.  Despite their use, however, avoidable readmissions persist because there is so much more than just predicting the probability of a readmission. Knowing whether or not a patient is likely to return may not always be enough information to help a case manager determine what the patient’s needs are; providing a recommendation for post-acute care level takes the prediction on probability of readmission and adds an element of decision support that gives the case manager actionable insights.

This paper explores the impact of the RightCare software, which provides timely evidence-based stratification and actionable recommendations which ensures patients get the right care in the right environment, minimizing avoidable readmissions and improving patient outcomes. 

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