Reducing Readmissions, or How Post-Acute Care Organizations Reduced Transfers Back to Acute Care Hospitals

This health care system's unique post-acute care (PAC) continuum of Inpatient Rehabilitation Facilities, Long Term Acute Care Hospitals, Skilled Nursing Facilities and a Home Health Agency created and implemented a strategy deploying a portfolio of tactics which resulted in significant, sustained, 30 day readmission rate reductions to acute care hospitals.