Nurse assessments of discharge readiness for older patients with multiple chronic conditions can help identify patients at high risk for hospital readmission.
California community paramedicine and triage to alternative destination programs lead to more coordinated care and reductions in emergency department visits and hospital readmissions.
Toolkit offers guidance for corrections and health care professionals on evidence-based interventions to support the reentry needs of people with behavioral health needs.
Use of recovery housing leads to decreases in readmissions and emergency department visits among individuals recovering from substance use disorder, as well as increased use of primary care.
Randomized controlled trial of a person-centered housing intervention for older adults shows improved health outcomes for formerly homeless adults living in permanent supportive housing.
A patient navigation intervention for people with substance use disorder led to cost savings of over $17,000 per participant after 12 months post-discharge due to reduced inpatient admissions and emergency department visits.
Housing needs assessment tool can help providers who work with people leaving incarceration to better understand their housing needs and risk of homelessness.
Systematic review finds that gender-response programs are associated with reductions in reincarceration for women with substance use disorder leaving jail or prison.
A community-based care transition and management intervention showed improved outcomes for patients transitioning to outpatient community care following a psychiatric hospitalization.