Reduce Readmissions: 90‑Day Improvement Journey

A staged 90‑day, team-based improvement journey sequencing audits, standardized discharge workflows, transitional-care pilots, and KPI-driven measurement to reduce avoidable readmissions.

playbook

Discharge Planning Playbook: Standardized Checklists, Medication Reconciliation & Follow-Up Workflow

A practical, adaptable playbook that organizes bedside checklists, a patient-centered medication reconciliation template, teach-back language, follow-up scheduling workflows, and post-discharge huddles. Designed so teams can adopt, tailor, integrate with EHRs, and measure impact to reduce readmissions and post-discharge problems.

playbook
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Root Cause Template

Readmission Investigation & Action Template

A practical, reproducible template teams can use to investigate individual readmission cases, identify contributing causes across clinical, medication, follow-up, and social domains, prioritize corrective actions, and run short PDSA tests to reduce avoidable 30–90 day readmissions.

Root Cause Template
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