Evidence is mounting that low-cost
interventions by primary care practices — as basic as making a phone call to a patient — can dramatically reduce hospitalizations and readmissions among individuals with chronic
disease. Patient-centered medical home (PCMH) activities focused on patient education, engagement and empowerment are custom-built to reduce readmissions of the chronically ill and the healthcare spend associated with these hospitalizations.
Low-Cost Low-Tech Medical Home Approaches to Reducing Readmissions presents case studies from four healthcare organizations whose use of low-cost, low-tech tools in their medical homes is already reducing hospitalizations by up to 36 percent and improving care for Medicare beneficiaries in general and for patients with heart failure and diabetes in particular.
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