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OSF deploys care transition program, reduces readmission rate from 29% to 9%

Healthcare It News

THE PROBLEM This issue stemmed largely from gaps in continuous care during transitions between these settings. "The existing systems were fragmented, with each care setting operating in a silo ," he explained. Care managers and SNF staff are alerted in real time to any abnormalities or potential issues.

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State Policy Considerations to Support Equitable Systems of Care for Children and Youth with Special Health Care Needs 

NASHP

The UVA health system also manages the Care Connection for Children center in SWVA, which is a statewide network funded through the Title V CYSHCN program, to provide care coordination services to CYSHCN and their families. 28] Texas Health and Human Services. 29] Texas Health and Human Services.

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