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Improving transitions cuts HF readmissions.

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Hosp Case Manag.2011 Dec ; 19(12):180-2.
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Cooley Dickinson Hospital in Northampton, MA, has cut heart failure readmissions by 50% by collaborating with post-acute providers and improving patient education. Coalition focuses on improved communication as patients transition. Transition coaches work with at-risk patients. Patients use a personal health record to track their progress.
PMID: 22259944 [PubMed - in process]
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