Link From Hospital to Home: Ensuring Quality Transitions for CKD Patients.

Emily Simon¹, Melissa Feeney¹, Joan Mendenhall¹, Caroline Ruff¹, Tammy Cheung¹, Farhad Modarai¹, Muhammad Sohaib¹

¹Strive Health, Denver, CO, USA.

Abstract

Patients living with chronic kidney disease (CKD) suffer significantly higher readmission rates after discharge than the national all-hospital 30-day rate. Federal-based programs have introduced payment models incentivizing prevention-oriented activities, like transitional care management (TCM) programs, that help patients safely transition from one care facility to their homes. In this quality im…

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