The Bronx collaborative, a group of hospital and medical insurers demonstrated in a study that patients who were participating in a special program to manage transition between hospital and home were less likely to be re-admitted to hospitals than patients who received the current standard care.
Medical problems that lead to hospital re-admissions can often be prevented by personal contacts with patients before and after their discharge. Intensive pre-discharge education, post discharge follow up appointment with the physician and phone calls to review medication and discuss concerns are significantly lowering the re-admission rate and improving patient satisfaction.