Readmission reduction – Part 2

The last episode of this two-part series covered why readmissions occur. This episode explores those causes in more depth – the clinical and social issues underneath readmissions—and what health care organizations can do to prevent these from happening.


Guest speaker:

Tod Baker, BS


Operations and Quality




Tomas Villanueva, DO, MBA, FACPE, SFHM


Clinical Operations and Quality



Show Notes:

[00:40] Addressing clinical issues

[02:59] Addressing social issues

[04:38] Best practices/new approaches in risk stratification

[09:00] Engaging the family or community to manage the patient

[10:11] Where to start

[12:17] Post-acute care


Links | Resources:

To contact Modern Practice:

Tod Baker’s contact email:

Designing and Delivering Whole-Person Transitional Care (AHRQ) Click here

Vizient’s Clinical Data Base (CDB) and readmissions Click here

CMS Hospital Readmissions Reduction Program Click here

Amy Boutwell, MD, MPP, presents six videos on Multi-visit Patients (MVPs) and readmissions Click here

Contact Dr. Amy Boutwell at:


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