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Evidence Roadmap: Transitional Care Models to Prevent Hospital Readmissions

In 2015, AcademyHealth conducted interviews with safety net providers and other experts to identify high-priority evidence and data needs relevant to safety net care. This Roadmap responds to interviewees’ stated interest in evidence relevant to reducing hospital readmissions.

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This brief presents a selected set of research studies, systematic reviews, and other resources to help safety net delivery system leaders and other decision makers assess existing evidence on strategies for reducing hospital readmissions following a patient’s initial hospital discharge. It is one of several Evidence Roadmaps that highlight existing evidence on high-priority topics identified by policymakers and delivery system leaders in AcademyHealth’s Listening Project reports.