High 30-day readmission rates continue to challenge dually eligible populations. The Medical College of Wisconsin piloted improved transition-of-care guidance that reduced readmissions and strengthened patient safety and care quality.

Key Takeaways:

• Improvements to care transitions lower 30-day readmissions.
• Safer hand offs strengthen both patient safety and quality outcomes.
• Practical strategies can improve continuity for complex patients.

Adopt practical strategies to improve safety and continuity for patients in transition