Doctor talking to patient

Research shows that 20 percent of patients in the U.S. are rehospitalized within 30 days of discharge. Although some patients are readmitted for medical reasons, many of the patients are readmitted for social or resource issues and not for medical issues. Effective strategies to reduce readmissions must incorporate both social and medical factors in order to be successful. Poorly executed transitions in care negatively affect the patient’s health and well-being, family resources, and unnecessarily increase the costs incurred by the health care system. WSHA is working with all the health care agencies involved in the continuum of patient care from hospital to home to ensure that patients do not end up back in the hospital.

Strategies and Tools

WSHA Reducing Readmissions: Care Transitions Toolkit 3rd Edition

WSHA Tool 14: Hospital to SNF Warm Handover Guide

AHRQ ASPIRE Toolkit: Designing and Delivering Whole-Person Transitional Care 

Additional Resources

AHRQ Re-Engineered Discharge (RED) Toolkit

CMS Guide to Reducing Disparities in Readmissions

Teach-back Training

For information about the availability of auxiliary aids and services, please visit:


Contact Us

Washington State Hospital Association
999 Third Avenue
Suite 1400
Seattle, WA 98104

Map / Directions

206.281.7211 phone
206.283.6122 fax

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