Patients with Congestive Heart
Failure (CHF) and Chronic Obstructive Pulmonary Disease (COPD) are at high risk
of readmission following hospital discharge.
Thirty day readmission rates range from 23-25% for this population.
The transition from hospital to community can be difficult to navigate for both providers and patients. PREVENT utilizes the Health Links coordinated care planning approach to facilitate communication among hospital, primary care, and home care providers and improve continuity of care across sectors.We aim to decrease 30 day readmission rates and ER visits for CHF/COPD by 10% at the St Thomas Elgin General hospital (STEGH) by September 2019.