St. Joseph Med­i­cal Cen­ter tar­gets pa­tients at high risk of read­mis­sion with com­mu­nity health work­ers who:

Modern Healthcare - - BEST PRACTICES -

suc­cess­ful Meet weekly to share strate­gies for help­ing pa­tients in spe­cific circumstances

what lo­cal Are ed­u­cated about re­sources they can tap when they can’t meet a pa­tient’s needs

to help Meet with hos­pi­tal staff both groups un­der­stand the broader ecosys­tem that af­fects read­mis­sions

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