Reducing Readmissions

Keeping Patients Out of the Hospital

In 2015, Anna Jaques received funding from the Health Policy Commission in the form of a “CHART” grant – which stands for Community Hospital Acceleration, Revitalization and Transformation. The primary goal of the two-year grant was to reduce the rate of 30-day inpatient readmissions among our highest utilizing patients by 20% and reduce the rate of returns to the Emergency Department among the same patient population by 25%.  

More than 700 unique patients who use our hospital frequently (high utilizers) were reached through the grant over a two-year period. The target population ranged in ages from 18 to over 90 and included patients with a wide range of diseases, chronic medical conditions and behavioral health complications, as well as those with limited or no practical access to primary care.