This Week's Challenge: Frequent hospitalizations is a key risk factor for identifying individuals in need of care transition management, say about 82 percent of the healthcare organizations who responded to HIN's third annual e-survey on Managing Care Transitions. We wanted to see which other risk factors are considered when identifying care transition candidates.

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What We Learned: HIN's third annual Managing Care Transitions survey captured efforts by 86 organizations to strive for Triple Aim goals of better care and better care at improved cost during transitions of care. The survey measured existing and planned programs, targeted transitions and populations, transition team members and responsibilities, and much more. According to survey respondents, the top five risk factors for identifying individuals for care transition management are:

• Frequent hospitalizations: 82.3 percent
  
  
• Complex chronic: 82.3 percent
  
  
• Frequent ER use: 74.2 percent
  
  
• Cognitive impairment: 40.3 percent
  
  
• Long-term care patient: 35.5 percent

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Excerpted from 2013 Healthcare Benchmarks: Care Transitions Management, which is HIN's third comprehensive collection of data points and presents actionable new data on key transitions addressed, targeted health conditions and populations, care transition models in use, program components, responsibility for care transition coordination, transition team training, and more.

© 2013 Healthcare Performance Benchmarks by Healthcare Intelligence Network.
Editor: Jessica Fornarotto, [email protected];
Publisher: Melanie Matthews, [email protected]