General Resources

General Resources

New Articles

Harlan M. Krumholz, M.D., Kun Wang, Ph.D., Zhenqiu Lin, Ph.D., Kumar Dharmarajan, M.D., Leora I. Horwitz, M.D., Joseph S. Ross, M.D., Elizabeth E. Drye, M.D., Susannah M. Bernheim, M.D., and Sharon-Lise T. Normand, Ph.D. N Engl J Med 2017; 377:1055-1064 September 14, 2017 DOI: 10.1056/NEJMsa1702321. Article.

Other Articles

Auerbach AD, Kripalani S, Vasilevskis EE, Sehgal N, Lindenauer PK, Metlay JP, Fletcher G, Ruhnke GW, Flanders SA, Kim C, Williams MV, Thomas L, Giang V, Herzig SJ, Patel K, Boscardin WJ, Robinson EJ, Schnipper JL. Preventability and Causes of Readmissions in a National Cohort of General Medicine Patients. JAMA Intern Med. 2016;176(4):484-493. Article.

Amy E. Boutwell, Marian Bihrle Johnson, Patricia Rutherford, Sam R. Watson, Nancy Vecchioni, Bruce S. Auerbach, Paula Griswold, Patricia Noga and Carol Wagner
An Early Look At A Four-State Initiative To Reduce Avoidable Hospital Readmissions Health Affairs 30, no.7 (2011):1272-1280 doi:10.1377/hlthaff.2011.0111 Abstract. Article.

Bradley EH, Sipsma H, Curry L, Mehrotra D, Horwitz LI, Krumholz H, Hospitals Strategies to Reduce Readmissions. J. Hosp. Med 2013;11;601-608. doi:10.1002/jhm.2076 Article.

Dy SM, Ashok M, Wines RC, Rojas Smith L. A Framework to Guide Implementation Research for Care Transitions Interventions. Journal of Healthcare Quality. 2015;37(1):41-54. Abstract.

Hamar B, Rula EY, Wells AR, Coberley C, Pope JE, Varga D. Impact of a scalable care transitions program for readmission avoidance. Am J Manag Care. 2016 Jan;22(1):28-34. AbstractArticle.

Wallace A, Papke T, Davisson E, Spooner K, Gassman L. Provider Opinions and Experiences Regarding Development of a Social Support Assessment to Inform Hospital Discharge: The Going Home Toolkit.  Prof Case Manag. 2017 Sep/Oct;22(5):214-227. Abstract.


MiCMRC - The Michigan Care Management Resource Center (MiCMRC) website offers informationfree training & webinars (including some with CE credits), and many other resources for care management teams (including this amazing Care Manager Activity Tracking Worksheet). 

Patient Ping: Real-time admissions and discharge notifications link providers anywhere patients receive care. Modern Healthcare: Article about Patient Ping

Michigan Health Information Network Shared Services: MiHIN’s ADT Notification Service enables the push exchange of Admit-Discharge-Transfer messages to doctors, specialists, therapists and other patient-authorized providers, using each provider’s preferred electronic notification method.

Medicare & Medicaid Statistical Supplement. Baltimore: Centers for Medicare & Medicaid Services, 2007. 

Agency for Healthcare Research and Quality (AHRQ)

National Institutes of Health (NIH)

National Quality Forum

Center to Advance Palliative Care

NQF Safe Practices

Northeastern College of Computer and Information Science

Project RED (Re-Engineered Discharge), Boston Medical Center

RI Quality Partner’s Safe Transitions Project

Plain Language in Healthcare