Skip to main content

Relias Media has upgraded our site!

Please bear with us as we work through some issues in order to provide you with a better experience.

Thank you for your patience.

All Access Subscription

Get unlimited access to our full publication and article library.

Get Access Now

Interested in Group Sales? Learn more

<p>Hallmark Healthcare&rsquo;s Community-based Care Transitions project created the position for transition facilitators who visit at-risk patients in their homes and achieved significant decreases in readmissions.</p>

Home Visits Help Reduce Readmissions for At-risk Medicare Patients

Multidisciplinary team follow patient for 30 days