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QUALITY: COORDINATED CARE
Transition Care: Hospital Discharge and Follow-Up Care for Chronically Ill Patients Percent of heart failure patients discharged home with written instructions* Percent of health plan members hospitalized for mental illness with follow-up within 30 days after discharge, 2009 REPORT EXHIBIT Hospitals Managed Care Plans * Discharge instructions must address all of the following: activity level, diet, discharge medications, follow-up appointment, weight monitoring, and what to do if symptoms worsen. Data: Heart failure discharge instructions—IPRO analysis of data from CMS Hospital Compare; follow-up after hospitalization for mental illness—Healthcare Effectiveness Data and Information Set (NCQA 2010). Source: Commonwealth Fund National Scorecard on U.S. Health System Performance, 2011.
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