Case managers: a key to reducing readmissions

Prof Case Manag. 2015 May-Jun;20(3):147-9. doi: 10.1097/NCM.0000000000000092.

¹ Jennifer L. Ellsworth, MSW, is a clinical social worker within the palliative care team at Dartmouth-Hitchcock Medical Center in Lebanon, New Hampshire. Throughout her social work career, she has focused on the geriatric population, transitions of care, and community support. Before her position at Dartmouth-Hitchcock Medical Center, she developed and implemented a $3.2-million CMS Care Transitions Grant that funded a hospital-wide transitions of care program. Jennifer's contribution to this column reminds us of how we manage and support our patients individually while focusing on "key indicators," such as readmissions.

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