Roughly 20% of all Medicare fee-for-service clients are readmitted within 30 days of hospital discharge, resulting in $17 billion annually. It is estimated that 75% of these readmissions are avoidable. Research has demonstrated that a broad range of socioeconomic and personal factors impact readmission rates. This study seeks to address such factors through a hospital-based Lay Health Worker (LHW) model for transition of care.
Funding for this project is provided through Passport Kentucky.
Cardarelli, Roberto; Schilling, Jennifer; Gilliam, Kala; Horsley, Mary; Maggard, Nancy; Ray, Lisa; and Feltner, Frances J., "Bridges to Home: Navigating High-Risk Inpatient Clients Using a Lay-Health Worker Model in Eastern Kentucky" (2015). Center of Excellence in Rural Health Presentations. 24.