Op Ed: Camden Coalition’s Model for High Needs Patients

There is a lot of buzz about reducing hospital readmissions. But what does a readmission look like? And what will it take to provide the care needed to avoid readmissions?

We arrived at the ICU to find our patient sedated and intubated. Yet only 10 days earlier Mrs. P was strong enough to navigate the halls in her wheel chair, had her diabetes and COPD under control and was taking her medications for bipolar disorder. Mrs. P was discharged with an abundance of home health services – nursing, physical therapy, occupational therapy, home health aid. How had her condition declined so quickly?

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