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By improving the hospital discharge care transition, Project BOOST aims to:
According to research published in the New England Journal of Medicine, about 1 in 5 hospitalized Medicare beneficiaries were readmitted within 30 days after discharge. Unplanned re‐hospitalizations may cost Medicare $17.4 billion or more. The Hospital Readmission Reduction Program in the Affordable Care Act Penalizes hospitals with higher than expected 30 day readmission rates.
Project BOOST was led by a national advisory board of recognized leaders in care transitions, hospital medicine, payers and regulatoryagencies. The board was co‐chaired by Eric Coleman MD, MPH and Mark Williams, MD, FACP, MHM and included representatives from the Agency for Healthcare Research and Quality (AHRQ), Blue Cross and Blue Shield Association, Centers for Medicare and Medicaid Services, Centers for Disease Control and Prevention, Institute for Health Care Improvement (IHI), The Joint Commission, and Kaiser Permanente. Medical, pharmacy and nursing professional societies, and patient advocates participate and contribute to Project BOOST’s development.
As of February 2014, the project BOOST toolkit has been downloaded over 6,000 times from the SHM website. The year‐long mentoring program providing expert coaching to implement the program has been implemented at 180 hospital sites.
Project BOOST mentor sites are in various stages of planning implementation and data reporting. Aggregate findings for sites with an intervention in place for one year will be available in mid‐2013 (in press). Early data from six sites, which implemented Project BOOST, revealed a reduction in their 30 day readmission rates from 14.7% before BOOST to 12.7% after implementation; also, producing a 13.6% reduction in 30 day all‐cause readmission rates.
Pilot sites indicate that BOOST tools are well received by health care teams and patients as it improved communication and collaboration across the hospital and with outpatient physicians. Patients reported a very positive response to what they perceive as an increased level of service and medical attention.
Project BOOST was developed through a $1.4 million grant from The John A. Hartford Foundation.
SHM continues to fund the collaborative through the following programs:
Project BOOST is an effective tool for reducing unnecessary readmissions and improving transitions of care. It provides a foundation for and complements initiatives such as Dr. Eric Coleman’s Care Transitions Program or Dr. Mary Naylor’s Transitions of Care Model.
The recently passed healthcare reform legislation includes provisions aimed at reducing readmissions and improving care transitions.
Hospital Readmissions Reduction Program (Sec. 3025, Sec. 10309):
the 2014 Project BOOST Fact Sheet