New Jersey Health Initiatives - A Better State of Health
A Robert Wood Johnson Foundation Program
Implementing systems to manage transitions in care and reduce hospital readmissions.
2011
Robert Wood Johnson University Hospital - Hamilton
Closed
Implementing systems to manage transitions in care and reduce hospital readmissions.
Robert Wood Johnson University Hospital - Hamilton
2011
Closed
Grant Award Amount
$300,000

In partnership with Jewish Family & Children’s Service of Greater Mercer County, Robert Wood Johnson University Hospital-Hamilton is using the Care Transitions Intervention model to improve care transitions for 350 Mercer County residents from Hightstown, Trenton, Hamilton, Mercerville, Yardville, Ewing, Lawrenceville and Washington Township hospitalized with congestive heart failure and/or diabetes, at least one other chronic condition, and one or more social vulnerabilities (primarily advanced age, low income, and/or disability). Expected outcomes include improved patient engagement in the management of their health care, reduced re-hospitalization rates, lowered costs to patient, hospital, and insurance companies, and improved quality of care.

Project
The Mercer Care Transitions Program (MCT)
Topics
Grant Recipient
Key Contact
Joyce Schwarz
Vice President, Quality
(609) 584-6723
Counties Served
View All: NJHI: 2011: Transitions in Care