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September 5, 2025Journal of Patient ExperienceOpen Access

Link From Hospital to Home: Ensuring Quality Transitions for CKD Patients

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Authors

ESE W SimonMFMelissa FeeneyJMJoan Mendenhall

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Overview

Quality improvement case study shows reduced readmission rates in CKD patients through transitional care management programs, suggesting a patient-centered approach is effective.

Key Points

  • Enrollment in a transitional care management program reduced hospital readmission rates in chronic kidney disease patients.
  • At 7 days post-discharge, readmission rates were 42% lower for enrolled patients compared to those who declined enrollment.
  • This quality improvement initiative demonstrates the effectiveness of patient-centered care in managing chronic kidney disease outcomes.
  • Healthcare organizations should prioritize transitional care models to improve quality of care and reduce complications after hospitalization.

Cite This Study

Simon et al. (2025) studied this question.

synapsesocial.com/papers/68c238d2b210217d64779bbbhttps://doi.org/10.1177/23743735251367076
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Patient and Program Level Correlates of 30-day Readmissions: A Retrospective Analysis of a Transitional Care Program2025
  2. 2Improving Telehealth Transition of Care Programs Focused on Readmission Reduction2025
  3. 3Transitional Care in Cardiorenal Patients: A Proposal for an Integrated Model2026
  4. 4A Telehealth-Based Transitional Care Model for Children with Medical Complexity2026 · 1 citations
  5. 5Preventable Hospitalizations and Kidney Care2025