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The 67-bed facility is part of the larger Culpeper Regional Health System (CRHS), which also includes a number of ambulatory care centers. Through its Bridges of Care Partnership, CRH and the Rappahannock-Rapidan Community Services Board/Area Agency on Aging (RRCSB/AAA) collaborated to provide patients with care during their transition from hospital to home.
Their overarching goal was to reduce thirty-day readmissions for Medicare patients who had been diagnosed with diabetes, chronic obstructive pulmonary disease (COPD), heart failure or acute myocardial infraction. The results? Culpeper Regional Hospital experienced a 23% decrease in readmissions for hospital-to-home patients, a 44% decrease in readmissions for nursing home patients, and more than $1 million in savings.
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