OSF deploys care transition program, reduces readmission rate from 29% to 9%

OSF Healthcare in Illinois and Michigan experienced high rates of patient readmissions due to fragmented systems and gaps in care during transitions between hospitals, skilled nursing facilities, and home care. To address this, they implemented comprehensive patient tracking, monitoring, and reporting systems. This technology-led approach, which includes the use of predictive analytics, resulted in significantly reduced readmission rates, enhanced patient engagement, improved operational efficiencies, and a shift from reactive to proactive healthcare practices.