Blog Post

How Mercy Health overhauled its approach to care transitions—and cut ED visits by 30%

June 12, 2017

    Up to 90% of a patient's health status can be attributed to non-clinical factors such as employment status, social integration, and access to safe housing and healthy food. However, typical care transitions programs often fail to identify these types of challenges, which can be particularly problematic for complex, fragile patients.

    Mercy Health System, a three-hospital, 566-bed community teaching health system in Southeastern Pennsylvania, tackles this challenge in an innovative way: Their population health leaders developed a multidisciplinary care transition support program consisting of a licensed social worker and a community health worker (CHW) to provide supplemental social services to patients with complex needs.

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