Organizational Goal: Readmission Prevention

Asthma Caregiver Education Call

Heart Failure Post-Discharge and Chronic Care

Acute Myocardial Infarction Post-Discharge Care

Chronic Obstructive Pulmonary Disease Care

Coronary Artery Bypass Graft Recovery Support

Elective Hip or Knee Replacement Recovery

Readmission Prevention Expansion Opportunities

Medication Adherence Support Call

Care Coordination Discharge Support Call

Post-Colonoscopy Recovery and Education