2025 Imagine - W37 - Reducing Readmissions: Targeted Approaches for Vulnerable Patients - On Demand
Reducing avoidable hospital readmissions requires a targeted and individualized approach. JPS Health Network tackled frequent readmissions by creating a focused strategy for multi-visit patients. The organization embedded alerts in the electronic medical record (EMR) and coordinated daily multidisciplinary reviews to address clinical and social needs, yielding an estimated cost avoidance of $3.6 million. Similarly, Indiana University Health developed individualized acute care plans for patients with sickle cell disease, reducing unnecessary admissions through consistent, patient-specific treatment approaches embedded in the EMR. Join this session to hear how tailored interventions and strong care team collaboration can drive measurable improvements for vulnerable populations.
Target Audience
- Dietitians
- Nurses
- Pharmacists
- Pharmacy Technicians
- Physicians
- Physician Associates
- Healthcare Quality Professionals
- Other Healthcare Professionals
Learning Objectives
- Describe how to apply data analysis to identify a target population for reducing readmissions.
- Explain the methods used to decrease 30-day readmissions in frequently admitted patients with sickle cell disease.
Teri Savage, MS, LSSMBB, CPHQ, CPPS, Interim Director, Performance Excellence, JPS Health Network, Fort Worth, Texas
Devon Armstrong, MSN, RN, AMB-BC, CCM, Executive Director of Care Management, JPS Health Network, Fort Worth, Texas
Steven Roumpf, MD, Faculty, Emergency Physician, Indiana University Health, Indianapolis, Ind.
Andrew O'Brien, MD, Faculty, Hematology, Indiana University Health, Indianapolis, Ind.
Jason Russ, MD, Hospitalist and Assistant Professor of Clinical Medicine, Indiana University Health, Indianapolis, Ind.
Joint Accreditation Statement
In support of improving patient care, Vizient, Inc. is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC) to provide continuing education for the healthcare team.

The Commission on Dietetic Registration (CDR) accepts nutrition-and-dietetics-related continuing education credits from Jointly Accredited Providers. After completing this activity, CDR-credentialed practitioners may claim CPEUS under Activity Type 102; 1 contact hour (60 minutes) = 1 CPEU.
Available Credit
- 0.75 AAPA CMEVizient Inc. has been authorized by the American Academy of Physician Associates (AAPA) to award AAPA Category 1 CME credit for activities planned in accordance with AAPA CME Criteria.
- 0.75 ACPE Pharmacist
- 0.75 ACPE Pharmacy Technician
- 0.75 AMA PRA Category 1 Credit™
- 0.75 ANCC
- 0.75 CDR
- 0.75 CPHQ – Certified Professional Healthcare Quality
- 0.75 General CE - Attendance
Select the “Obtain Credit” button to access the session evaluation and to claim CE Credit.
Please Note:
- If the "Register/Take Course" tab is displayed instead of the "Obtain Credit" tab, you must first login to proceed with the credit claim process.
- This activity requires learners to confirm their attendance using an activity code. An Access Denied error message indicates that your attendance was not recorded via SMS text or QR code scanning.
- Please click here to enter the code you received at the end of the session to verify your attendance if you have not already done so: https://continuingeducation.vizientinc.com/code
Required Hardware/software
The Vizient CE Learner Portal is compatible with most modern web browsers (such as Firefox, Google Chrome, Microsoft Edge, Apple Safari) and can also be accessed with mobile devices.

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