Reducing Hospitalizations

Project goals May 2023 - April 2024

End-stage renal disease patients experience higher rates of hospitalization, readmission, and emergency department utilization compared to the general public, all of which are associated with significant morbidity, mortality, and economic impacts. Health deficits impacting health care utilization are related to underlying health conditions, as well as patient behaviors and social determinants of health. Additionally, there may be facility and system barriers impacting hospital utilization. The listed barriers in the left column in the toolkit below may be impacted through the associated interventions, tools, and resources to support a reduction in hospitalizations, readmissions, and emergency department visits.

Reducing Hospitalizations Project Toolkit (updated May 2023): click here


Primary Diagnosis Categories (updated May 2023): click here 


For an introduction & overview of the Reducing Hospitalizations Project (updated May 2023): click here 


NCC Change Package (uploaded June 2023): click here 


If you have questions, please reach out to the Project Lead: Claire Taylor-Schiller

Phone: (651) 644-9877 ext. 113