Date of Award


Document Type

Dissertation - MUSC Only

Degree Name

Doctor of Health Administration


College of Health Professions

First Advisor

Jami L. Jones

Second Advisor

Abby Kazley

Third Advisor

Michael Watson


The reduction of 30- day readmissions serves as a measurement of good patient outcomes, minimization of adverse events and financial stability for a healthcare system. In May, 2017 WakeMed Health & Hospitals implemented a Transitional Health Practice (THP) as a strategy to address readmissions of the high-risk patient population. The primary objective of this retrospective study was to examine the impact of the Transitional Health Practice on the high- risk patient referred to the program in year 2 regarding 30 -day and then 90- day readmission rates. Secondary objective was to discuss the impact of the program on cost savings to the hospital system. This study utilized de-identified data to conduct a retrospective chart review of uninsured admitted patients 2015 and 2018 totaling 2781. T- Test analysis was conducted to compare admission rates (30/90 day) 2015 before THP with admission rates (30/90 day) post THP. Aggregate hospital charges were reviewed to determine cost- savings driven by the program. Results showed the Transitional Health practice reduced 30- day readmission rates by 8% with estimated cost savings over 33 million dollars. The study also reveals less of an impact of the program on readmission rates at 90 days.


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