@article{485bad7fc863402d9a481125e505cb96,
title = "Improving transitions of care for patients with thromboembolic disease.",
author = "Owens, {Gary M.} and Claudia Fine and Harrington, {Darrell W.} and Jacobson, {Alan K.} and Merli, {Geno J.} and Edith Nutescu and Schaecher, {Kenneth L.} and Jacqueline Vance and Tomas Villanueva and Waldo, {Albert L.}",
note = "Medicare's Quality Improvements Organizations assessed factors resulting in hospital readmission in 14 states and identified the following primary causes: medication discrepancies that occur during admission or after discharge; inadequate follow-up in the post discharge setting; fragmented documentation of medical conditions or failure to communicate need for medical treatment; poor patient self-management; community infrastructure and awareness problems; and insufficient patient support, including support from family caregivers.",
year = "2014",
month = mar,
day = "20",
language = "American English",
volume = "20",
journal = "The American Journal of Managed Care",
}