Collaborative for Older Adult Safe Transitions (COAST@Marin)

Marin General Hospital, Marin County Department of Health and Human Services, and Careinsync

COAST@Marin was the first multi-enterprise task force in the state of California to address improving the safety of older adults being discharged from the hospital. Employing principles from Project RED (Re-Engineering Discharges), Project Boost, and the Coleman model, this group later became the Marin Mobile Care Network that now includes the original members plus 2 skilled nursing facilities and a hospice and a home care agency. The MGH 30-day readmission rate was reduced by 22% in the first 6 months and has been reduced again by another 50% for those patients coached by Meritage staff.

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