The Agency for Healthcare Research and Quality has awarded a grant to the State University of New York at Buffalos School of Nursing to create a pilot project designed to work with primary care physicians offices, their patients, and families to see that patients get follow-up care soon after leaving the hospital.
Our project will use the electronic health record to exchange health information across settings in real time, and provide decision support to nurse care coordinators in primary care offices to proactively prevent re-hospitalization," said grant coordinator Sharon Hewner.
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