Project RED (Re-Engineered Discharge)  


The most recent Project RED tool — Tool 7: Understanding and Enhancing the Role of Family Caregivers in the Re-Engineered Discharge — was highlighted in the Care Alliance Ireland Exchange – Summer 2014 Newsletter (page 16).

Click here to download the Newsletter

Now available, the new resource titled Hospital Guide to Reducing Medicaid Readmissions
Medicaid readmission reduction efforts. It helps identify readmission risks, transitional care needs, and adapt best practices from proven strategies like AHRQ’s Re-Engineered Discharge, the Institute for Healthcare Improvement’s State Action on Avoidable Readmissions, and the Society of Hospital Medicine’s Better Outcomes for Older Adults Safe Transitions to serve the transitional care requirements of Medicaid patients. Hospitals at different stages of readmission reduction work can benefit from implementing this guide.

August 2014

How depression affects readmissions: Even mild symptoms make patients a higher readmission risk
Today's Hospitalist
By Phillis Maguire
August 2014

BMC Releases Update to Project RED
America’s Essential Hospitals
By Matthew Buechner
June 6, 2014

Taking a cue from Big Brother: A hospital tool for long-term care providers
By James M. Berklan
June 04, 2014

RED demonstrated to greatly improve Press Ganey discharge Scores (paper now in press)

RED improves Press Ganey discharge scores

Brian Jack MD elected to the Institute of Medicine
October 21, 2013

Announcing new chapter in the RED toolkit: Understanding and Enhancing the Role of Family Caregivers in the Re-Engineered Discharge written by Carol Levine and Jennifer Rutberg of the United Hospital Fund and Brian Jack MD and Ramon Cancino MD of Boston University School of Medicine.

Patient activation level affects likelihood of 30-day rehospitalization: Patient Safety and Quality of Care
Agency for Healthcare Research and Quality
March 2014

The Computer Will See You Now
Boston University 2013 Annual Report

Project RED wins the 2013 Peter F. Drucker Award for Nonprofit Innovation
BU Today
By Leslie Friday
October 2, 2013

How an Avatar Nurse Can Help Health Care Handoffs
Dallas Business Journal
By Bill Hethcock
September 20, 2013

Health Care Leaders Think Big on a Small Budget
BU Today
By Leslie Friday
September 19, 2013

Readmission Rate 13% After Major Surgery
MedPage Today
By Michael Smith
September 18, 2013

There has been a wide range of coverage about the release of the newly expanded RED toolkit, which we released on March 13. A summary of the article has appeared on web sites and trade publications, such as Modern Healthcare, AHA News, American Medical Informatics Association (under Public Policy Updates), National Network of Libraries of Medicine, North Dakota Hospital Association, Smart Brief, Wisconsin Office of Rural Health. Additionally, there were 10 re-tweets about the toolkit.

Project RED Toolkit Cover

AHRQ Releases Updated Toolkit to Improve Discharge Process
AHA News
March 27, 2013

AHRQ funding eliminated in House subcommittee vote
By Erin McCann, Contributing Editor
July 19, 2012

"One of the most invaluable of AHRQ's initiatives is Project RED (Re-Engineered Hospital Discharge), a randomized control trial developed at Boston Medical Center that re-engineered workflows and reduced preventable patient readmissions. Hospital readmissions are a big issue for all American healthcare. Project RED could save American taxpayers billions of dollars in years. That's the kind of work AHRQ does, and that's the kind of work we need today."

-Bruce Siegel, President and CEO of the National Association of Public Hospitals and Health Systems (NAPH).

Project RED was included in the book 50 Studies Every Doctor Should Know. The book is now published in paperback and as a kindle ebook!

50 Studies Every Doctor Should Know

Meet George Jetson, M.D.
The Wall Street Journal
By Geoff Nairn
April 16, 2012

The Challenge: Improve Post-Discharge Follow-Up
Pharmacy Practice News
By George Ochoa
April 2012 | Volume 39

Researchers Find Men More Likely to be Readmitted to the Hospital within 30 Days of Discharge

Researchers from Boston University School of Medicine (BUSM) have found that men are more likely to be readmitted to the hospital within 30 days of original discharge as compared to women. The findings, which appear in an upcoming/currently online issue of BMJ Open, may lead to interventions that promote connecting men to primary care resources, addressing social isolation and screening for depressive symptoms. Read full press release (PDF)

Project RED Takes Aim at the Blues - New Study Aims to Reduce Hospital Readmission Rates among Patients with Depression
Boston Medical Center, Office of Development
March 2012

What You Should Know Before You Leave the Hospital, adapted from text from AHRQ's effort to prevent hospital re-admissions
Healthy Roads Media
March 2012

AHRQ distributes Free Brochures Based on Project RED

In support of Patient Safety Awareness Week (March 4–10), the Agency for Healthcare Research and Quality (AHRQ) offers a bilingual guide that can help hospitals reduce their readmission rates by better preparing patients for self-care and follow-up appo

intments before they leave the hospital. The guide—Taking Care of Myself: A Guide for When I Leave the Hospital/Cómo cuidarme: Guía para cuando salga del hospital—is available as a printed document or fillable PDF that clinicians can complete in the hospital and share with patients before they leave. The guide is adapted from Project RED (Re-Engineered Discharge), which was funded by AHRQ and developed by Brian Jack, M.D., and colleagues at Boston University Medical Center.

Click for a copy of the guide: English | Spanish

Podcast Healthcare 411

The Agency for Healthcare Research and Quality (AHRQ) has distributed a podcast (called Healthcare 411) on Project RED to more than 1,700 radio stations across the nation.

Healthcare 411 home page (the podcast is featured on the left side of the page under "Latest Podcast"):


HRQ resource program to assist hospitals in reducing unnecessary readmissions
March 2012

Florida Collaborative Leads Charge in Reducing Readmissions
Hospitals and Health Networks
By Jennifer Hicks
December 2011
PDF version

Local hospitals take part in new program
Daily Local News
December 22, 2011

Medicare may penalize hospitals that readmit too many patients
The Washington Post
By Ranit Mishori
December 12, 2011

P.A.V.E. Project Status Report (PowerPoint)
The Health Care Improvement Foundation and Partnership for Patient Care
November 16, 2011

It Takes a Village
The Hospitalist
By Larry Beresford
July 2011

Project RED mentioned in BMC Brief, "Happy Birthday, Boston Medical Center"
The BMC Brief
Volume 1, Issue 4
July 1, 2011

Don't Come Back, Hospitals Say
Hospitals push to reduce the 4.4 million preventable hospital re-admissions a year.

The Wall Street Journal
By Laura Landro
June 7, 2011

Closing the Revolving Door of Hospital Readmissions
The Wall Street Journal Health Blog
By Laura Landro
June 7, 2011

Re-engineered discharge project dramatically reduces return trips to the hospital
Research Activities Online Newsletter
U.S. Department of Health and Human Services, No. 367
March 2011

Virtual Discharge Assistant Cuts Readmissions, Costs
HealthLeaders Media
By Rebecca Hendren
March 8, 2011

Nurse Staffing, Patient Mortality, And a Lady Named Louise
The Health Care Blog
By Bob Wachter
March 23, 2011

Re-engineered discharge project dramatically reduces return trips to the hospital
March 2011

Illionois Project RED (PDF)
Illinois Hospital Association
March 7, 2011

Many Americans have poor health literacy
The Washington Post
Sandra G. Broodman
Kaiser Health News
February 28, 2011

State Will Stop Paying for Some Hospital Readmissions
Story by Martha Bebinger for featuring an interview with Dr. Brian Jack.
February 8, 2011

CommonHealth: Meet Louise, Your (Electronic) Discharge Nurse

Reducing Hospital Readmissions With Enhanced Patient Education
Krames Patient Education
December 2010

Change You Should Believe In
The Hospitalist
Larry Beresford
July 2010

Re-engineering the discharge process to reduce readmissions
Press Ganey
Barbara Kirchheimer
June 22, 2010

Back in the hospital again
Boston Globe
Karen Weintraub
June 21, 2010

Strategies shared to reduce hospital readmissions
Philadelphia Business Today
Josh Goldstein
May 26, 2010

BMC licenses tool to lower hospital readmission rates
White Coat Notes
Elizabeth Cooney
March 16, 2010

French National TV 2 Visits BMC for an Interview about Project RED and Louise

Project RED Patient French National TV 2

Secretary of HHS Kathleen Sebelius Meets Louise at the AHRQ Offices in Washington D.C. as Carolyn Clancy MD, Director of AHRQ, Looks On

Kathleen Sebelius Meets Louise

Standardized Discharge Planning Focusing on Patient Education and Care Coordination Increases Understanding of Postdischarge Needs and Likelihood of Followup Care
AHRQ Health Care Innovations Exchange
April 2010

Boston Medical Center partners with Engineered Care to reduce hospital readmissions
March 16, 2010

Reducing Readmission: Are Quality Payments a Carrot or Stick?
HealthLeaders Media
Janice Simmons
January 28, 2010

Health Care Leader Action Guide to Reduce Avoidable Readmissions
The Commonweath Fund
January 25, 2010
Guide (PDF 665 KB)

HealthLeaders magazine has selected Brian Jack, MD to their “People Who Make Healthcare Better” list for 2009.

Homeward Bound: Nine Patient-Centered Programs Cut Readmissions
California Healthcare Foundation (CHCF)
September 2009
(PDF 694 KB - Project RED is outlined on page 12)

Bundle Payments: Brilliant Idea or Boondoggle? (PDF )
American College of Physician Executives: Payment Reform
July/August 2009

How to Save a Bundle on Hospital Readmissions
Managed Care
July 2009
(Project RED is mentioned on page 23)

Project RED: Nurse Discharge Advocates Reduce Readmissions
Debra Wood, RN
July 2009

Taking a bite out of readmissions:  Researchers identify strategies to streamline discharges
Today's Hospitalist
June 2009

Project RED reduces rehospitalization rates
Briefings on Patient Safety
June 1, 2009

Study shows readmissions drop when patients understand discharge instructions
May 2009
(PDF 233 KB - Project RED is featured on pages 71-73)

Virtual Patient Advocate Could Enhance Health Literacy
Health Leaders Media
April 29, 2009

1 in 5 Medicare Patients Readmitted Within a Month
InteliHealth Inc
April 2, 2009

Payers Benefit When Hospitals Issue Improved Discharge Orders
High quality post-hospital orders can cut readmissions by 30 percent. Medical administrators may soon insist on it
Managed Care
February 2009

What You Should Bring Home From the Hospital
The Washington Post
Tuesday, March 17, 2009; Page HE02

Educating Patients Before They Leave the Hospital Reduces Readmissions, Emergency Department Visits and Saves Money (PDF)
MARCH 11, 2009

Project RED: The reengineered hospital discharge program
Boston Globe Online On Call

Discharge Protocol Cuts Readmissions (PDF)          
Family Practice News
Volume 39 No 3

Pharmacist Follow-Up Helps Cut Hospital Readmissions, ER Use
American Society of Health-System Pharmacists

Preventing Bounce-Back Hospital Admissions
Journal Watch Hospital Medicine
February 2, 2009

Educating Patients Before They Leave the Hospital Reduces Readmissions, Emergency Department...
Forbes [via PRNewswire]
January 29, 2009

Help for patients leaving the hospital can keep them from coming back
White Coat Notes
February 2, 2009

Researchers design re-engineered hospital discharge program to reduce rehospitalization
Genetic Engineering and Biotechnology News

Better Information Helps Patients When They Leave the Hospital
Navigating the Health Care System: Advice Columns from Dr. Carolyn Clancy
Agency for Healthcare Research and Quality, Rockville, MD
December 2, 2008

Standardized Discharge Planning Focusing on Patient Education and Care Coordination Increases Understanding of Postdischarge Needs and Likelihood of Follow-Up Care
Innovations Exchange
Agency for Healthcare Research and Quality, Rockville, MD

Implementing Lifelike Animation:  Boston Medical Center implements computerized workstation to converse with patients
Advance for Nurses
Vol. 8 Issue 5 Page 17

Drug Counseling at Discharge Can Prevent Rehospitalization
Pharmacy Practice News
January 2008 Vol. 35

Good night, nurse! BMC tests virtual RN for discharges
Mass High Tech: The Journal of New England Technology
December 17, 2007

Whose job is it anyway? Strategies to take ownership of the discharge process
Even the best-laid discharge plans fail when details fall through the cracks

Today's Hospitalist
October 2006

© 2014 Project RED
Funded by the Agency for Healthcare Research and Quality, National Heart, Lung and Blood Institute, the Blue Cross Blue Shield Foundation, and the Patient-Centered Outcomes Research Institute.