Pediatric Hospital Medicine

Core 4 Compliance

2015 - 2018

The Core 4 Elements for Safe Transitions promote a reliable discharge process, which has been shown to reduce readmissions throughout Cleveland Clinic. Ensuring compliance with admission medication reconciliation, discharge medication reconciliation, scheduling a clinically appropriate follow-up appointment before discharge, and completing the discharge summary within 48 hours of discharge are associated with decreased readmission rates for patients cared for by Cleveland Clinic Children’s Hospital Medicine physicians.

Improving compliance to these Core 4 processes of care has sustained the Main Campus readmission rate at ~2%. Core 4 process adherence is encouraged for every patient and Cleveland Clinic Children’s looks forward to expanding quality improvement work on these elements.