Project - Boost
(Better Outcomes by Optimizing Safe Transitions) is a national initiative launched in 2008 by the Society of Hospital Medicine (SHM) to improve the hospital discharge process and reduce preventable readmissions. Core Objectives
: Reducing medication errors and ensuring patients understand their follow-up care. Project Boost
: Improving the efficiency and communication of the interdisciplinary provider team. Key Interventions: The "8P" Tool (Better Outcomes by Optimizing Safe Transitions) is a
: Preparing families and caregivers for the transition to home. Key Interventions: The "8P" Tool : Preparing families
A central component of the project is the , which identifies patients at high risk for adverse events after discharge based on eight specific factors: P roblems with medications. P sychological (e.g., depression). P rincipal diagnosis (e.g., COPD, heart failure). P hysical limitations. P oor health literacy. P atient support (lack of a caregiver). P rior hospitalizations. P alliative care needs. Implementation Strategy
The program aims to standardize care transitions, particularly for older adults, by addressing common failures in communication and patient education. Its primary goals include:
: Lowering the rate of patients returning to the hospital within 30 days of discharge.