Submit a storyStory Title * Required Try to keep it at 70 characters or less including spaces.Name * Required First Last Email * Required Contributors (Member)First ChoiceSecond ChoiceThird ChoiceContributors (Non-Member)Please separate contributors with a comma.Read LengthGive the reader a sense of how long (in minutes) it will take to read the story.Lead * RequiredThis is the first section of the story. It is displayed larger than the rest of the story. Use it to draw the read.Background * RequiredWhat's the back story here?What's the Issue? * RequiredWhat's the issue that you faced?What We Tried * RequiredDescribe the approach you took for solving the problem.Impact * RequiredDescribe the impact this innovation had on the problem you were trying to solve.We like numbers. Can you provide any measurement of impact? If not, can you describe your plan for measurement (if you have one)?Can you provide any quotes or brief testimonials from external partners, employees or patient?Additional BenefitsTips * RequiredWhat advice would you give someone who would like to model your innovation?Banner ImageAccepted file types: jpg, jpeg, png.Thumbnail ImageAccepted file types: jpg, jpeg, png.Do you have Resources that go with your Story?NoYesStory Resources * Required Drop files here or Resource Type Checklist Guide Graphic Policy Questionnaire/Survey Report Tool Video Website Checklist|GuideIs your story related to these topic areas? Check all that applyProgram Challenges Building Commitment for Care Transitions Motivating the Team Identify Which Patients Need Extra Help Coordinating Care Across the Whole Team Coordinating with Outpatient Care Determining Skills Needed on the Team Communicating with Patients Making Follow-up Calls or Home Visits Limited ResourcesPatient and Family Challenges Understanding Medication Instructions Next Steps After Leaving the Hospital Not Receptive to Our Help Low Health Literacy Social Challenges Not Receptive to Home Visits Empowering Patients Going to Follow-up AppointmentsStory Topics Effective teamwork Establishing a program Organizational buy-in After-hospital care Patient engagement Identifying causes of readmission Measuring and improving Using resources effectively Cardiac RehabOrganization NameOrganization Street AddressOrganization CityOrganization StateOrganization ZipcodeOrganization InfoOrganization ModelOrganization Model OtherOrganization TypeCommentsThis field is for validation purposes and should be left unchanged.