Reducing Readmissions Through Effective Transitions of Care
October 16, November 6 & December 4, 2026 from 10:00 AM – 11:00 AM HST
OVERVIEW | SESSIONS | SPEAKER | CONTINUING EDUCATION | COST | REGISTRATION
Overview
Hospital readmissions continue to create challenges for patients, residents, families, hospitals, and nursing homes. This three-part webinar series will provide practical strategies to reduce preventable readmissions by strengthening transitions of care, improving communication, supporting timely risk identification, and promoting collaboration across care settings. Designed for both hospital and nursing home teams, the series will highlight actionable approaches, tools, and examples that participants can apply to support safer transitions, better coordination, and improved outcomes for patients, residents, and families.
Learning Objectives:
Identify common factors that contribute to avoidable readmissions across hospital and nursing home settings.
Describe practical strategies to improve transitions of care and reduce readmission risk.
Apply communication and care coordination practices that support safer transitions between hospitals and nursing homes.
Use data and quality improvement methods to strengthen readmission prevention efforts across care settings.
Sessions
October 16: Reducing Readmissions in Nursing Homes: Practical Strategies to Improve Resident Outcomes
This session will focus on readmission reduction from the nursing home perspective, with emphasis on identifying residents at risk for transfer, recognizing changes in condition early, strengthening communication with hospitals and providers, and using quality improvement practices to reduce avoidable hospitalizations. Participants will review practical strategies that can be applied by nursing home interdisciplinary teams to improve resident outcomes and support safer transitions of care.
November 6: Reducing Readmissions in Hospitals: Practical Strategies to Improve Discharge Planning and Care Transitions
This session will focus on readmission reduction from the hospital perspective, with emphasis on identifying patients at high risk for readmission, strengthening discharge planning, improving communication with nursing homes and other post-acute care partners, and ensuring timely follow-up after discharge. Participants will review practical strategies hospitals can use to improve care transitions, reduce gaps in handoff information, support patient and family understanding of the discharge plan, and use readmission data to identify opportunities for improvement.
December 4: Partnering Across Care Settings: Hospital and Nursing Home Collaboration to Improve Transitions of Care
This session will bring hospital and nursing home teams together to focus on shared strategies for improving transitions of care and reducing avoidable readmissions. Participants will explore common breakdowns that occur during transfers and discharges, including gaps in communication, incomplete handoff information, unclear follow-up expectations, and limited feedback between care settings. The session will highlight practical approaches hospitals and nursing homes can use together to strengthen collaboration, clarify roles and responsibilities, improve warm handoffs, support patient/resident and family understanding, and use readmission data to identify shared opportunities for improvement.
Each webinar in this series will be recorded and made available on-demand.
Target Audience
Hospital and nursing home clinical and quality improvement professionals, including nurses, case managers, discharge planners, social workers, infection preventionists, quality leaders, nursing home administrators, directors of nursing, medical directors, and other interdisciplinary team members involved in care transitions, readmission reduction, and patient safety.
Speaker
Christine Bailey, MSN, RN, CSSGB
Senior Executive Director
Health Services Advisory Group (HSAG)
Christine Bailey, MSN, RN, CSSGB serves as the Senior Executive Director at Health Services Advisory Group (HSAG), a nationally recognized leader in healthcare quality improvement. For more than a decade, she has successfully led numerous federal contracts and special innovation projects for the Centers for Medicare & Medicaid Services (CMS), with a strong focus on enhancing patient safety across hospitals and nursing homes.
In her current role, Ms. Bailey oversees hospital-based initiatives under the CMS Quality Innovation Network–Quality Improvement Organization (QIN-QIO) for Region 7, which spans Arizona, California, Hawaii, Nevada, Guam, and the Pacific Islands. Her leadership is instrumental in driving large-scale improvement efforts across diverse regions.
A registered nurse with over 30 years of healthcare experience, Ms. Bailey began her career in critical care and cardiovascular intensive care before transitioning to healthcare quality improvement. Over the past 20 years, she has led initiatives that span the full continuum of care, applying her clinical insight and quality improvement expertise to system-level transformation.
Jane Chaine, MSN, RN, RD
Quality Improvement Specialist III
Health Services Advisory Group (HSAG)
Jane Chaine, MSN, RN, RD serves as a Quality Improvement Specialist III at Health Services Advisory Group (HSAG). She supports hospitals participating in the Centers for Medicare & Medicaid Services (CMS) Quality Innovation Network-Quality Improvement Organization (QIN-QIO) program, partnering with healthcare organizations to enhance patient safety, clinical outcomes, and quality performance.
Ms. Chaine has been with HSAG for over a decade, leading quality improvement initiatives across several federal contracts. During this time, she has collaborated with healthcare organizations throughout the Pacific Islands, including Hawaii, Guam, the Commonwealth of the Northern Mariana Islands, and American Samoa, advancing healthcare quality and patient outcomes.
With over 20 years of healthcare experience, Ms. Chaine brings the combined expertise of a registered nurse and registered dietitian to her work. Her clinical background includes caring for patients with complex chronic medical conditions, with specialized expertise in kidney disease and dialysis care. This combination of nursing and nutrition expertise provides a multifaceted clinical lens that balances patient-centered care with system-level improvement.
Ms. Chaine earned her Master of Science in Nursing and Bachelor of Science in Nursing from San Francisco State University and holds a Bachelor of Science in Applied Nutrition from California Polytechnic State University, San Luis Obispo. She completed her clinical dietetics training at Napa State Hospital.
Jolene Kageyama, BS, NHA
Quality Improvement Specialist
Health Services Advisory Group (HSAG)
Jolene Kageyama, BS, NHA, serves as a Quality Improvement Specialist with Health Services Advisory Group (HSAG), the Centers for Medicare & Medicaid Services (CMS) Quality Innovation Network-Quality Improvement Organization (QIN-QIO) for Hawaii and also Arizona, California, Nevada, and the U.S. Pacific Territories (West CMS QIN-QIO Region 7). In this role, Jolene partners with nursing homes and hospitals to support quality improvement, patient safety, and regulatory readiness to the people they serve. She brings more than two decades of long-term care leadership experience, including serving as a nursing home administrator in Honolulu before joining HSAG.
In her current role, Jolene works closely with facility leadership, interdisciplinary teams, and frontline staff to identify priority focus areas, strengthen QAPI processes, and turn quality data into actionable improvement strategies. Known for her practical, facility-focused coaching approach, she helps teams build ownership of improvement efforts through root cause analysis, performance improvement projects, PDSA cycles, and quality action planning. She holds a Bachelor of Science degree from the University of Hawaii at Manoa and her nursing home administrator license is current and active.
Jennifer Wieckowski, MSG
Senior Executive Director
Health Services Advisory Group (HSAG)
Jennifer Wieckowski, MSG, serves as a Senior Executive Director for Health Services Advisory Group (HSAG), the Centers for Medicare & Medicaid Services (CMS) Quality Innovation Network-Quality Improvement Organization (QIN-QIO) for Arizona, California, Hawaii, Nevada, and the U.S. Pacific Territories (West CMS QIN-QIO Region 7). With more than 20 years of experience in healthcare quality improvement, and 17 years dedicated to HSAG, Jennifer has led initiatives to strengthen nursing home performance on CMS priorities, including readmissions, infection prevention, immunizations, fall prevention, and patient safety. Through close collaboration with providers and stakeholders, she supports nursing homes in establishing strong QAPI foundations and implementing data‑driven interventions to improve the quality of care for Medicare beneficiaries. She holds a master’s degree in gerontology from the University of Southern California and a bachelor’s degree in human development and family studies from Cornell University.
Continuing Education
To be eligible for a CE certificate each person must register for the series, attend the session via the webinar software on your computer or via the GoTo Webinar™ mobile app, and complete the corresponding HAH evaluations. Phone only attendance is not tracked.
Valid for the live webinars and on-demand content through 10/16/2028: This nursing continuing professional development activity is pending approval by Oregon Nurses Association, an accredited approver by the American Nurses Credentialing Center's Commission on Accreditation.
State licensure boards have final authority on the acceptance of individual courses. Christine Bailey, Jane Chaine, Jolene Kageyama, Jennifer Wieckowski and the planners of this educational activity have no relevant financial relationships with ineligible companies to disclose.
After registration, your link to each session will be sent to you via email prior to each webinar.
Cost
Registration includes access to participate in the live webinar series, download associated materials, and access to on-demand content.
HAH Members: FREE
Are you an employee of a HAH member organization and qualify for the member rate? CLICK HERE to find out!
Non-Members: $150 per person (series rate)
*Note: No cancellations and no refunds for non-attendance; sessions and materials will be available on-demand.
Registration