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Reassessing Six Assumptions on Reducing Hospital Readmissions—And How to Build a Better Recovery Model


reduce hospital readmissions
Improving patient outcomes and reducing hospital readmissions

This article is the third article in my series on reducing hospital readmissions through integrative medicine. The first, “Reducing Hospital Readmission Costs: How Integrative Medicine Can Provide Lasting Solutions,” explored how readmissions often stem from patients’ difficulty maintaining recovery behaviors after discharge. The second, “Reducing Hospital Readmission Costs Through Integrative Medicine: A Holistic Strategy for Sustainable Patient Care,” outlined core principles for implementing mind-body therapies across the care continuum.


In this third article, I challenge common assumptions that can undermine progress and offer practical, strategic insights for more effective and sustainable patient care. Rather than presenting a step-by-step model, I focus on key principles that support lasting recovery and reduce avoidable readmissions.

Evidence-based integrative medicine, including medical yoga, mindfulness, meditation, and relaxation techniques, has consistently demonstrated value in improving patient outcomes and reducing hospital readmissions. These therapies address the full spectrum of healing, encompassing physical, emotional, and psychological aspects of well-being. They help patients recover more completely and sustain their progress long after leaving the hospital.


Yet many healthcare organizations continue to rely on outdated assumptions that limit their ability to make meaningful progress. Below are six common fallacies, along with more effective ways to approach them.


Assumption #1: Discharge education alone is sufficient to prevent readmissions.

Reality: While discharge education is a vital touchpoint, it is not a standalone solution. Effective readmission prevention begins by identifying high-risk patients at the point of admission. Early identification enables clinical teams to activate timely, personalized interventions that extend beyond the discharge process.


Leading cancer treatment centers offer a compelling blueprint by integrating supportive therapies, such as medical yoga, behavioral health services, and other mind-body interventions, throughout both inpatient and outpatient care. These approaches not only help patients manage anxiety but also sustain engagement and adherence during recovery, ultimately reducing avoidable readmissions.


Hospital leadership can adapt this integrative model to support other high-risk populations, translating best practices into scalable strategies that improve patient outcomes and optimize value-based performance.


Assumption #2: A few follow-up calls can replace a comprehensive recovery plan. 

Reality: Follow-up calls are valuable, but they’re not a substitute for a structured, integrated recovery strategy. Recovery requires continuity of care that begins during hospitalization and extends well beyond discharge.


Mind-body interventions such as relaxed breathing techniques, introduced early in the care journey, can significantly influence recovery trajectories. Even small, low-cost interventions improve self-regulation, reduce anxiety, and enhance adherence to post-discharge plans.


When patients feel supported at every stage, engagement and outcomes improve. Embedding these strategies across the care continuum creates a more resilient recovery pathway and reduces downstream costs.


Assumption #3: Physical healing is the primary driver of readmission risk. 

Reality: Physical recovery is essential, but emotional and psychological health often determine whether patients thrive or return.


Post-discharge, many patients face anxiety, depression, or the stress of adjusting to significant lifestyle changes. Even clinically simple tasks, such as starting a low-sodium diet or committing to daily movement, can feel overwhelming for patients without emotional support.


Recognizing these barriers enables care teams to introduce evidence-based tools, such as mindfulness and cognitive-behavioral strategies, which foster resilience, enhance adherence, and reduce the risk of readmission.


Assumption #4: The hospital’s responsibility ends at discharge. 

Reality: Under Medicare, and often Medicaid, hospitals remain responsible for patient outcomes for up to 30 days post-discharge in six major diagnostic/procedure categories: heart attack, heart failure, pneumonia, COPD, elective hip/knee replacement, and CABG surgery. The discharge-to-home transition is, therefore, part of the hospital's care continuum.


Embedding mind-body therapies during inpatient stays and extending them into post-discharge support equips patients with the coping skills, confidence, and behavioral tools necessary to maintain recovery, enhance emotional resilience, and reduce readmissions in these high-risk groups.


A seamless transition not only aligns with value-based care and regulatory expectations but also delivers better patient outcomes and mitigates financial penalties tied to these six critical conditions.


Assumption #5: Readmissions are solely the result of medical complications. 

Reality: Medical complications play a role, but so do modifiable factors like poor sleep, unmanaged pain, and emotional stress. These non-clinical factors are often overlooked, even though they can be effectively addressed with targeted support.


Low-cost, low-risk integrative therapies, such as guided relaxation, breathing techniques, and pain self-management strategies, can be introduced during the inpatient stay to address these issues early.


When patients experience the benefits firsthand, they’re more likely to adopt these strategies after discharge in their community, supporting better self-care, fewer complications, and reduced risk of readmission.


Assumption #6: Integrative therapies are most effective when added as needed.

Reality: Flexibility has value, but inconsistency limits effectiveness. Integrative therapies have the most significant impact when implemented through a structured, consistent approach that enables better care, data collection, quality improvement, and long-term sustainability, making integrative medicine a strategic asset rather than a one-off intervention.


A More Complete Model for Reducing Hospital Readmissions

Reducing readmissions isn’t just about checking boxes; it’s about changing the care paradigm. It requires moving beyond traditional metrics and embracing a more holistic approach to recovery. By embedding evidence-based mind-body strategies into every stage of the hospital experience, health systems can enhance outcomes, reduce costs, and deliver care that is not only clinically effective but also deeply human-centered.


This shift demands more than protocols; it calls for a new mindset. One that sees patients not just as clinical cases but as whole people navigating complex recoveries. When hospitals address the medical, behavioral, and emotional dimensions of care, they strengthen engagement, resilience, and recovery.



Ready to Take the Next Step?

If you're looking to reduce readmissions while improving patient experience and organizational performance, we’re here to help:

🧘 Use mind-body therapies to reduce stress and promote healing 

💡 Rethink recovery models to support the whole person, not just the illness 

🤝 Partner with us to create integrative care programs that truly make a difference


Connect with us to explore how we can help your hospital build a more holistic, patient-centered care system.


Suggested Reading

  • Pintas S, Zhang A, James KJ, Lee RM, Shubov A. Effect of inpatient integrative medicine consultation on 30‑day readmission rates. J Integr Complement Med. 2022;28(5):432–439.

  • Hsu J, Fung V, Price M, Brand R, Trivedi A. Association between hospitals’ engagement in value-based reforms and 30-day readmission rates: a national retrospective study. JAMA Intern Med. 2017;177(10):1489–1495.

  • Toise SCF, Sears SF, Schoenfeld MH, et al. Psychosocial and cardiac outcomes of yoga for ICD patients: a randomized clinical control trial. Pacing Clin Electrophysiol. 2014;37(1):48–62.

  • Michalsen A, Lüdtke R, Brunnhuber S, et al. Yoga for chronic neck pain: a randomized controlled trial. J Pain. 2012;13(12):125–134.

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