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It focuses on providing actionable strategies and tools for a collaborative approach to improving patient care and outcomes post-discharge. The toolkit likely includes guidelines, best practices, and potentially templates or checklists to facilitate implementation. A key reference mentioned is the \"2019 American Geriatrics Society Beers Criteria® for Potentially Inappropriate Medication Use in Older Adults,\" indicating a strong emphasis on medication management and safety as a critical component of readmission prevention, particularly for the geriatric population. The document aims to equip healthcare providers with the necessary framework and information to effectively tackle the complex issue of hospital readmissions, ultimately leading to better patient health and more efficient healthcare delivery. 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