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DHS advisory council urges regional complex‑transitions capacity, data and flexible funding

2362063 · February 19, 2025
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Summary

An advisory council and DHS staff described efforts to reduce long hospital stays by expanding regional care navigation, data systems, provider training and flexible grants to support timely discharges and community placement.

The House Human Services Finance and Policy Committee heard the Acute Care Transitions Advisory Council report and an update from DHS on a complex transitions pilot that aims to reduce unnecessary long hospital stays and improve discharges to community settings.

DHS said the council’s work centers on building regional capacity to navigate complex discharges, improving statewide data and measurement, and identifying short‑term administrative or funding levers to reduce barriers to timely transitions. DHS described three pilot regions where a complex transitions team is already operating and accepting referrals from hospitals and lead agencies.

DHS staff said referrals typically involve adults with complex medical needs, behavioral health challenges or aggressive behaviors…

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