Consider the following case study.

Aims and Objectives: To identify structure, process, and outcomes associated with the implementation of transitional community$-$based management of hospital readmission rates.

Background: Population health$-$based projects have previously been described $($Chapters $10$ and $13).$ Using a transitional community$-$based readmissions plan for patients with heart failure, categorize quality metrics into structure, process, and outcomes.

Questions$/$comments to be considered are:

What are your data input, output, and measures of success?

Explain how your devised model incorporates social context.

How will you assess your population or community?

How will you collect the data needed for your input, output, and process measures of success?