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Background High Readmission rates are associated with clinical and financial consequences as well as worse healthcare outcomes for our patients, with the average cost estimated at $15,200. The medicine units at Stanford had a 17.3% average readmission rate, higher than Academic Medical Center averages. Evaluation indicated multiple gaps in transitions of care (TOC) as well as minimal patient involvement in comprehension.Objective We aim to improve the medicine unit 17.3% average readmission rate, by a relative 3% and improve the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHP) score by 5% by utilization of a ‘Discharge Planner’ by August 2025.Methods Hospitalists were surveyed, who indicated >50% of readmissions were felt to be due to a lack of transitions of care. A multidisciplinary team was founded who applied improvement methodology to find gaps in TOC. This was combined with the survey learning to make a ‘Discharge Planner’; A patient facing document that serves as a learning tool, and reference with the goal of improving this transition of care.Results Readmissions on pilot units had a 9.4% reduced readmission rate (RRR) compared to other medicine units.Conclusion Patient involvement and understanding of discharge with a simple checklist and comprehension confirmation can improve readmissions. This is an area ripe for electronic medical record (EMR) automation and leveraging technology to reduce active review my medical professionals.