Please help with writing SMART project aim statement (the aim should be focused, measurable, timely, and include target population (think SMART - specific, measurable, achievable, relevant, and time bound), including evidence to support this change proposal) based on the paragraph below:

In the pursuit of improving the quality of care amongst UHPs, we must explore innovative strategies to reduce their high readmission rates. We believe that many readmissions can be prevented with a proper plan of care at time of discharge. With this in mind, we have held numerous brainstorming sessions to discuss proposed interventions to reduce the number of 30-day readmissions we are observing amongst our UHPs. At this time, we are proposing a QI project which will refer UHPs to a case manager to develop a patient-centered care plan. We anticipate that this strategy will subsequently reduce the 30-day readmission rates amongst our UHPs. After the referral is placed, CM will evaluate the patient's needs, & then work to explore the obstacles that are impeding the patient's ability to meet them. CM will then work alongside the patient to develop a comprehensive care plan. It is proposed that the utilization of CM as a tool in this setting could improve the quality of care delivered to UHPs & prevent unnecessary subsequent readmissions to the inpatient setting. We are optimistic about the success of our project as there is virtually no start-up cost to implement our proposed intervention. We already have case managers hired to utilize in instances such as these. In addition, we are confident that our project boasts the potential to reduce the costs that are incurred by our organization because of preventable readmissions & ED visits.