Download or read book Impact of Post hospital Discharge Follow up Phone Calls on 30 day Readmission Rates written by Sabina Kadariya and published by . This book was released on 2021 with total page 160 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book To Analyze the Effect of Introduction of Post discharge Follow up Phone Calls and Weekly Educational Group Sessions Policy for Heart Failure Patients by Hahnemann University Hospital on Its 30 day Re hospitalization Rates for These Patients written by Dheeraj Goyal and published by . This book was released on 2011 with total page 47 pages. Available in PDF, EPUB and Kindle. Book excerpt: Background: Heart failure (HF) or inability of the heart to pump sufficient amount of blood to other organs of the body is a chronic progressive condition, whose rising prevalence among the American population has become a major public health concern. Although, our country spends nearly 40 billion dollars each year to manage this increasingly prevalent condition, the overall quality of such care remains questionable at best. Due to burgeoning costs of healthcare services amidst a struggling economy, development of valid and viable indicators to measure the quality and efficiency of healthcare services has become the need of the day. 30-day readmission rates of hospitals are now being widely used as one such indicator. Aims and Objectives: In an effort to improve net patient health outcomes, Hahnemann University Hospital (HUH) adopted a new policy in September, 2010 to make follow-up telephone calls to all discharged HF patients. This study aims to measure the effectiveness of these calls in improving such outcomes, using 30-day readmission rates of HUH as a sole measure of its quality of care. Methods: We collected deidentified and/or publically available call log data from the nursing director of heart failure unit of HUH. We compared that data with monthly trends in the hospital's 30-day readmission rates for HF patients to study the potential impact of follow-up telephone calls on such readmission rates. Results: To our surprise, we found no specific or stable changes in monthly 30-day readmission rates of the hospital, after implementation of the new policy. In fact, the readmission rates either remained almost the same or increased further after this new intervention. The average length of stay of HF patients in the hospital followed a similar trend, although an increase was noticed in the number of telephone calls attempted by the hospital staff during each month, after September, 2010. Conclusions: As there is no way quality of care can decline by the use of better follow-up procedures, the results of this study cast significant doubt on the ability of 30-day readmission rates of hospitals to serve as sole valid indicators of their quality of patient care.
Download or read book Impact of Community Health Workers on Access Use of Services and Patient Knowledge and Behavior written by and published by . This book was released on 1998 with total page 20 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book The Learning Healthcare System written by Institute of Medicine and published by National Academies Press. This book was released on 2007-06-01 with total page 374 pages. Available in PDF, EPUB and Kindle. Book excerpt: As our nation enters a new era of medical science that offers the real prospect of personalized health care, we will be confronted by an increasingly complex array of health care options and decisions. The Learning Healthcare System considers how health care is structured to develop and to apply evidence-from health profession training and infrastructure development to advances in research methodology, patient engagement, payment schemes, and measurement-and highlights opportunities for the creation of a sustainable learning health care system that gets the right care to people when they need it and then captures the results for improvement. This book will be of primary interest to hospital and insurance industry administrators, health care providers, those who train and educate health workers, researchers, and policymakers. The Learning Healthcare System is the first in a series that will focus on issues important to improving the development and application of evidence in health care decision making. The Roundtable on Evidence-Based Medicine serves as a neutral venue for cooperative work among key stakeholders on several dimensions: to help transform the availability and use of the best evidence for the collaborative health care choices of each patient and provider; to drive the process of discovery as a natural outgrowth of patient care; and, ultimately, to ensure innovation, quality, safety, and value in health care.
Download or read book Advances in Patient Safety written by Kerm Henriksen and published by . This book was released on 2005 with total page 526 pages. Available in PDF, EPUB and Kindle. Book excerpt: v. 1. Research findings -- v. 2. Concepts and methodology -- v. 3. Implementation issues -- v. 4. Programs, tools and products.
Download or read book Minimizing Inpatient Readmissions Through the Use of Discharge Phone Calls written by Vilaylack Sydara and published by . This book was released on 2015 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Discharge phone call is a new approach that many hospitals are utilizing to ensure a patient's safe transition home. A study showed that 65 percent of patients said, during hospitalization, no one discussed about managing their care at home (Clark et al., 2005). Hospital reimbursements are based on performance measures for patient satisfaction, as well as 30-day readmission rates, hospitals are seeking alternatives to improve the patient experience and prevent readmissions (D'Amore et al., 2011). Discharge phone call provides an opportunity for the patient to ask questions, while allowing healthcare providers to assess the patient's understanding of the discharge instructions. We piloted the discharge phone call on the surgical unit. The targeted population were those anticipating to be discharge home with a urinary catheter. Nurses were provided with two inservices and a discharge checklist to review key teaching points for patients going home with urinary catheter/ leg bag. Over 50 percent of nurses attended the inservices. A poster board was created highlighting 10 easy steps to follow when teaching patients anticipating discharge with a catheter. Follow up phone calls were made within 48hrs after discharge to ensure quality teaching and that all concerns were answered. Post inservices, nurses were more comfortable and confident with educating and discharging patient with a urinary catheter. During the piloted period, results from the discharge phone calls showed that patients did not have any signs and symptoms of infection but instead other concerns were found and addressed on a as needed basis. Discharge phone call is still new and needs further research
Download or read book Access to Health Care in America written by Institute of Medicine and published by National Academies Press. This book was released on 1993-02-01 with total page 240 pages. Available in PDF, EPUB and Kindle. Book excerpt: Americans are accustomed to anecdotal evidence of the health care crisis. Yet, personal or local stories do not provide a comprehensive nationwide picture of our access to health care. Now, this book offers the long-awaited health equivalent of national economic indicators. This useful volume defines a set of national objectives and identifies indicatorsâ€"measures of utilization and outcomeâ€"that can "sense" when and where problems occur in accessing specific health care services. Using the indicators, the committee presents significant conclusions about the situation today, examining the relationships between access to care and factors such as income, race, ethnic origin, and location. The committee offers recommendations to federal, state, and local agencies for improving data collection and monitoring. This highly readable and well-organized volume will be essential for policymakers, public health officials, insurance companies, hospitals, physicians and nurses, and interested individuals.
Download or read book Effectiveness of the Discharge Phone Contact on the Reduction of Heart Failure Readmission Rate written by Kirk E. Raboin and published by . This book was released on 2012 with total page 79 pages. Available in PDF, EPUB and Kindle. Book excerpt: The purpose of the study was to look at the recurrence of hospital readmissions and whether a telephone call follow-up after discharge to reinforce patient education and understanding, medication compliance, transition issues, and adherence to medical direction is effective at reducing heart failure patient readmission rates within 30 days of hospital discharge.
Download or read book Hospital Readmissions a Post Discharge Virtual Telehealth Visit and Telephonic Follow up Program written by Christina Chan and published by . This book was released on 2020 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: " Background: Hospital readmissions result in poor quality of care and can cause unnecessary harm and distress for geriatric patients. Under Medicare's Hospital Readmission Reduction Program, financial penalties result from 30-day hospital readmissions and have led to organiza-tions to focus on care coordination programs to improve health outcomes and reduce readmis-sions. Purpose: The purpose of this paper is to discuss the results of an evidence based project (EBP) providing a 30-day care coordination follow up for participants discharged from a large aca-demic hospital utilizing virtual visits and telephonic follow up calls. Method: Eligible participants for this EBP were 65 years or older, had Medicare Part A insur-ance, and a diagnosis of heart failure (HF), pneumonia (PNA), chronic obstructive pulmonary disease (COPD), or acute myocardial infarction (AMI) who were discharged home. Following discharge, patients received a virtual telehealth visit and/or telephonic follow up throughout the 30-day period following a hospital discharge. Thirty-seven participants were enrolled for fol-low up from August 24, 2020 through October 25, 2020. Results: Significant reductions in readmissions were found in the HF (22.4%), PNA (34.9%), and COPD (100%) groups. An increase in readmissions in the AMI (24.5%) group was noted. Conclusion: Current research finds that care coordination and follow up with patients dis-charged home can reduce readmissions through support of the patient in their disease self-management and addressing unmet physical and psychosocial needs. The current gaps in litera-ture on transitional care interventions include small sizes. Ongoing research will add to exist-ing knowledge surrounding hospital readmission reduction. Key words: hospital readmissions, transitional care, telehealth visits " -- Abstract
Download or read book Transitionrx written by Heidi R. Luder and published by . This book was released on 2013 with total page 82 pages. Available in PDF, EPUB and Kindle. Book excerpt: Objectives: To determine if a community pharmacy-based transition of care program 1.) decreases hospital readmissions, 2.) resolves medication-related problems, and 3.) increases patient satisfaction. Methods: This prospective, quasi-experimental study compared patients who received transition of care MTM services from a community pharmacist with patients who received usual post-discharge care. Nurse case managers from two hospitals recruited and consented patients prior to discharge. Patients greater than 18 years of age and discharged home with a diagnosis of heart failure, COPD, pneumonia, or acute myocardial infarction were eligible. Case managers faxed discharge paperwork for interested patients to the selected pharmacy. MTM services occurred at community pharmacies within one week of hospital discharge. Pharmacists reconciled the patients' medications, identified drug therapy problems, recommended changes to therapy, and provided self-management education. Medication recommendations were communicated with the primary care physician and interventions were documented on a data collection form. Patients' received a two-week follow-up telephone call from the pharmacist. Research personnel conducted a 30-day telephone survey to assess hospital readmissions and patient satisfaction using a previously validated survey instrument. Preliminary Results: Sixty-five patients completed the entire study period. Six patients in the usual care group were admitted to the hospital within 30 days and nine patients were seen in the emergency room. In the 19 patients who received MTM services from the pharmacist, 126 interventions were documented and one 30-day readmission and one emergency visit was observed. The overall mean patient satisfaction with the transition of care process was not significantly different between patients who were seen by the pharmacist and those who were not. However, patients in the pharmacist only group were more likely to agree that they understand the purpose of their medications and are more confident in their ability to care for themselves at home.
Download or read book Relationship Based Care written by Mary Koloroutis, RN, MS and published by Creative Health Care Management. This book was released on 2004-06-15 with total page 313 pages. Available in PDF, EPUB and Kindle. Book excerpt: The result of Creative Health Care Management's 25 years experience in health care, this book provides health care leaders with basic concepts for transforming their care delivery system into one that is patient and family centered and built on the power of relationships. Relationship-Based Care provides a practical framework for addressing current challenges and is intended to benefit health care organizations in which commitment to care and service to patients is strong and focused. It will also prove useful in organizations searching for solutions to complex struggles with patient, staff and physician dissatisfaction; difficulty recruiting and retaining and developing talented staff members; conflicted work relationships and related quality issues. Now in it's 16th printing, Relationship-Based Care has sold over 65,000 copies world-wide. It is the winner of the American Journal of Nursing Book of the Year Award.
Download or read book Patient Readmission Prevention Using Telephone Intervention Implications for Nurse Practitioners written by Katherine L. Hand and published by . This book was released on 2010 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: "Readmission after hospitalization occurs frequently and is a concern for healthcare systems. Adults with chronic illness frequently have the highest readmission rates, often related to adverse events, medication errors, or worsening symptoms. A systematic review of literature related to readmission was conducted. An evidenced-based practice project was implemented to reduce readmission rates within 30 days after hospitalization. The intervention was a telephone call within 24-72 hours after discharge by a nurse practitioner using a prepared script. The purpose of the call was focused upon assessment of patient understanding of medication dosage, side effects, symptoms of worsening conditions, and scheduling of follow-up appointments. The results demonstrated that telephone intervention by a nurse practitioner has the potential to reduce readmission rate for hospitalized adults. Involvement of an advanced practice nurse to contact the patient by telephone during the transition to home after dismissal from the hospital, results in improved management of the condition after discharge. Reconceptualization of the discharge process as a transition period will bridge the gap in healthcare until the follow-up appointment. Telephone contact will individualize health care to meet the needs of the client. Early recognition of new or worsening symptoms will result in practitioner management of the condition, with decreased need for readmission. Keywords: readmission, adverse events, discharge, discharge planning, care transition. ." -- Abstract
Download or read book Primary Care written by Barbara Starfield and published by Oxford University Press, USA. This book was released on 1992 with total page 284 pages. Available in PDF, EPUB and Kindle. Book excerpt: This comprehensive work provides a lucid examination of the difficult problems that arise with the implementation of effective primary care. The book has four purposes: to help practitioners of primary care understand what they do and why; to provide a basis for the training of primary care practitioners; to stimulate research that will provide a more substantive basis for improvements in primary care; and to help policy makers understand the difficulties and challenges of primary care and its importance. In addition to discussing systems of primary care and alternative ways of evaluating them, the author addresses important issues such as practitioner-patient communication, information systems and medical records, referral processes, personnel, managed care, financing, quality assessment and community orientation. This unique volume provides a clear and valuable assessment of the basic concepts, issues and challenges in this increasingly important field.
Download or read book The Impact of a Nurse driven Evidence based Discharge Planning Protocol on Organizational Efficiency and Patient Satisfaction in Patients with Cardiac Implants written by Tracey L. King and published by . This book was released on 2008 with total page 122 pages. Available in PDF, EPUB and Kindle. Book excerpt: Purpose: Healthcare organizations are mandated to improve quality and safety for patients while stressed with shorter lengths of stay, communication lapses between disciplines, and patient throughput issues that impede timely delivery of patient care. Nurses play a prominent role in the safe transition of patients from admission to discharge. Although nurses participate in discharge planning, limited research has addressed the role and outcomes of the registered nurse as a leader in the process. The aim of this study was determine if implementation of a nurse-driven discharge planning protocol for patients undergoing cardiac implant would result in improved organizational efficiencies, higher medication reconciliation rates, and higher patient satisfaction scores. Methods: A two-group posttest experimental design was used to conduct the study. Informed consent was obtained from 53 individuals scheduled for a cardiac implant procedure. Subjects were randomly assigned to either a nurse-driven discharge planning intervention group or a control group. Post procedure, 46 subjects met inclusion criteria with half (n=23) assigned to each group. All subjects received traditional discharge planning services. The morning after the cardiac implant procedure, a specially trained registered nurse assessed subjects in the intervention for discharge readiness. Subjects in the intervention groups were then discharged under protocol orders by the intervention nurse after targeted physical assessment, review of the post procedure chest radiograph, and examination of the cardiac implant device function. The intervention nurse also provided patient education, discharge instructions, and conducted medication reconciliation. The day after discharge the principal investigator conducted a scripted follow-up phone call to answer questions and monitor for post procedure complications. A Hospital Discharge Survey was administered during the subject's follow-up appointment. Results: The majority of subjects were men, Caucasian, insured, and educated at the high school level or higher. Their average age was 73.5±9.8 years. No significant differences between groups were noted for gender, type of insurance, education, or type of cardiac implant (chi-square); or age (t-test). A Mann-Whitney U test (one-tailed) found no significant difference in variable cost per case (p=.437) and actual charges (p=.403) between the intervention and control groups. Significant differences were found between groups for discharge satisfaction (p=.05) and the discharge perception of overall health (p=.02), with those in the intervention group reporting higher scores. Chi square analysis found no significant difference in 30-day readmission rates (p=.520). Using an independent samples t-test, those in the intervention group were discharged earlier (p=.000), had a lower length of stay (p=.005), and had higher rates of reconciled medications (p=.000). The odds of having all medications reconciled were significantly higher in the intervention group (odds ratio, 50.27; 95% CI, 5.62-450.2; p=.000). Discussion/Implications: This is the first study to evaluate the role of the nurse as a clinical leader in patient throughput, discharge planning, and patient safety initiatives. A nurse driven discharge planning protocol resulted in earlier discharge times which can have a dramatic impact on patient throughput. The nurse driven protocol significantly reduced the likelihood of unreconciled medications at discharge and significantly increased patient satisfaction. Follow-up research is needed to determine if a registered nurse can impact organizational efficiency and discharge safety in other patient populations.
Download or read book Patient Readmissions After Hospital Discharge written by Lauren Lapointe-Shaw and published by . This book was released on 2019 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Many readmissions after hospital discharge may be preventable through improved transitional care. This thesis seeks to inform clinical practice and policy development to reduce avoidable readmissions. The three included projects use health administrative data to examine the post-discharge care processes and outcomes for patients hospitalized in Ontario, Canada. In the first study, we compared the outcomes for patients discharged during the extended December holiday to outcomes for patients discharged from hospital at other times, over a 14 year period. We found that December holiday-discharged patients were at greater risk of 30-day death or readmission, while also being less likely to have outpatient physician follow-up within 14 days of discharge. The second study evaluated the effects of a physician financial incentive (an additional billing code) on timely follow-up after discharge. Despite physician uptake of the incentive code, there was no change in 14-day follow-up rates after incentive introduction, suggesting that it was not effective in changing physician behavior. In our third study, we compared the outcomes of post-discharge patients receiving a community pharmacy-based medication review to those not receiving one. Among older adults filling a prescription in a community pharmacy, receipt of a medication review was associated with a reduced rate of 30-day death or readmission. These thesis findings provide evidence to support decision- and policymaking relating to the clinical care of patients transitioning home from hospital.
Download or read book The Health Care Data Guide written by Lloyd P. Provost and published by John Wiley & Sons. This book was released on 2011-12-06 with total page 480 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Health Care Data Guide is designed to help students and professionals build a skill set specific to using data for improvement of health care processes and systems. Even experienced data users will find valuable resources among the tools and cases that enrich The Health Care Data Guide. Practical and step-by-step, this book spotlights statistical process control (SPC) and develops a philosophy, a strategy, and a set of methods for ongoing improvement to yield better outcomes. Provost and Murray reveal how to put SPC into practice for a wide range of applications including evaluating current process performance, searching for ideas for and determining evidence of improvement, and tracking and documenting sustainability of improvement. A comprehensive overview of graphical methods in SPC includes Shewhart charts, run charts, frequency plots, Pareto analysis, and scatter diagrams. Other topics include stratification and rational sub-grouping of data and methods to help predict performance of processes. Illustrative examples and case studies encourage users to evaluate their knowledge and skills interactively and provide opportunity to develop additional skills and confidence in displaying and interpreting data. Companion Web site: www.josseybass.com/go/provost
Download or read book You Make the Call Healthcare s Mandate for Post Discharge Follow Up written by Kristin Baird and published by eBookIt.com. This book was released on 2013-02 with total page 72 pages. Available in PDF, EPUB and Kindle. Book excerpt: Every day, thousands of people are discharged from hospitals. While relieved to be going home, they are often frightened and insecure about caring for themselves at home. How the hospital manages follow up can make a world of difference in spotting adverse reactions, quelling fears, and providing appropriate direction. Adverse conditions can lead to costly readmissions that hurt the bottom line and dissatisfied consumers who can hurt the hospital's reputation. You Make the Call presents a solid case for a post-discharge call system to improve clinical outcomes and improve the patient experience. This book provides the rationale and key steps for launching a post-discharge follow-up call process. Kristin Baird offers case examples, models, and tools to help you evaluate the need for follow-up calls as well as tools for integrating them into a comprehensive care plan. An award-winning author and consultant, Baird's expertise stems from over 30 years as a nurse, executive, and consultant. Her passion for the patient experience has set her career path and is a driving force behind this book. Are you doing post-discharge follow up? Does it make sense for your organization? Should you devote resources to post-discharge calls? Read Baird's book and then you make the call.
