Disadvantages Of Hospital Readmissions

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With readmissions negatively affecting both patients and hospitals, there is an inevitable necessity to decrease readmissions by coordinating discharge practices that guarantee the patient’s understanding of the disease management. Diabetes mellitus is a common comorbid condition in patients and the complexity of diabetes and its management requires diabetes patients to visit hospital more often and increases patients’ risk for complications.
Purpose of the Study
Diabetes mellitus is a prevalent disease in patients who are hospitalized with 9.3 percent diagnosed and 28 percent undiagnosed (Ostling et al., 2017, pg.1). In diabetes care, hospital readmissions have been a major quality concern and hospitalized patients with diabetes have increased chances of being readmitted again compared to those who do not have diabetes (Rubin, 2015, para 1). Chronic complications of diabetes mellitus consist of myocardial infarction, stroke, retinopathy, neuropathy, and nephropathy (Ostling et al., 2017, pg.2). Patients who lack proper education from nurses during discharge about self-management to prevent these complications have a higher risk for readmission. Compared to 8.5 -13.5 percent readmission rates for all hospitalized patients, patients with diabetes mellitus are reported to have a higher readmission rate of 14.4 and 22.7 percent (Ostling et al., 2017, pg.1).
Even though these readmissions appear to directly inflict adverse outcomes on only patients, hospitals are negatively influenced too because of rising number of rehospitalizations. Effective for discharges starting from October 1, 2012, in accordance with Patient Protection and Affordable Act, Hospital Readmissions Program established by Social Security Act mandates financial penalties for hospitals with excess readmissions (Centers for Medicare and Medicaid Services, 2016, para. 1). Within 30 days of discharge 20 percent of Medicare patients were readmitted and within 90 days of discharge, 34 percent were readmitted (Polster, 2015, para. 1). Substandard instructions about medications, teachings that is not patient-centered and the failure to provide contact information for any questions the patients have, are some of the factors that result in readmissions
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