Measurement and Data Management Project: Hospital Readmissions Charmein Garner and Celeste Thomas Loyola University New Orleans Outcomes Management Project Defined Issue or Problem of Interest The selected problem of interest is hospital readmissions after being discharged from hospitals/medical facilities. Several patients enter the hospital and soon after discharge are catapulted back into the seemingly revolving doors of the hospital. Readmission rates affect all areas of healthcare
of Care There is a problem of avoidable hospital readmission rates for the Medicare and Medicaid populations that lead to adverse consequences not only for the patient, but also the payer and hospital. In order to decrease these avoidable readmission rates it is important to identify processes that can be implemented at the health plan level such as pre-discharge hospital visits by health plan staff, and post-discharge care coordination. Hospital readmissions are of great concern to the Centers for
Reducing Readmissions for Geriatric Heart Failure Patients Utilizing a Collaborative Care Coordination Approach With heart failure, increasing in incidence in the United States, hospital readmission rates are being scrutinized to save money, especially for Medicare beneficiaries. Over 5 million people in the United States are living with heart failure, defined as “a condition in which the heart cannot pump enough blood and oxygen to support other organs in the body” (CDC, 2013). Heart failure affects
result in subsequent readmissions to the hospital. The Centers for Medicare and Medicaid Services (CMS) (2016) defines hospital readmissions as a patient admission to any acute care setting within 30-days from being discharged. Readmissions are not only a clinical issue with regards to quality, they are also a financial concern. To help identify a common diagnosis, target group, and location affiliated with hospital readmissions, our team conducted research on patient population with relatively high
complex problem in a hospital. Our assigned task was to recommend a plan in order to alleviate hospital readmission among elderly population within thirty days of discharge. In this paper the author is narrating the team dynamics, functionalities and personal competencies in the process of recommending a change in the system. As a member in the innovation leadership team the author is also reflecting on the assessment, capacity for innovation in the organization which is the hospital where the team is
April N. Evans Decreasing CHF Readmission Rates Austin Peay State University Introduction Rising health care cost and stricter regulations for insurance reimbursement plans have pushed health care leaders to re-evaluate health care services. One focus is reducing hospital readmission rates for chronic disease process (Bos-Touwen et al, 2015). Congestive heart failure is one of the leading causes of hospital readmission (Cubbon et al, 2014). Fifteen million people worldwide have a
The geriatric population is a very vulnerable population, which needs great care. The main concerns are attributed to the age, educational background, medication experiences, living conditions and diet. All these contribute to factors which make it difficult to be adherent to their goals, which have been developed to improve their health. Geriatric care presents a significant impact on federal spending through the Medicare program. Roughly 20% of all geriatric hospital discharges are done as a transfer
expectancy in Canada has reached 80.9 years (Public Health Agency, 2011). According to this estimation, older adults will make up to 18% of the total population by 2021; an equivalent to 6.7 million people. (Rivard & Buchanan, 2006; Smith, 2012). This data highlights the probability of problems that can be caused due to the increased ratio of dependent population which are an older adults. Physiological changes associated with an aging make older adults more reliant on health care services for the treatments
mortality, and reduce overall health care costs” (Dendale & Coauthors, 2012, p. 1). Due to the severity of HF, readmission rates of HF patients are an area of great concern because HF is the leading cause of hospital admissions and readmission in patients older than 65 years (Stamp, Machado, Allen, Correspondence, 2014). Not only is it the leading cause of hospital admissions and readmissions, it is also one of the most costly diagnoses in the United States (Stamp et al., 2014). Heart failure has become
Discussion Preventing CHF readmission rates is a multi-factorial approach that involves careful monitoring and patient participation. Providers can decrease CHF readmission rates through evidence-based practice and extensive patient education. The first step in preventing CHF readmission rates is recognizing those at higher risk for readmission. The studies reviewed demonstrated that certain physiological and socio-economical factors are indicators for higher risk of readmission rates. Diabetes, number