Readmissions: An Initiative to Improve Care and Lower the Cost of Healthcare

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Hughes (2008) quoting from the , the Agency for Healthcare Research and Quality handbook stated that “many view quality health care as the overarching umbrella under which patient safety resides”. Friedman, Encinosa, Jiang & Mutter (2009) found that “safety events that result in hospital readmissions lead to hefty a financial burden on the institution”. In addition they believe that if more attention is given to address and “ assess the full extra cost of safety events and the factors influencing the rate of safety events, that strategies could be developed for health plans to improve incentives for safety” Friedman, Encinosa, Jiang & Mutter (2009). The Institute of Medicine (IOM) considers patient safety “indistinguishable from the…show more content…
(Horwitz et al.,2011). It is important to consider an all-condition 30-day readmission rate as a quality measure which is the standard benchmark used by the Centers for Medicare & Medicaid Services (CMS) (Horwitz et al., 2011). Rates at the 80th percentile or lower are considered optimal by CMS. Patients transferred to another hospital for longer term care will not count as a readmission. A hospital's readmission rate is calculated by dividing the total number of patients readmitted within seven days of discharge by the total number of hospital discharges” (Mayo Foundation for Medical Education and Research 1998-2014)

While there are many studies done on this aspect of patient care and guidelines have been developed to assist in the reduction of the rate of unplanned readmissions, there is still much to be done to reduce the occurrence, especially in bridging the gap between hospitals, the community, family and ultimately the patient. Support for this approach has been generated by The American Hospital Association (AHA) Committee on Research led by Chu, B., K., Brien, J., G (2012) in its framework for health reform,
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