How can we reduce rehospitalizations in home care?

How can we reduce rehospitalizations in home care?

5 Steps to Reduce Readmission Rates

1. Improve communication among care team members.
2. Use sensor technology.
3. Establish procedures that ensure strong clinical oversight.
4. Analyze reasons for readmissions.

How can I lower my hospital readmission rate?

Let’s examine 7 strategies to reduce hospital readmissions:

1. 1) Understand Current Policy.
2. 2) Identify Patients at High Risk for Readmission.
3. 3) Utilize Medication Reconciliation.
4. 4) Prevent Healthcare-Acquired Infections.
5. 5) Optimize Utilization of Technology.
6. 6) Improve Handoff Communication.

What are the most common reasons for hospital readmission?

The Top 5 Reasons for Hospital Readmission

• Failure to Follow Hospital Discharge Orders.
• Recurrence of a preexisting infection.
• Poor Coordination of Care After Discharge.
• Fall-Related Injuries.
• Pneumonia.

How can nurses prevent readmissions?

Failure to create standard discharge processes, adequately prepare patients and family caregivers for discharge, educate patients about medications, and communicate effectively with postdischarge providers contribute to preventable readmissions.

How can Hrrp be improved?

It’s become obvious that HRRP needs to be enhanced, and that policies need to be changed to focus on patient outcomes instead simply focusing on readmission rates. Offering incentives, solutions, and rewards may provide a more effective way to improve problems with readmissions than doling out penalties.

How can Hospitalization be prevented?

Evidence suggests that the rate of avoidable rehospitalization can be reduced by improving core discharge planning and transition processes out of the hospital; improving transitions and care coordination at the interfaces between care settings; and enhancing coaching, education, and support for patient self-management …

What is the 30 day readmission rule?

CMS defines a hospital readmission as “an admission to an acute care hospital within 30 days of discharge from the same or another acute care hospital.” It uses an “all-cause” definition, meaning that the cause of the readmission does not need to be related to the cause of the initial hospitalization.

Why is readmission a problem?

Readmissions that occur within the first few days after discharge may reflect poor care coordination or inadequate recognition of post-discharge needs, whereas readmissions four weeks later are more likely to be due to the underlying severity of a patient’s disease or events out of the control of the hospital.

Why is reducing readmissions important?

Reducing hospital readmissions—especially those that result from poor inpatient or outpatient care—has long been a health policy goal because it represents an opportunity to lower health care costs, improve quality, and increase patient satisfaction at once.

How can I reduce my 30 day readmission?

Download the fact sheet on Care Guidance for readmission reduction to learn more.

1. Ensure Adequate Nursing Coverage.
2. Improve Transitional Care.
3. Ensure Patients Understand Post-Discharge Instructions.
4. Schedule 7-Day Follow Up Appointments.
5. More Resources on Reducing Readmissions:

Is reducing the hospitalization rate a good thing?

How does Hrrp improve healthcare?

HRRP improves Americans’ health care by linking payment to the quality of hospital care. CMS incentivizes hospitals to improve communication and care coordination efforts to better engage patients and caregivers on post-discharge planning.

How to reduce readmission rate at your Hospital?

Reducing Readmission Rates At Your Facility Follow-up Phone Calls. This simple, low-tech solution can be incredibly powerful. A More Efficient Handoff Process. As the patient is transitioning out of your facility, make sure to take advantage of the opportunity to communicate with them and ensure they fully Collaborative Programs. Implementing Technology.

What works for preventing hospital readmissions?

An extensive review of medical literature by Truven Health Analytics provided the following 7 proven key interventions that can help prevent 30 day readmissions: Educate patients during the hospital stay, not only on the discharge day Assign a designated discharge advocate/patient navigator to monitor and manage the post-discharge care of the patient Ensure that high risk patients keep a follow-up appointment within seven days of discharge

Through efficient coordination, communication, planning, and education, nurses and nurse case managers (NCMs) can play a pivotal role in reducing readmissions. Starting at admission, we can mitigate readmission risk at multiple points during the predischarge and postdischarge periods by: conducting postdischarge follow-up phone calls.

Can nurses reduce readmissions?

The Hospital Readmission Reduction Program (part of the Affordable Care Act) reduces payments to hospitals with high readmissions rates within 30 days of discharge. Through efficient coordination, communication, planning, and education, nurses and nurse case managers (NCMs) can play a pivotal role in reducing readmissions.