Complimentary from the publishers of ReadmissionsNews August 15, 2013 | ||
"The interesting feature of ‘improvement’ interventions is that a number
of contextual factors, including implementation effectiveness, impact
their success. To think that any of the readmissions ‘models’ can be
deployed in every setting is unrealistic. Hospitals have discovered that
adaptation of practices is central to the likelihood of measurable
reduction in readmissions. The second major discovery of the past 2-3
years is that hospital-only interventions are low yield in terms of
breakthrough reductions. Some post-hoc analysis of data and tons of
experience demonstrate that ‘community’ interventions, in the home or
other ambulatory settings, are major drivers to lowering readmission
rates. When patients don't get these interventions, whether it is
recurrent/dynamic medication reconciliation, social services support, or
easy connections with the PCP for example, inpatient only interventions
are weak. They are necessary but not sufficient.” Bruce Spurlock, MD,
President and Chief Executive Officer, Convergence Health Consulting,
Inc. |
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From a total of
2,086 lower extremity arthroplasty procedures performed from January
1st, 2012 to March 8th, 2013, 190 were readmitted within 30 days after
the procedure. From these, 150 were unplanned readmissions. The number
one cause of unplanned readmissions was infection (superficial or deep)
and wound issues (N=60, 2.9% of all procedures). Excerpted from: Readmissions News, Volume 2, Number 8, August 2013, "Strategies to Decrease Readmissions after Joint Arthroplasty" |
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Rx to Avoid Health-Law Fines The Wall Street Journal, August 7, 2013 |
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CMS Responds to 6 Major Critiques of Readmission Measure Becker's Hospital Review, August 7, 2013 |
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Going Outside the Hospital for Help: How Readmissions Have Been Reduced
at El Camino Healthcare Informatics, August 7, 2013 |
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Discharge calls help nurses affect readmission rates, patient
satisfaction Nurse.com, August 5, 2013 |
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Bigger readmissions fines hit hospitals | ||
Healthcare IT News, August 5, 2013 | ||
Readmissions Penalties By State: Year Two Kaiser Health News, August 2, 2013 |
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Readmissions Bulletin is a complimentary publication issued periodically from the Health Policy Publishing, LLC, the publisher of Readmissions News (www.ReadmissionsNews.com) Your friends and colleagues can subscribe to Readmissions Bulletin at no charge by visiting: www.ReadmissionsNews.com/resources.html | ||