Readmissions Bulletin
Complimentary from the publishers of Readmissions News                    August 2019
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Quote
  "Patient engagement is tricky, and it’s no secret that it plays a critical role in health outcomes, and certainly helps to reduce hospital readmissions for high-risk patients. However, we often fail as a health system to really understand how ready our patients are to engage. Doctors, nurses and case managers often work in a paternalistic manner, telling the patient, 'You have to do X, Y and Z' without ever thinking about how to get the patient to buy in. We expect them to want the same things we do or speak our language and, quite frankly, they often don’t. It’s not because they do not care; writing them off is not the solution.”
- David Kagan, M.D., Senior Medical Director of Utilization Management, L.A. Care Health Plan.

 
Factoid
  "To better understand the impact of patient engagement on readmissions, researchers from UCLA interviewed patients who had recently experienced readmission...28% of patients reported not feeling ready for discharge, which correlated with inadequate symptom resolution, poor pain control, and concerns about self‐care. Additionally, only 65% of the patients remember receiving and reviewing the discharge paperwork; 22% could not identify any critical information." 

Excerpted from: Readmissions News, Volume 8, Number 8, August 2019, "How Better Patient Engagement Reduces Avoidable Readmissions," by Nan Hou, PhD, RN.
 
 
Readmissions Video

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Strategies to Reduce COPD Readmissions at a Regional Medical Center: VHHA Webinar Series

This episode of VHHA's “Targeted Strategies for Improving Care Transitions and Reducing Preventable Hospital Admissions" Webinar Series features a presentation from Sentara Williamsburg Regional Medical Center on “Strategies to Reduce COPD Readmissions at a Regional Medical Center.”

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AJMC: Odds of Hospital Readmission Within 30 Days for Those with Social Needs

1. Overall, individuals who identified social service needs had 68% higher odds of hospital readmission within 30 days of discharge than those without social needs.
2. Those with financial needs had 19% higher odds of readmission within 30 days than those without those social needs.
3. Those with food needs had 32% higher odds of readmission within 30 days than those without those social needs.
4. Those with housing needs had 31% higher odds of readmission within 30 days than those without those social needs.
5. Those with transportation needs had 21% higher odds of readmission within 30 days than those without those social needs.

Notes: from an article entitled,"Passive Social Health Surveillance and Inpatient Readmissions," by Nnadozie Emechebe, MPH; Pamme Lyons Taylor, MBA, MHCA; Oluyemisi Amoda, MHA, MPH; and Zachary Pruitt, PhD

Source: The American Journal of Managed Care, August 15, 2019

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