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- Preventable readmissions can be controlled by comprehensive discharge planning. Case managers are directly involved in discharge planning and thus have direct accountability regarding readmissions; therefore, they must refine the admission assessment screening to include specific information based on a patient's preadmission level of care.
pubmed.ncbi.nlm.nih.gov/23241896/
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Patients readmitted within 30 days averaged more chronic conditions (16 vs. 8) and more medications (22 vs. 14) than those who avoided a 30-day readmission. Intensive case manage-ment should be targeting this population to reduce 30-day hospital readmissions.
Jun 7, 2024 · By addressing the root causes of readmissions and implementing strategies that focus on patient education, care coordination, and addressing social determinants of health, healthcare institutions can make significant strides in reducing readmissions and improving patient outcomes.
May 11, 2015 · 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:
Mar 1, 2021 · Numerous care transition processes reduce readmissions in clinical trials. The objective of this study was to examine the relationship between the number of evidence-based transitional care processes used and the risk standardized readmission rate (RSRR). Methods. Design: Mixed method, multi-stepped observational study.
- Jacqueline Pugh, Lauren S. Penney, Polly H. Noël, Sean Neller, Michael Mader, Erin P. Finley, Holly ...
- 2021
Nurse case managers evaluated each readmission case and, in alignment with patient perspectives, identified system factors most of the time (Smeraglio et al., 2019). When providers and other members of the care team are ‘dinged’ for patient outcomes, they may be more likely to assign blame for readmission to patients.
- Kathryn Taylor, Patricia M. Davidson
- 2021
Jan 18, 2024 · Multidisciplinary communication approaches led by emergency medicine can help reduce readmissions significantly. Adopting a structured communication workflow can enhance co-managing patients with a high risk of readmission between the emergency department and hospital medicine teams.
Implications for case management practice: Preventable readmissions or rehospitalizations directly affect patient safety, patient outcome, hospital reimbursement, and hospital accreditation. Preventable readmissions can be controlled by comprehensive discharge planning.
