Since 2012, the federal Centers for Medicare & Medicaid Services has had a logical approach to getting hospitals to decrease high readmission rates within 30 days of discharge: It penalizes hospitals whose rates for patients with six specific conditions are higher than expected. Those conditions are chronic lung disease, coronary artery bypass graft surgery, heart attacks, heart failure, hip and knee replacements and pneumonia. Continue reading
Local pharmacies have limited hours? Turns out that this is way more than an inconvenience. It may also be a factor in hospital readmissions. Patients who can’t easily get their medications from an accessible, nearby – and open! – pharmacy are more likely to end up back in the hospital.
Experts have been exploring possible reasons why so many patients bounce in and out of the hospital, and why it’s been hard to bring down the 30-day readmission rates, even with new financial incentives under the Affordable Care Act. Continue reading
As health insurers adopt population health strategies they find that home-bound patients are the most difficult to reach. Under fee-for-service payment, insurers didn’t need to focus on these patients.
But the combination of the star-rating program that Medicare uses in its Medicare Advantage plans and the need to prevent hospital readmissions means health insurers now are paying extra attention to home-bound patients with chronic illnesses. Typically, these are the 5 percent of patients who account for half of all spending. Continue reading
Going back to 2008 for mortality and 2009 for readmission, journalists can download spreadsheet files to filter and find hospitals with histories of worse or better expected rates of patient outcomes within 30 days of discharge. Continue reading
Potentially Avoidable Hospitalizations (PAH) among nursing home residents are costly, expose residents to additional health risks and exact a toll on patients and families. Many of these readmissions occur after hours or on weekends — when there is no physician or nurse practitioner readily available.
PAHs are hospitalizations that could have been avoided because the condition could have been prevented or treated outside of an inpatient hospital setting. One skilled nursing home chain is using a novel telemedicine program to bring board-certified physicians to the patient bedside, providing two-way video communication to assess, diagnosis and minimize readmissions. It may also save the health system hundreds of thousands of dollars every year. Continue reading