A unique emergency department program focused on geriatric transitional care is helping older patients avoid unnecessary hospital admissions by as much as 33 percent, according to results of a study from Northwestern University Hospital in Chicago, Mount Sinai Medical Center in New York, and St. Joseph’s Regional Medical Center in New Jersey. They’re collaborating on The Geriatric Emergency Department Innovations (GEDI WISE) program, an interdisciplinary approach to improving acute geriatric emergency care.
The program keeps older adults out of the hospital while keeping them safe, and has shown to prevent both 72-hour and 30-day readmissions. Continue reading
A new medical specialty may be forming to meet a rising demand for care in nursing homes. A recent study found that physicians and advanced practitioners (nurse practitioners and physician assistants) who focus on nursing home-only care increased by a third between 2012 and 2015.
This apparent trend may be significantly affecting outcomes and continuity of care, concluded researchers at the University of Pennsylvania Perelman School of Medicine. Continue reading
AHCJ has updated and merged its version of the hospital mortality and readmission data available exclusively to members.
Going back to 2008 for mortality and 2009 for readmission to 2016 for both, 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
Predictive analytics is an area of data science that is getting a lot of attention in health care.
Predictive analytics offers a tantalizing solution to problems plaguing resource-restrained hospitals. Namely, if providers can predict which patients will be readmitted within 30 days, or who will acquire an infection in the hospital, they can apply scarce resources to those high-risk patients and change the predicted outcome. This has the potential to improve quality outcomes and lower costs. Continue reading
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