Session Type
Meeting
Search Results for Readmission
Abstract Number: 99
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: The Centers for Medicare & Medicaid Services (CMS) have sought to reduce readmissions through penalties applied to hospitals with readmission rates that are higher than expected, as calculated from models that use patient-level administrative data to account for case mix. Similar approaches are used to determine expected morality rates. Currently, CMS disseminates hospital-level adjusted […]
Abstract Number: 126
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: Unplanned readmissions among cancer patients are common and gastrointestinal (GI) cancer has some of the highest readmission volumes. Under the Affordable Care Act, hospitals have been getting penalized for excessive readmission rates. For now, the medical treatment of cancer is exempt from this measure. This is because the readmission profile of the cancer patient […]
Abstract Number: 129
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: Chronic Obstructive Pulmonary Disease (COPD) is the third most common cause of hospital readmission within 30 days of discharge. These readmissions increase the overall healthcare cost burden. We examined the effect of early follow-up visit with patient’s primary care physician (PCP) or pulmonologist on 30-day and 1-year readmission risk. Methods: We constructed an electronic […]
Abstract Number: 136
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: A small population of patients disproportionately consume an increasing share of medical resources. These super-utilizers often have complex medical and psychosocial conditions that require carefully coordinated, individualized care. As this population drives unplanned readmissions, programs to reduce readmissions may create unintended incentives to direct super-utilizers to another hospital system. This study was designed to […]
Abstract Number: 201
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: Traditional readmission case review processes at our tertiary-care academic institution failed to identify obvious target processes for readmission reduction. Looking for a more nuanced method of readmission review, we turned to our patients. We conducted over 300 readmitted patient interviews and a focus group to learn from our patient’s experiences. We then developed a […]
Abstract Number: 248
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: In shared decision making models, decisional conflict is a measure of uncertainty and readiness and comfort level in making a decision. The literature examining decisional conflict is currently relatively immature. The act of a patient being readmitted is, in part, an effect of multiple small decisions a patient makes in the time between index […]
Abstract Number: 272
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: Defined approaches to reducing rates of hospital readmissions rates assume that patients are invested in their healthcare and in preventing readmissions. However, the extent to which patients believe that readmission is a “bad” outcome and feel that it is inevitable have not been defined. Further, the ability of patients to anticipate their own readmissions […]
Abstract Number: 308
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: In order to most efficiently improve transition of care, hospitals need to target intensive discharge interventions at those patients at high risk of unplanned readmission. The “HOSPITAL” score, derived previously in the US, is an easy to use prediction model that accurately identifies medical patients at high risk of readmission. It includes the following […]
Abstract Number: 321
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: Patients who are at risk for readmissions and emergency department visits following hospital discharge frequently have multiple medical comorbidities and a history of multiple prior hospitalizations. Over the past five years, reducing hospital readmissions has increasingly become a priority for hospitals, and effective interventions to reduce readmissions have included multiple components and multiple disciplines. […]
Abstract Number: 324
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: The period following hospital discharge is a vulnerable time for patients when increased self-care requirements are common. Low levels of health literacy and social support are thought to contribute to poor post-discharge outcomes. However, little research has specifically examined the role of health literacy alone or in combination with social support in predicting readmission […]