• This study investigated whether older patients' nutritional status at admission predicts unplanned readmission or death in the very early or late periods following hospital discharge. (bmj.com)
  • Design, setting and participants The study prospectively recruited 297 patients ≥60 years old who were presenting to the General Medicine Department of a tertiary care hospital in Australia. (bmj.com)
  • Results Within 7 days following discharge, 29 (10.5%) patients had an unplanned readmission or death whereas an additional 124 (50.0%) patients reached this combined endpoint within 8-180 days postdischarge. (bmj.com)
  • Conclusions Malnutrition in older patients at the time of hospital admission is a significant predictor of readmission or death both in the very early and in the late periods following hospital discharge. (bmj.com)
  • Patients required significantly more outpatient visits, emergency room visits, radiology services, readmissions, and home health aide services than did controls. (cdc.gov)
  • Additionally, no study has addressed the costs of SSIs that arise from most of these infections which now occur in the postdischarge setting and for which patients are not readmitted to the index hospital. (cdc.gov)
  • During the initial COVID-19 surge, one public hospital in NYC updated their post-discharge outreach approach for patients with substance use disorder, as part of the CATCH (Consult for Addiction Treatment and Care in Hospitals) program. (springer.com)
  • Under the CATCH model, medically trained addiction providers, social workers, addiction counselors, and peers with lived experience in addiction engage with hospitalized patients who have diagnosed or suspected substance use disorder (SUD), including but not limited to opioid use disorder (OUD), and are admitted to the hospital for medical reasons. (springer.com)
  • 6 As government officials instituted mandatory stay-at-home orders and hospitals struggled to quickly implement distancing practices, NYC public hospital patients with SUD faced disrupted access to SUS. (springer.com)
  • Enrolled patients will complete study assessments immediately prior to the discharge discussion, immediately postdischarge discussion and 1 week after hospital discharge by telephone. (bmj.com)
  • Hospital utilization for heart failure patients showed inconsistent reductions. (biomedcentral.com)
  • We used standardized data of 1,878,767 discharged patients provided by 469 hospitals from July 1 to October 31, 2006. (biomedcentral.com)
  • We used an electronic, standardized dataset of discharged patients provided by 469 hospitals that participated in a Japanese patient classification system and related evaluation scheme from July 1 to October 31, 2006. (biomedcentral.com)
  • Under bundled payment, hospitals bear financial responsibility for SNF care but may perceive themselves as constrained in their ability to direct patients to specific providers, which may limit shifts in referral patterns. (ajmc.com)
  • Hospitals may respond to bundled payment in ways that do not affect discharge flows, such as sharing electronic health records, monitoring SNF performance, and hiring care coordinators to track patients after discharge. (ajmc.com)
  • L'impact net de l'accréditation était une réduction de 1,2 point de pourcentage du retour des patients en soins intensifs, une baisse de 12,8 % de la rotation annuelle du personnel et une amélioration de 20 % de l'exhaustivité des dossiers médicaux. (who.int)
  • These readmissions not only strain healthcare resources but also inflate costs for both providers and patients. (confy.live)
  • When patients stay in the hospital for too long, they are at risk for hospital-acquired infections (Baek et al. (nursingpaperslayers.com)
  • Readmission rates show the number of patients admitted into the same facility or a different facility within thirty days of being discharged for the same condition. (nursingpaperslayers.com)
  • The readmission rate metric measures the quality of care given to patients (Fische et al. (nursingpaperslayers.com)
  • Fifth, the most effective programs had timely information on when patients were admitted to a hospital, so they could quickly begin working on the new needs the patient would have and capitalize on the learning opportunity presented by the crisis that got them admitted to the hospital. (avancehealth.com)
  • And last but not least, the two most successful programs were (with one exception) the only ones out of 12 programs for which we had survey data for which the proportion of treatment group patients reporting someone had taught them how to take their medications correctly was significantly higher than the proportion of the corresponding control group reporting they received such guidance. (avancehealth.com)
  • Effect of increased compulsion on readmission to hospital or disengagement from community services for patients with psychosis: follow-up of a cohort from the OCTET trial. (ox.ac.uk)
  • BACKGROUND: Community treatment orders (CTOs) have not been shown in randomised trials to reduce readmission to hospital in patients with psychosis, but these trials have been short (11-12 months). (ox.ac.uk)
  • Here, we present follow-up data for a cohort of individuals recruited to our original trial to examine the long-term effect of CTOs on readmissions and the risk of patients disengaging from mental health services temporarily or enduringly. (ox.ac.uk)
  • METHODS: For OCTET, an open-label, parallel, randomised controlled trial, we recruited patients aged 18-65 years involuntarily admitted to mental health hospitals in 32 trusts in England, with a diagnosis of psychosis and deemed suitable for CTOs by their clinicians. (ox.ac.uk)
  • We tested rates of readmission to hospital, time to first readmission, number of readmissions, and duration of readmission in patients assigned to CTO versus those assigned to control, and in all patients with CTO experience at any time in the 36 months versus those without. (ox.ac.uk)
  • We also tested whether duration of CTO affected readmission outcomes in patients with CTO experience. (ox.ac.uk)
  • INTERPRETATION: We identified no evidence that increased compulsion leads to improved readmission outcomes or to disengagement from services in patients with psychosis over 36 months. (ox.ac.uk)
  • It can help significantly improve overall health outcomes and reduce practice workload by engaging, educating , monitoring and treating patients through out (before, during and after) treatment. (aviahealth.com)
  • Objective The relationship between admission nutritional status and clinical outcomes following hospital discharge is not well established. (bmj.com)
  • Outcome measures The impact of nutritional status was measured on a combined endpoint of any readmission or death within 0-7 days and between 8 and 180 days following hospital discharge. (bmj.com)
  • With the current trends favoring a shortened postoperative hospital stay, outpatient surgery, and same-day surgery, more SSIs are occurring after discharge from the hospital and, therefore, beyond the reach of most hospital infection control surveillance programs ( 8 ). (cdc.gov)
  • Given the high costs and adverse patient outcomes associated with SSIs, quantifying the clinical and economic impact of SSIs recognized after discharge from the hospital is important. (cdc.gov)
  • This is supported in part by post-discharge outreach where a peer or addiction counselor calls a patient within a week of hospital discharge to confirm their referral or receipt of MAT. (springer.com)
  • CATCH addiction counselors and peers at one NYC public hospital changed their approach by including comprehensive counseling, in-depth peer support, and tele-delivered MAT appointments with CATCH medical providers as part of their post-discharge outreach. (springer.com)
  • Introduction Ineffective hospital discharge communication can significantly impact patient understanding, safety and treatment adherence. (bmj.com)
  • This may be especially true for cardiology inpatients who leave the hospital with complex discharge plans delivered in a time-pressured discharge discussion. (bmj.com)
  • In this study, we applied a generic prediction model to nationwide discharge data from hospitals with various characteristics. (biomedcentral.com)
  • In this study, we applied a generic case-mix-based risk adjustment model for in-hospital mortality prediction to hospitals with varying characteristics, and evaluated its performance for benchmarking risk-adjusted hospital mortality using a nationwide database of discharge cases. (biomedcentral.com)
  • Hospital participation in Medicare's Bundled Payments for Care Improvement model was not associated with changes in number of skilled nursing facility (SNF) partners or in SNF discharge concentration. (ajmc.com)
  • We used difference-in-differences analyses to assess changes in discharge patterns among BPCI-participating hospitals compared with matched control hospitals. (ajmc.com)
  • Hospital participation in BPCI was not associated with changes in the number of SNF partners or in discharge concentration relative to non-BPCI hospitals. (ajmc.com)
  • Length of stay measures the amount of time a patient spends in the hospital from the time of admission to time of discharge. (nursingpaperslayers.com)
  • We generated and validated a case-mix in-hospital mortality prediction model using 50/50 split sample validation. (biomedcentral.com)
  • Recent enthusiasm for outcome evaluation such as in-hospital mortality, however, has been challenged because of the difficulties of ensuring adequate risk adjustment for different patient populations, an indispensable factor for fairly evaluating healthcare performance [ 2 ]. (biomedcentral.com)
  • Since the calculation of risk-adjusted in-hospital mortality is often conducted for benchmarking purposes, whether the risk adjustment model is applicable to hospitals with varying characteristics and case-mix must be clarified. (biomedcentral.com)
  • Data from a study by McAlister et al ( J Am Coll Cardiol 2004 ) show that smoothing the transition from the hospital to home reduced not only heart failure readmissions (26%), but also overall mortality (25%) and overall hospitalization (19%) and was generally cost-saving or cost neutral. (medicaleconomics.com)
  • It also tracks a patient's readmission due to a complication related to the original condition of care. (nursingpaperslayers.com)
  • Prevention of [heart failure] readmissions begins with effective in-hospital treatment and efficient care transitions," said Akshay S. Desai, MD, director for heart failure disease management, in the cardiovascular division, of Brigham and Women's Hospital in Boston. (medicaleconomics.com)
  • ABSTRACT We assessed the economic impact of Joint Commission International hospital accreditation on 5 structural and outcome hospital performance measures in Jordan. (who.int)
  • 35+ clinical studies & evaluations have shown SeamlessMD to help providers reduce length of stay, readmissions, ED visits, phone calls, and costs.SeamlessMD was the first patient engagement platform with direct, turn-key integrations with both Epic (Connection Hub), Oracle Cerner (CODE) and MEDITECH. (aviahealth.com)
  • Desai was speaking on strategies for reducing heart failure readmissions at 30 days and beyond initial hospitalization during his presentation entitled "Practice: Clinical Initiatives to Address Readmission" at the American Heart Association (AHA) meeting. (medicaleconomics.com)
  • This is a blog by a former CEO of a large Boston hospital to share thoughts about negotiation theory and practice, leadership training and mentoring, and teaching. (blogspot.com)
  • There is a provision of the law ("Chapter 176T, Risk-bearing Provider Organizations") that was written to provide some assurance that provider organizations--physician organizations, physician-hospital organizations, independent practice associations, provider networks, accountable care organizations and any other organization that contracts with carriers for payment for health care services--would be financially capable of bearing the risk of alternative payment contracts. (blogspot.com)
  • Infections in cardiac surgery have been estimated to add from US$8,200 (1982 dollars) to $42,000 (1985 dollars) to the cost of care after adjustments are made for preexisting illnesses and conditions, and these increased costs are likely attributable to excess hospital and intensive care unit stays ( 4 - 6 ). (cdc.gov)
  • Care efficiency contributes significantly to how long a patient stays in the hospital. (nursingpaperslayers.com)
  • High care efficiency leads to short hospital stays, while inadequate care efficiency extends the length of patient stay. (nursingpaperslayers.com)
  • The purpose of sharing the results is to encourage nurses to improve care efficiency to enable short hospital stays. (nursingpaperslayers.com)
  • The model fits well to a group of hospitals with a wide variety of acute care events, though model fit is less satisfactory for specialized hospitals and those with convalescent wards. (biomedcentral.com)
  • Our analytic sample included 3078 acute care hospitals and 14,866 Medicare-certified SNFs in the United States, encompassing more than 47 million hospital discharges. (ajmc.com)
  • Surgical site infections (SSIs), the second most common cause of nosocomial infection after urinary tract infections, cause approximately 17% of all hospital-acquired infections ( 1 ) and lead to increased costs and worse patient outcomes in hospital inpatients ( 2 ). (cdc.gov)
  • Several studies have focused on the direct medical costs borne by the hospital or insurer, but to our knowledge, no study has assessed the full societal impact of SSIs, which includes indirect costs, such as lost patient productivity and diminished functional status ( 11 , 12 ). (cdc.gov)
  • We will analyse preliminary data about the impact of audio recording on patient activation, health confidence, provider communication ability, adherence and 30-day readmissions. (bmj.com)
  • As hospitals and clinics seek ways to streamline operations, improve patient outcomes, and navigate the complexities of healthcare economics, telemedicine has emerged as a powerful tool in their arsenal. (confy.live)
  • By enabling virtual consultations and remote patient monitoring, hospitals and clinics can optimize their existing physical layout. (confy.live)
  • Hospitals and health systems across the country are developing and implementing population health initiatives aimed at providing better patient care, wellness and prevention. (beckershospitalreview.com)
  • Dive into our extensive selection of remote patient monitoring tools, solutions, and software, designed to support hospitals and healthcare systems in providing efficient and personalized telehealth services. (aviahealth.com)
  • As telehealth continues to gain prominence, our AVIA Marketplace offers a variety of remote patient monitoring solutions, with a focus on optimizing patient outcomes, reducing hospital readmissions, and boosting patient satisfaction. (aviahealth.com)
  • How Does Telemedicine Slash Costs for Hospitals and Clinics? (confy.live)
  • Before tackling the burning question: How does telemedicine reduce costs for hospitals and clinics? (confy.live)
  • To better understand how telemedicine saves money for hospitals and clinics, let's take a look at the financial challenges they face. (confy.live)
  • The traditional healthcare model often grapples with skyrocketing operational costs, resource allocation dilemmas, and the escalating burden of preventable readmissions. (confy.live)
  • One of the most significant financial challenges plaguing healthcare is the high rate of preventable readmissions. (confy.live)
  • The two-quality metrics used in my workplace are the length of stay and readmission rates. (nursingpaperslayers.com)
  • We previously investigated the effect of CTOs on readmission rates over 12 months in a randomised trial (OCTET). (ox.ac.uk)
  • The CTO experience group had significantly more readmissions than the group without (IDR 1·39 [95% CI 1·07-1·79]) and we noted no significant difference between groups in readmission rates, duration of readmission, or time to first readmission. (ox.ac.uk)
  • The research was a large prospective observational study evaluating the association between nutritional status and readmission or death in medical inpatients ≥60 years old. (bmj.com)
  • Recognize cognitive impairments that are prevalent and impact readmissions. (medicaleconomics.com)
  • We conducted a 4-year retrospective study comparing 2 private accredited acute general hospitals with matched non-accredited hospitals, using difference-in-differences and adjusted covariance analyses to test the impact and value of accreditation on hospital performance measures. (who.int)
  • The results of the readmission rate metric are not shared with the nurses. (nursingpaperslayers.com)
  • However, I think that these results should be shared because nurses can help reduce the rate of readmission. (nursingpaperslayers.com)
  • Among the studied hospitals, 446 (95%) had a c-index of ≥0.8 and were classified as the higher c-index group. (biomedcentral.com)
  • The results also suggest that economic crises might be associated with a higher use of prescription drugs and an increase in hospital admissions for mental disorders. (cambridge.org)
  • Pooling both hospitals over 3 years, these improvements translated into total savings of US$ 593 000 in Jordan's health-care system. (who.int)
  • The platform helps hospital leaders manage care transitions and coordinate teams in all aspects of population health. (beckershospitalreview.com)
  • 4 Among the initiatives supported by this funding was the launch of the "Consult for Addiction Treatment and Care in Hospitals (CATCH)" program, which now operates at six NYC public hospitals. (springer.com)
  • Hospitals participating in Medicare's Bundled Payments for Care Improvement model did not concentrate skilled nursing discharges among smaller groups of skilled nursing facilities (SNFs). (ajmc.com)
  • Prevention of heart failure readmissions begins with effective in-hospital treatment and efficient care transitions,' says Akshay S. Desai, MD in a presentation at the 2015 AHA Fall Conference meeting. (medicaleconomics.com)
  • Hospitals and clinics find themselves in a perpetual balancing act, striving to deliver exceptional care while managing budgets that are stretched to their limits. (confy.live)
  • Conversely, a small number of readmission cases shows the hospital provides high quality of care. (nursingpaperslayers.com)
  • However, the dataset used in the previous study was derived mainly from large university-affiliated teaching hospitals, which may compromise the ability to generalize results to a broader array of hospitals. (biomedcentral.com)
  • Dr. Kristan Staudenmayer received her medical degree at the University of Texas at Southwestern Medical School in 1999, and completed her residency in General Surgery at Parkland Hospital in 2006. (stanford.edu)
  • We did not identify a linear relationship between readmission outcomes and duration of CTO. (ox.ac.uk)
  • The major advantage of this surgery is that it requires only one hospital stay and rehabilitation period to recover both knees. (biomedcentral.com)
  • More research is needed to understand how hospitals are responding to bundled payment incentives and specific practices that contribute to improvements in cost and quality. (ajmc.com)
  • Further research is needed to assess specific hospital responses to bundled payment and their impacts on cost and quality. (ajmc.com)
  • Wellspan" is a highly regarded and well-run hospital system that is local to the DMCB. (blogspot.com)
  • During her post-graduate training, she conducted NIH T32-funded research at Harborview Hospital evaluating the effects of innate immunity on trauma. (stanford.edu)
  • That is especially the case because Blue Cross padded first-year global payment budgets to entice hospitals and doctors to sign on . (blogspot.com)