Subsequent admissions of a patient to a hospital or other health care institution for treatment.
The administrative process of discharging the patient, alive or dead, from hospitals or other health facilities.
The period of confinement of a patient to a hospital or other health facility.
Federal program, created by Public Law 89-97, Title XVIII-Health Insurance for the Aged, a 1965 amendment to the Social Security Act, that provides health insurance benefits to persons over the age of 65 and others eligible for Social Security benefits. It consists of two separate but coordinated programs: hospital insurance (MEDICARE PART A) and supplementary medical insurance (MEDICARE PART B). (Hospital Administration Terminology, AHA, 2d ed and A Discursive Dictionary of Health Care, US House of Representatives, 1976)
Studies used to test etiologic hypotheses in which inferences about an exposure to putative causal factors are derived from data relating to characteristics of persons under study or to events or experiences in their past. The essential feature is that some of the persons under study have the disease or outcome of interest and their characteristics are compared with those of unaffected persons.
A heterogeneous condition in which the heart is unable to pump out sufficient blood to meet the metabolic need of the body. Heart failure can be caused by structural defects, functional abnormalities (VENTRICULAR DYSFUNCTION), or a sudden overload beyond its capacity. Chronic heart failure is more common than acute heart failure which results from sudden insult to cardiac function, such as MYOCARDIAL INFARCTION.
A system for classifying patient care by relating common characteristics such as diagnosis, treatment, and age to an expected consumption of hospital resources and length of stay. Its purpose is to provide a framework for specifying case mix and to reduce hospital costs and reimbursements and it forms the cornerstone of the prospective payment system.
The expenses incurred by a hospital in providing care. The hospital costs attributed to a particular patient care episode include the direct costs plus an appropriate proportion of the overhead for administration, personnel, building maintenance, equipment, etc. Hospital costs are one of the factors which determine HOSPITAL CHARGES (the price the hospital sets for its services).
Physicians who are employed to work exclusively in hospital settings, primarily for managed care organizations. They are the attending or primary responsible physician for the patient during hospitalization.
The confinement of a patient in a hospital.
An assessment of a patient's illness, its chronicity, severity, and other qualitative aspects.
Institutions with an organized medical staff which provide medical care to patients.
The care and treatment of a convalescent patient, especially that of a patient after surgery.
The term "United States" in a medical context often refers to the country where a patient or study participant resides, and is not a medical term per se, but relevant for epidemiological studies, healthcare policies, and understanding differences in disease prevalence, treatment patterns, and health outcomes across various geographic locations.
The levels of excellence which characterize the health service or health care provided based on accepted standards of quality.
Norms, criteria, standards, and other direct qualitative and quantitative measures used in determining the quality of health care.
Method of charging whereby a physician or other practitioner bills for each encounter or service rendered. In addition to physicians, other health care professionals are reimbursed via this mechanism. Fee-for-service plans contrast with salary, per capita, and prepayment systems, where the payment does not change with the number of services actually used or if none are used. (From Discursive Dictionary of Health Care, 1976)
A vital statistic measuring or recording the rate of death from any cause in hospitalized populations.
Evaluation procedures that focus on both the outcome or status (OUTCOMES ASSESSMENT) of the patient at the end of an episode of care - presence of symptoms, level of activity, and mortality; and the process (ASSESSMENT, PROCESS) - what is done for the patient diagnostically and therapeutically.
An aspect of personal behavior or lifestyle, environmental exposure, or inborn or inherited characteristic, which, on the basis of epidemiologic evidence, is known to be associated with a health-related condition considered important to prevent.
Research aimed at assessing the quality and effectiveness of health care as measured by the attainment of a specified end result or outcome. Measures include parameters such as improved health, lowered morbidity or mortality, and improvement of abnormal states (such as elevated blood pressure).
Special hospitals which provide care to the mentally ill patient.
Review of claims by insurance companies to determine liability and amount of payment for various services. The review may also include determination of eligibility of the claimant or beneficiary or of the provider of the benefit; determination that the benefit is covered or not payable under another policy; or determination that the service was necessary and of reasonable cost and quality.
Health care provided on a continuing basis from the initial contact, following the patient through all phases of medical care.
The use of severity-of-illness measures, such as age, to estimate the risk (measurable or predictable chance of loss, injury or death) to which a patient is subject before receiving some health care intervention. This adjustment allows comparison of performance and quality across organizations, practitioners, and communities. (from JCAHO, Lexikon, 1994)
Elements of limited time intervals, contributing to particular results or situations.
Studies in which subsets of a defined population are identified. These groups may or may not be exposed to factors hypothesized to influence the probability of the occurrence of a particular disease or other outcome. Cohorts are defined populations which, as a whole, are followed in an attempt to determine distinguishing subgroup characteristics.
Evaluation undertaken to assess the results or consequences of management and procedures used in combating disease in order to determine the efficacy, effectiveness, safety, and practicability of these interventions in individual cases or series.
Pathologic processes that affect patients after a surgical procedure. They may or may not be related to the disease for which the surgery was done, and they may or may not be direct results of the surgery.
The process of accepting patients. The concept includes patients accepted for medical and nursing care in a hospital or other health care institution.
Statistical models which describe the relationship between a qualitative dependent variable (that is, one which can take only certain discrete values, such as the presence or absence of a disease) and an independent variable. A common application is in epidemiology for estimating an individual's risk (probability of a disease) as a function of a given risk factor.
A set of techniques used when variation in several variables has to be studied simultaneously. In statistics, multivariate analysis is interpreted as any analytic method that allows simultaneous study of two or more dependent variables.
Persons admitted to health facilities which provide board and room, for the purpose of observation, care, diagnosis or treatment.
Hospitals engaged in educational and research programs, as well as providing medical care to the patients.
Situations or conditions requiring immediate intervention to avoid serious adverse results.
Institutions with permanent facilities and organized medical staff which provide the full range of hospital services primarily to a neighborhood area.
The formal process of obtaining a complete and accurate list of each patient's current home medications including name, dosage, frequency, and route of administration, and comparing admission, transfer, and/or discharge medication orders to that list. The reconciliation is done to avoid medication errors.
Hospitals providing medical care to veterans of wars.
Schedules of medical and nursing procedures, including diagnostic tests, medications, and consultations designed to effect an efficient, coordinated program of treatment. (From Mosby's Medical, Nursing & Allied Health Dictionary, 4th ed)
The presence of co-existing or additional diseases with reference to an initial diagnosis or with reference to the index condition that is the subject of study. Comorbidity may affect the ability of affected individuals to function and also their survival; it may be used as a prognostic indicator for length of hospital stay, cost factors, and outcome or survival.
Special hospitals which provide care for ill children.
Surgery performed on an outpatient basis. It may be hospital-based or performed in an office or surgicenter.
Studies in which individuals or populations are followed to assess the outcome of exposures, procedures, or effects of a characteristic, e.g., occurrence of disease.
Infection of the lung often accompanied by inflammation.
Observation of a population for a sufficient number of persons over a sufficient number of years to generate incidence or mortality rates subsequent to the selection of the study group.
Hospital department responsible for the administration and provision of immediate medical or surgical care to the emergency patient.
A professional society in the United States whose membership is composed of hospitals.
Disease having a short and relatively severe course.
NECROSIS of the MYOCARDIUM caused by an obstruction of the blood supply to the heart (CORONARY CIRCULATION).

Recurrence in affective disorder: analyses with frailty models. (1/1240)

The risk of recurrence in affective disorder is influenced by the number of prior episodes and by a person's tendency toward recurrence. Newly developed frailty models were used to estimate the effect of the number of episodes on the rate of recurrence, taking into account individual frailty toward recurrence. The study base was the Danish psychiatric case register of all hospital admissions for primary affective disorder in Denmark during 1971-1993. A total of 20,350 first-admission patients were discharged with a diagnosis of major affective disorder. For women with unipolar disorder and for all kinds of patients with bipolar disorder, the rate of recurrence was affected by the number of prior episodes even when the effect was adjusted for individual frailty toward recurrence. No effect of episodes but a large effect of the frailty parameter was found for unipolar men. The authors concluded that the risk of recurrence seems to increase with the number of episodes of bipolar affective disorder in general and for women with unipolar disorder.  (+info)

Randomized, controlled trial of long-term moderate exercise training in chronic heart failure: effects on functional capacity, quality of life, and clinical outcome. (2/1240)

BACKGROUND: It is still a matter of debate whether exercise training (ET) is a beneficial treatment in chronic heart failure (CHF). METHODS AND RESULTS: To determine whether long-term moderate ET improves functional capacity and quality of life in patients with CHF and whether these effects translate into a favorable outcome, 110 patients with stable CHF were initially recruited, and 99 (59+/-14 years of age; 88 men and 11 women) were randomized into 2 groups. One group (group T, n=50) underwent ET at 60% of peak &f1;O2, initially 3 times a week for 8 weeks, then twice a week for 1 year. Another group (group NT, n=49) did not exercise. At baseline and at months 2 and 14, all patients underwent a cardiopulmonary exercise test, while 74 patients (37 in group T and 37 in group NT) with ischemic heart disease underwent myocardial scintigraphy. Quality of life was assessed by questionnaire. Ninety-four patients completed the protocol (48 in group T and 46 in group NT). Changes were observed only in patients in group T. Both peak &f1;O2 and thallium activity score improved at 2 months (18% and 24%, respectively; P<0. 001 for both) and did not change further after 1 year. Quality of life also improved and paralleled peak VO2. Exercise training was associated both with lower mortality (n=9 versus n=20 for those with training versus those without; relative risk (RR)=0.37; 95% CI, 0.17 to 0.84; P=0.01) and hospital readmission for heart failure (5 versus 14; RR=0.29; 95% CI, 0.11 to 0.88; P=0.02). Independent predictors of events were ventilatory threshold at baseline (beta-coefficient=0.378) and posttraining thallium activity score (beta-coefficient -0.165). CONCLUSIONS: Long-term moderate ET determines a sustained improvement in functional capacity and quality of life in patients with CHF. This benefit seems to translate into a favorable outcome.  (+info)

Depression during the longitudinal course of schizophrenia. (3/1240)

This prospective research investigated the occurrence and persistence of depression during the longitudinal course of schizophrenia. The research goals were to (1) compare depression in schizophrenia with that in schizoaffective and major depressive disorders, (2) assess whether some schizophrenia patients are vulnerable to depression, and (3) assess the relationship of depression to posthospital adjustment in schizophrenia. A total of 70 schizophrenia, 31 schizoaffective depressed, 17 psychotic unipolar major depressed, and 69 nonpsychotic unipolar major depressed patients were assessed during hospitalization and prospectively assessed for depression, psychosis, and posthospital functioning at 4.5- and 7.5-year followups. A large number (30% to 40%) of schizophrenia patients evidenced full depressive syndromes at each followup, including a subgroup of patients who evidenced repeated depression. Even when considering the influence of psychosis on outcome, depression in schizophrenia was associated with poor overall outcome, work impairment, lower activity, dissatisfaction, and suicidal tendencies. During the post-acute phase assessed, neither the rates nor the severity of depressive syndromes differentiated depression in schizophrenia from schizodepressive or major depressive disorders. However, the depressed schizophrenia patients showed poorer posthospital adjustment in terms of less employment, more rehospitalizations, and more psychosis than the patients with primary major depression. The high prevalence of depression in schizophrenia warrants its incorporation into theory about the disorder. A continuum of vulnerability to depression contributes to the heterogeneity of schizophrenia, with some schizophrenia patients being prone to depression even years after the acute phase. Depression in schizophrenia is one factor, in addition to psychosis, associated with poor outcome and requires specific attention to the treatment strategies by psychiatrists.  (+info)

Need to measure outcome after discharge in surgical audit. (4/1240)

OBJECTIVE: To assess the accuracy of outcome data on appendicectomy routinely collected as part of a surgical audit and to investigate outcome in the non-audited period after discharge. DESIGN: Retrospective analysis of audit data recorded by the Medical Data Index (MDI) computer system for all patients undergoing emergency appendicectomy in one year; subsequent analysis of their hospital notes and notes held by their general practitioners for patients identified by a questionnaire who had consulted their general practitioner for a wound complication. SETTING: One district general hospital with four consultant general surgeons serving a population of 250,000. PATIENTS: 230 patients undergoing emergency appendicectomy during 1989. MAIN MEASURES: Comparison of postoperative complications recorded in hospital notes with those recorded by the MDI system and with those recorded by patients' general practitioners after discharge. RESULTS: Of the 230 patients, 29 (13%) had a postoperative complication recorded in their hospital notes, but only 14 (6%) patients had these recorded by the MDI system. 189 (82%) of the patients completed the outcome questionnaire after discharge. The number of wound infections as recorded by the MDI system, the hospital notes, and notes held by targeted patients' general practitioners were three (1%), eight (3%), and 18 (8%) respectively. None of 12 readmissions with complications identified by the hospital notes were identified by the MDI system. CONCLUSIONS: Accurate audit of postoperative complications must be extended to the period after discharge. Computerised audit systems must be able to relate readmissions to specific previous admissions.  (+info)

Does a dedicated discharge coordinator improve the quality of hospital discharge? (5/1240)

OBJECTIVE: To evaluate the effectiveness of the role of a discharge coordinator whose sole responsibility was to plan and coordinate the discharge of patients from medical wards. DESIGN: An intervention study in which the quality of discharge planning was assessed before and after the introduction of a discharge coordinator. Patients were interviewed on the ward before discharge and seven to 10 days after being discharged home. SETTING: The three medical wards at the Homerton Hospital in Hackney, East London. PATIENTS: 600 randomly sampled adult patients admitted to the medical wards of the study hospital, who were resident in the district (but not in institutions), were under the care of physicians (excluding psychiatry), and were discharged home from one of the medical wards. The sampling was conducted in three study phases, over 18 months. INTERVENTIONS: Phase I comprised base line data collection; in phase II data were collected after the introduction of the district discharge planning policy and a discharge form (checklist) for all patients; in phase III data were collected after the introduction of the discharge coordinator. MAIN MEASURES: The quality and out come of discharge planning. Readmission rates, duration of stay, appropriateness of days of care, patients' health and satisfaction, problems after discharge, and receipt of services. RESULTS: The discharge coordinator resulted in an improved discharge planning process, and there was a reduction in problems experienced by patients after discharge, and in perceived need for medical and healthcare services. There was no evidence that the discharge coordinator resulted in a more timely or effective provision of community services after discharge, or that the appropriateness or efficiency of bed use was improved. CONCLUSIONS: The introduction of a discharge coordinator improved the quality of discharge planning, but at additional cost.  (+info)

Readmission rates are associated with differences in the process of care in acute asthma. (6/1240)

OBJECTIVE: To test the hypothesis that sustained differences in readmission rate for acute asthma were associated with variations in clinical practice. DESIGN: Data were collected by retrospective review of case notes, using the criteria recommended by the British Thoracic Society. SETTING: Two city National Health Service (NHS) hospitals that had recorded a sustained difference in readmission rate for acute asthma. SUBJECTS: A random sample of 50 from each hospital, selected from all 16-44 year old patients discharged in 1992 with acute asthma (ninth revision of the international classification of diseases (ICD-9) 493). RESULTS: Hospital A had a lower readmission rate than hospital B. The sample groups were similar for age, sex, deprivation of area of residence, and severity of episode. Systemic corticosteroids were given early more often (p = 0.02) and oral corticosteroids were prescribed at discharge more often (p = 0.04) in hospital A. When a short course of oral corticosteroids was prescribed the duration stated was longer (p = 0.02) and inhaled corticosteroids were started or the dose increased more often (p = 0.02) in hospital A. CONCLUSIONS: These results support the hypothesis that differences in readmission rates for acute asthma are associated with variations in clinical practice. Sustained variation in readmission rates is an outcome of health care, for acute asthma. The findings also support audit of the process of hospital asthma care as a proxy for outcome.  (+info)

Disease management interventions to improve outcomes in congestive heart failure. (7/1240)

This study is part of a planned 24-month, multicenter, longitudinal comparison of a comprehensive congestive heart failure (CHF) disease management program and was designed to determine effectiveness after 12 months of implementation. The impact of interventions such as telemonitoring of patients, post-hospitalization follow-up, and provider education on selected primary outcomes (hospital admission and readmission rates, length of stay, total hospital days, and emergency room utilization) in a managed care setting was evaluated. Subjects in the study included all participants in the managed care plan, as well as 149 selected program participants. The effects of the program were analyzed for pure CHF and CHF-related diagnoses, with outcomes for the third quarter of 1996 (postintervention follow-up) being compared with those for the third quarter of 1995 (preintervention baseline). Overall, the data demonstrated significantly reduced admission and readmission rates for patients with the pure CHF diagnosis. Among the entire CHF patient population, the third quarter admission rate declined 63% (P = 0.00002), and the 30-day and 90-day readmission rates declined 75% (P = 0.02) and 74% (P = 0.004), respectively. Among program participants with pure CHF diagnoses, the 30-day readmission rate was reduced to 0, and an 83% reduction occurred for both the third quarter admission (P = 0.008) and 90-day readmission (P = 0.06) rates. In addition, the average length of stay for patients with CHF-related diagnoses was significantly reduced among both plan participants (P = 0.03) and program participants (P = 0.001). Reductions were also seen in total hospital days and emergency room utilization. These data thus indicate that a comprehensive disease management program can reduce healthcare utilization not only among CHF patients in the program but also among the entire managed care plan population.  (+info)

Longer hospital length of stay is not related to better clinical outcomes in congestive heart failure. (8/1240)

Efforts to reduce hospital lengths of stay (LOS) are prevalent, despite limited understanding of the clinical impact of duration of hospitalization. Thus, we sought to evaluate the clinical relevance of LOS in congestive heart failure (CHF) by studying its relationship to inpatient and post-discharge outcomes among individuals with this disorder. Ten acute care community hospitals in New York State participated in this investigation. The study population consisted of 1,402 consecutive patients, predominantly elderly, who were hospitalized for evaluation and treatment of moderately severe or severe CHF. The patients' medical records were abstracted by trained personnel immediately after hospital discharge. Patients were followed forward for six month's time to track death and readmission rates, as well as functional status, quality of life, and satisfaction. Mean LOS for the group was 7.9 +/- 9.2 days. Longer LOS had a neutral or negative association with patient outcomes. Specifically, longer LOS was linked to a higher adjusted mortality rate during the index hospitalization, as well as a greater adjusted risk of death during the post-discharge period. Moreover, longer LOS was associated with worse post-discharge functional class and a trend for less patient satisfaction with their physicians' care. We conclude that death becomes more prevalent and functional measures decline in association with prolonged hospital stays for heart failure. Although these findings may be of use in planning management strategies, they offer no proof that reducing the costs of care will improve clinical outcomes in CHF.  (+info)

Patient readmission refers to the event when a patient who was previously discharged from a hospital or healthcare facility returns for further treatment, often within a specified period. It is measured as a percentage of patients who are readmitted within a certain time frame, such as 30, 60, or 90 days after discharge. Readmissions may be planned or unplanned and can occur due to various reasons, including complications from the initial illness or treatment, inadequate post-discharge follow-up care, or the patient's inability to manage their health conditions effectively at home. High readmission rates are often considered an indicator of the quality of care provided during the initial hospitalization and may also signify potential issues with care coordination and transitions between healthcare settings.

Patient discharge is a medical term that refers to the point in time when a patient is released from a hospital or other healthcare facility after receiving treatment. This process typically involves the physician or healthcare provider determining that the patient's condition has improved enough to allow them to continue their recovery at home or in another appropriate setting.

The discharge process may include providing the patient with instructions for ongoing care, such as medication regimens, follow-up appointments, and activity restrictions. The healthcare team may also provide educational materials and resources to help patients and their families manage their health conditions and prevent complications.

It is important for patients and their families to understand and follow the discharge instructions carefully to ensure a smooth transition back to home or another care setting and to promote continued recovery and good health.

"Length of Stay" (LOS) is a term commonly used in healthcare to refer to the amount of time a patient spends receiving care in a hospital, clinic, or other healthcare facility. It is typically measured in hours, days, or weeks and can be used as a metric for various purposes such as resource planning, quality assessment, and reimbursement. The length of stay can vary depending on the type of illness or injury, the severity of the condition, the patient's response to treatment, and other factors. It is an important consideration in healthcare management and can have significant implications for both patients and providers.

Medicare is a social insurance program in the United States, administered by the Centers for Medicare & Medicaid Services (CMS), that provides health insurance coverage to people who are aged 65 and over; or who have certain disabilities; or who have End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant).

The program consists of four parts:

1. Hospital Insurance (Part A), which helps pay for inpatient care in hospitals, skilled nursing facilities, hospices, and home health care.
2. Medical Insurance (Part B), which helps pay for doctors' services, outpatient care, medical supplies, and preventive services.
3. Medicare Advantage Plans (Part C), which are private insurance plans that provide all of your Part A and Part B benefits, and may include additional benefits like dental, vision, and hearing coverage.
4. Prescription Drug Coverage (Part D), which helps pay for medications doctors prescribe for treatment.

Medicare is funded by payroll taxes, premiums paid by beneficiaries, and general revenue. Beneficiaries typically pay a monthly premium for Part B and Part D coverage, while Part A is generally free for those who have worked and paid Medicare taxes for at least 40 quarters.

Retrospective studies, also known as retrospective research or looking back studies, are a type of observational study that examines data from the past to draw conclusions about possible causal relationships between risk factors and outcomes. In these studies, researchers analyze existing records, medical charts, or previously collected data to test a hypothesis or answer a specific research question.

Retrospective studies can be useful for generating hypotheses and identifying trends, but they have limitations compared to prospective studies, which follow participants forward in time from exposure to outcome. Retrospective studies are subject to biases such as recall bias, selection bias, and information bias, which can affect the validity of the results. Therefore, retrospective studies should be interpreted with caution and used primarily to generate hypotheses for further testing in prospective studies.

Heart failure is a pathophysiological state in which the heart is unable to pump sufficient blood to meet the metabolic demands of the body or do so only at the expense of elevated filling pressures. It can be caused by various cardiac disorders, including coronary artery disease, hypertension, valvular heart disease, cardiomyopathy, and arrhythmias. Symptoms may include shortness of breath, fatigue, and fluid retention. Heart failure is often classified based on the ejection fraction (EF), which is the percentage of blood that is pumped out of the left ventricle during each contraction. A reduced EF (less than 40%) is indicative of heart failure with reduced ejection fraction (HFrEF), while a preserved EF (greater than or equal to 50%) is indicative of heart failure with preserved ejection fraction (HFpEF). There is also a category of heart failure with mid-range ejection fraction (HFmrEF) for those with an EF between 40-49%.

Diagnosis-Related Groups (DRGs) are a system of classifying hospital patients based on their severity of illness, resource utilization, and other factors. DRGs were developed by the US federal government to determine the relative cost of providing inpatient care for various types of diagnoses and procedures.

The DRG system categorizes patients into one of several hundred groups based on their diagnosis, treatment, and other clinical characteristics. Each DRG has a corresponding payment weight that reflects the average resource utilization and costs associated with caring for patients in that group. Hospitals are then reimbursed for inpatient services based on the DRG payment weights, providing an incentive to provide more efficient and cost-effective care.

DRGs have been widely adopted as a tool for managing healthcare costs and improving quality of care. They are used by Medicare, Medicaid, and many private insurers to determine payments for inpatient hospital services. DRGs can also be used to compare the performance of hospitals and healthcare providers, identify best practices, and support quality improvement initiatives.

Hospital costs are the total amount of money that is expended by a hospital to provide medical and healthcare services to patients. These costs can include expenses related to:

* Hospital staff salaries and benefits
* Supplies, such as medications, medical devices, and surgical equipment
* Utilities, such as electricity, water, and heating
* Facility maintenance and renovation
* Equipment maintenance and purchase
* Administrative costs, such as billing and insurance processing

Hospital costs can also be classified into fixed and variable costs. Fixed costs are those that do not change with the volume of services provided, such as rent or depreciation of equipment. Variable costs are those that change with the volume of services provided, such as supplies and medications.

It's important to note that hospital costs can vary widely depending on factors such as the complexity of care provided, the geographic location of the hospital, and the patient population served. Additionally, hospital costs may not always align with charges or payments for healthcare services, which can be influenced by factors such as negotiated rates with insurance companies and government reimbursement policies.

A hospitalist is a specialized medical doctor who practices hospital medicine, focusing on the general medical care of hospitalized patients. Hospitalists are trained in internal medicine or pediatrics and are experts in managing acute illnesses, coordinating care between different specialists, and ensuring timely and safe transitions of care between inpatient and outpatient settings. They typically do not have outpatient clinical responsibilities and are available to manage patient issues around the clock while they are hospitalized. Hospitalists play a crucial role in improving the quality, safety, and efficiency of inpatient medical care.

Hospitalization is the process of admitting a patient to a hospital for the purpose of receiving medical treatment, surgery, or other health care services. It involves staying in the hospital as an inpatient, typically under the care of doctors, nurses, and other healthcare professionals. The length of stay can vary depending on the individual's medical condition and the type of treatment required. Hospitalization may be necessary for a variety of reasons, such as to receive intensive care, to undergo diagnostic tests or procedures, to recover from surgery, or to manage chronic illnesses or injuries.

Patient acuity is a term used to describe the level of care and attention a patient requires based on their current health status and condition. It's an assessment of how critical or complex a patient's needs are, taking into account various factors such as their physical condition, mental state, and any co-existing medical conditions.

Patient acuity can be determined through a variety of methods, including the use of standardized assessment tools that evaluate different aspects of a patient's health. These tools may consider factors such as vital signs, level of consciousness, mobility, pain management needs, and other relevant clinical indicators.

The level of patient acuity is often used to determine staffing levels and skill mix for nursing units or hospital wards, as well as to prioritize care delivery in busy healthcare settings. Patients with higher acuity levels typically require more frequent monitoring and interventions, and may need to be cared for by nurses with advanced training and expertise.

A hospital is a healthcare facility where patients receive medical treatment, diagnosis, and care for various health conditions, injuries, or diseases. It is typically staffed with medical professionals such as doctors, nurses, and other healthcare workers who provide round-the-clock medical services. Hospitals may offer inpatient (overnight) stays or outpatient (same-day) services, depending on the nature of the treatment required. They are equipped with various medical facilities like operating rooms, diagnostic equipment, intensive care units (ICUs), and emergency departments to handle a wide range of medical situations. Hospitals may specialize in specific areas of medicine, such as pediatrics, geriatrics, oncology, or trauma care.

Aftercare, in a medical context, refers to the ongoing care and support provided to a patient following a medical treatment, procedure, or hospitalization. The goal of aftercare is to promote recovery, prevent complications, manage symptoms, and ensure the overall well-being of the patient. Aftercare may include follow-up appointments with healthcare providers, medication management, physical therapy, wound care, lifestyle modifications, and psychological support. It is an essential part of the treatment process that helps patients transition back to their normal lives and maintain their health and wellness in the long term.

I'm sorry for any confusion, but "United States" is a geopolitical entity, specifically the name of the country consisting of 50 states, and it is not a medical term or concept. Therefore, I can't provide a medical definition for it. If you have any questions related to health, medicine, or biology, I would be happy to try to help answer those!

Quality of health care is a term that refers to the degree to which health services for individuals and populations increase the likelihood of desired health outcomes and are consistent with current professional knowledge. It encompasses various aspects such as:

1. Clinical effectiveness: The use of best available evidence to make decisions about prevention, diagnosis, treatment, and care. This includes considering the benefits and harms of different options and making sure that the most effective interventions are used.
2. Safety: Preventing harm to patients and minimizing risks associated with healthcare. This involves identifying potential hazards, implementing measures to reduce errors, and learning from adverse events to improve systems and processes.
3. Patient-centeredness: Providing care that is respectful of and responsive to individual patient preferences, needs, and values. This includes ensuring that patients are fully informed about their condition and treatment options, involving them in decision-making, and providing emotional support throughout the care process.
4. Timeliness: Ensuring that healthcare services are delivered promptly and efficiently, without unnecessary delays. This includes coordinating care across different providers and settings to ensure continuity and avoid gaps in service.
5. Efficiency: Using resources wisely and avoiding waste, while still providing high-quality care. This involves considering the costs and benefits of different interventions, as well as ensuring that healthcare services are equitably distributed.
6. Equitability: Ensuring that all individuals have access to quality healthcare services, regardless of their socioeconomic status, race, ethnicity, gender, age, or other factors. This includes addressing disparities in health outcomes and promoting fairness and justice in healthcare.

Overall, the quality of health care is a multidimensional concept that requires ongoing evaluation and improvement to ensure that patients receive the best possible care.

Healthcare Quality Indicators (QIs) are measurable elements that can be used to assess the quality of healthcare services and outcomes. They are often based on evidence-based practices and guidelines, and are designed to help healthcare providers monitor and improve the quality of care they deliver to their patients. QIs may focus on various aspects of healthcare, such as patient safety, clinical effectiveness, patient-centeredness, timeliness, and efficiency. Examples of QIs include measures such as rates of hospital-acquired infections, adherence to recommended treatments for specific conditions, and patient satisfaction scores. By tracking these indicators over time, healthcare organizations can identify areas where they need to improve, make changes to their processes and practices, and ultimately provide better care to their patients.

Fee-for-service (FFS) plans are a type of medical reimbursement model in which healthcare providers are paid for each specific service or procedure they perform. In this system, the patient or their insurance company is charged separately for each appointment, test, or treatment, and the provider receives payment based on the number and type of services delivered.

FFS plans can be either traditional fee-for-service or modified fee-for-service. Traditional FFS plans offer providers more autonomy in setting their fees but may lead to higher healthcare costs due to potential overutilization of services. Modified FFS plans, on the other hand, involve pre-negotiated rates between insurance companies and healthcare providers, aiming to control costs while still allowing providers to be compensated for each service they deliver.

It is important to note that FFS plans can sometimes create financial incentives for healthcare providers to perform more tests or procedures than necessary, potentially leading to increased healthcare costs and potential overtreatment. As a result, alternative payment models like capitation, bundled payments, and value-based care have emerged as alternatives to address these concerns.

Hospital mortality is a term used to describe the number or rate of deaths that occur in a hospital setting during a specific period. It is often used as a measure of the quality of healthcare provided by a hospital, as a higher hospital mortality rate may indicate poorer care or more complex cases being treated. However, it's important to note that hospital mortality rates can be influenced by many factors, including the severity of illness of the patients being treated, patient demographics, and the availability of resources and specialized care. Therefore, hospital mortality rates should be interpreted with caution and in the context of other quality metrics.

Medical Definition:

"Risk factors" are any attribute, characteristic or exposure of an individual that increases the likelihood of developing a disease or injury. They can be divided into modifiable and non-modifiable risk factors. Modifiable risk factors are those that can be changed through lifestyle choices or medical treatment, while non-modifiable risk factors are inherent traits such as age, gender, or genetic predisposition. Examples of modifiable risk factors include smoking, alcohol consumption, physical inactivity, and unhealthy diet, while non-modifiable risk factors include age, sex, and family history. It is important to note that having a risk factor does not guarantee that a person will develop the disease, but rather indicates an increased susceptibility.

A psychiatric hospital is a type of medical facility that specializes in the treatment and care of patients with mental illnesses or disorders. These hospitals provide inpatient and outpatient services, including evaluation, diagnosis, and therapy for various psychiatric conditions such as depression, bipolar disorder, schizophrenia, anxiety disorders, personality disorders, and substance use disorders.

Psychiatric hospitals typically have a multidisciplinary team of healthcare professionals, including psychiatrists, psychologists, social workers, nurses, and occupational therapists, who work together to provide comprehensive care for patients. The treatment modalities used in psychiatric hospitals may include medication management, individual and group therapy, psychoeducation, and milieu therapy.

Psychiatric hospitals may also offer specialized programs for specific populations, such as children and adolescents, older adults, or individuals with co-occurring mental illness and substance use disorders. The goal of psychiatric hospitals is to stabilize patients' symptoms, improve their functioning, and help them develop the skills necessary to manage their mental health condition in the community.

An insurance claim review is the process conducted by an insurance company to evaluate a claim made by a policyholder for coverage of a loss or expense. This evaluation typically involves examining the details of the claim, assessing the damages or injuries incurred, verifying the coverage provided by the policy, and determining the appropriate amount of benefits to be paid. The insurance claim review may also include investigating the circumstances surrounding the claim to ensure its validity and confirming that it complies with the terms and conditions of the insurance policy.

Continuity of patient care is a concept in healthcare that refers to the consistent and seamless delivery of medical services to a patient over time, regardless of changes in their location or healthcare providers. It emphasizes the importance of maintaining clear communication, coordination, and information sharing among all members of a patient's healthcare team, including physicians, nurses, specialists, and other caregivers.

The goal of continuity of patient care is to ensure that patients receive high-quality, safe, and effective medical treatment that is tailored to their individual needs and preferences. This can help to reduce the risk of medical errors, improve patient outcomes, enhance patient satisfaction, and decrease healthcare costs.

There are several types of continuity that are important in patient care, including:

1. Relational continuity: This refers to the ongoing relationship between a patient and their primary care provider or team, who knows the patient's medical history, values, and preferences.
2. Management continuity: This involves the coordination and management of a patient's care across different settings, such as hospitals, clinics, and long-term care facilities.
3. Informational continuity: This refers to the sharing of accurate and up-to-date information among all members of a patient's healthcare team, including test results, medication lists, and treatment plans.

Continuity of patient care is particularly important for patients with chronic medical conditions, who require ongoing monitoring and management over an extended period. It can also help to reduce the risk of fragmented care, which can occur when patients receive care from multiple providers who do not communicate effectively with each other. By promoting continuity of care, healthcare systems can improve patient safety, quality of care, and overall health outcomes.

Risk adjustment is a statistical method used in healthcare financing and delivery to account for differences in the health status and expected healthcare costs among groups of enrollees. It is a process that modifies payment rates or capitation amounts based on the relative risk of each enrollee, as measured by demographic factors such as age, sex, and chronic medical conditions. The goal of risk adjustment is to create a more level playing field for healthcare providers and insurers by reducing the financial impact of serving patients who are sicker or have greater healthcare needs. This allows for a more fair comparison of performance and payment across different populations and helps to ensure that resources are distributed equitably.

In the field of medicine, "time factors" refer to the duration of symptoms or time elapsed since the onset of a medical condition, which can have significant implications for diagnosis and treatment. Understanding time factors is crucial in determining the progression of a disease, evaluating the effectiveness of treatments, and making critical decisions regarding patient care.

For example, in stroke management, "time is brain," meaning that rapid intervention within a specific time frame (usually within 4.5 hours) is essential to administering tissue plasminogen activator (tPA), a clot-busting drug that can minimize brain damage and improve patient outcomes. Similarly, in trauma care, the "golden hour" concept emphasizes the importance of providing definitive care within the first 60 minutes after injury to increase survival rates and reduce morbidity.

Time factors also play a role in monitoring the progression of chronic conditions like diabetes or heart disease, where regular follow-ups and assessments help determine appropriate treatment adjustments and prevent complications. In infectious diseases, time factors are crucial for initiating antibiotic therapy and identifying potential outbreaks to control their spread.

Overall, "time factors" encompass the significance of recognizing and acting promptly in various medical scenarios to optimize patient outcomes and provide effective care.

A cohort study is a type of observational study in which a group of individuals who share a common characteristic or exposure are followed up over time to determine the incidence of a specific outcome or outcomes. The cohort, or group, is defined based on the exposure status (e.g., exposed vs. unexposed) and then monitored prospectively to assess for the development of new health events or conditions.

Cohort studies can be either prospective or retrospective in design. In a prospective cohort study, participants are enrolled and followed forward in time from the beginning of the study. In contrast, in a retrospective cohort study, researchers identify a cohort that has already been assembled through medical records, insurance claims, or other sources and then look back in time to assess exposure status and health outcomes.

Cohort studies are useful for establishing causality between an exposure and an outcome because they allow researchers to observe the temporal relationship between the two. They can also provide information on the incidence of a disease or condition in different populations, which can be used to inform public health policy and interventions. However, cohort studies can be expensive and time-consuming to conduct, and they may be subject to bias if participants are not representative of the population or if there is loss to follow-up.

Treatment outcome is a term used to describe the result or effect of medical treatment on a patient's health status. It can be measured in various ways, such as through symptoms improvement, disease remission, reduced disability, improved quality of life, or survival rates. The treatment outcome helps healthcare providers evaluate the effectiveness of a particular treatment plan and make informed decisions about future care. It is also used in clinical research to compare the efficacy of different treatments and improve patient care.

Postoperative complications refer to any unfavorable condition or event that occurs during the recovery period after a surgical procedure. These complications can vary in severity and may include, but are not limited to:

1. Infection: This can occur at the site of the incision or inside the body, such as pneumonia or urinary tract infection.
2. Bleeding: Excessive bleeding (hemorrhage) can lead to a drop in blood pressure and may require further surgical intervention.
3. Blood clots: These can form in the deep veins of the legs (deep vein thrombosis) and can potentially travel to the lungs (pulmonary embolism).
4. Wound dehiscence: This is when the surgical wound opens up, which can lead to infection and further complications.
5. Pulmonary issues: These include atelectasis (collapsed lung), pneumonia, or respiratory failure.
6. Cardiovascular problems: These include abnormal heart rhythms (arrhythmias), heart attack, or stroke.
7. Renal failure: This can occur due to various reasons such as dehydration, blood loss, or the use of certain medications.
8. Pain management issues: Inadequate pain control can lead to increased stress, anxiety, and decreased mobility.
9. Nausea and vomiting: These can be caused by anesthesia, opioid pain medication, or other factors.
10. Delirium: This is a state of confusion and disorientation that can occur in the elderly or those with certain medical conditions.

Prompt identification and management of these complications are crucial to ensure the best possible outcome for the patient.

Patient admission in a medical context refers to the process by which a patient is formally accepted and registered into a hospital or healthcare facility for treatment or further medical care. This procedure typically includes the following steps:

1. Patient registration: The patient's personal information, such as name, address, contact details, and insurance coverage, are recorded in the hospital's system.
2. Clinical assessment: A healthcare professional evaluates the patient's medical condition to determine the appropriate level of care required and develop a plan for treatment. This may involve consulting with other healthcare providers, reviewing medical records, and performing necessary tests or examinations.
3. Bed assignment: Based on the clinical assessment, the hospital staff assigns an appropriate bed in a suitable unit (e.g., intensive care unit, step-down unit, general ward) for the patient's care.
4. Informed consent: The healthcare team explains the proposed treatment plan and associated risks to the patient or their legal representative, obtaining informed consent before proceeding with any invasive procedures or significant interventions.
5. Admission orders: The attending physician documents the admission orders in the medical chart, specifying the diagnostic tests, medications, treatments, and care plans for the patient during their hospital stay.
6. Notification of family members or caregivers: Hospital staff informs the patient's emergency contact or next of kin about their admission and provides relevant information regarding their condition, treatment plan, and any necessary follow-up instructions.
7. Patient education: The healthcare team educates the patient on what to expect during their hospital stay, including potential side effects, self-care strategies, and discharge planning.

The goal of patient admission is to ensure a smooth transition into the healthcare facility, providing timely and appropriate care while maintaining open communication with patients, families, and caregivers throughout the process.

Logistic models, specifically logistic regression models, are a type of statistical analysis used in medical and epidemiological research to identify the relationship between the risk of a certain health outcome or disease (dependent variable) and one or more independent variables, such as demographic factors, exposure variables, or other clinical measurements.

In contrast to linear regression models, logistic regression models are used when the dependent variable is binary or dichotomous in nature, meaning it can only take on two values, such as "disease present" or "disease absent." The model uses a logistic function to estimate the probability of the outcome based on the independent variables.

Logistic regression models are useful for identifying risk factors and estimating the strength of associations between exposures and health outcomes, adjusting for potential confounders, and predicting the probability of an outcome given certain values of the independent variables. They can also be used to develop clinical prediction rules or scores that can aid in decision-making and patient care.

Multivariate analysis is a statistical method used to examine the relationship between multiple independent variables and a dependent variable. It allows for the simultaneous examination of the effects of two or more independent variables on an outcome, while controlling for the effects of other variables in the model. This technique can be used to identify patterns, associations, and interactions among multiple variables, and is commonly used in medical research to understand complex health outcomes and disease processes. Examples of multivariate analysis methods include multiple regression, factor analysis, cluster analysis, and discriminant analysis.

An inpatient, in medical terms, refers to a person who has been admitted to a hospital or other healthcare facility for the purpose of receiving medical treatment and who is expected to remain there for at least one night. Inpatients are typically cared for by a team of healthcare professionals, including doctors, nurses, and therapists, and may receive various treatments, such as medications, surgeries, or rehabilitation services.

Inpatient care is generally recommended for patients who require close monitoring, frequent assessments, or intensive medical interventions that cannot be provided in an outpatient setting. The length of stay for inpatients can vary widely depending on the nature and severity of their condition, as well as their individual treatment plan.

A "Teaching Hospital" is a healthcare institution that provides medical education and training to future healthcare professionals, such as medical students, residents, and fellows. These hospitals are often affiliated with medical schools or universities and have a strong focus on research and innovation in addition to patient care. They typically have a larger staff of specialized doctors and medical professionals who can provide comprehensive care for complex and rare medical conditions. Teaching hospitals also serve as important resources for their communities, providing access to advanced medical treatments and contributing to the development of new healthcare technologies and practices.

An emergency is a sudden, unexpected situation that requires immediate medical attention to prevent serious harm, permanent disability, or death. Emergencies can include severe injuries, trauma, cardiac arrest, stroke, difficulty breathing, severe allergic reactions, and other life-threatening conditions. In such situations, prompt medical intervention is necessary to stabilize the patient's condition, diagnose the underlying problem, and provide appropriate treatment.

Emergency medical services (EMS) are responsible for providing emergency care to patients outside of a hospital setting, such as in the home, workplace, or public place. EMS personnel include emergency medical technicians (EMTs), paramedics, and other first responders who are trained to assess a patient's condition, provide basic life support, and transport the patient to a hospital for further treatment.

In a hospital setting, an emergency department (ED) is a specialized unit that provides immediate care to patients with acute illnesses or injuries. ED staff includes physicians, nurses, and other healthcare professionals who are trained to handle a wide range of medical emergencies. The ED is equipped with advanced medical technology and resources to provide prompt diagnosis and treatment for critically ill or injured patients.

Overall, the goal of emergency medical care is to stabilize the patient's condition, prevent further harm, and provide timely and effective treatment to improve outcomes and save lives.

Community hospitals are healthcare facilities that provide a range of medical services to the local population in a given geographic area. They are typically smaller than major teaching or tertiary care hospitals and offer a more personalized level of care. The services provided by community hospitals may include general medical, surgical, obstetrical, and pediatric care, as well as diagnostic and therapeutic services such as laboratory testing, imaging, and rehabilitation.

Community hospitals often play an important role in providing access to healthcare for underserved populations and may offer specialized programs to address the specific health needs of the communities they serve. They may also collaborate with other healthcare providers, such as primary care physicians, specialists, and long-term care facilities, to provide coordinated care and improve outcomes for patients.

Overall, community hospitals are an essential component of the healthcare system and play a vital role in providing high-quality, accessible care to local populations.

Medication reconciliation is the process of creating and maintaining an accurate list of all medications a patient is taking, including the name, dosage, frequency, and route, and comparing it to the current medication orders to ensure they are appropriate and safe. This process is used to prevent medication errors such as omissions, duplications, dosing errors, or drug interactions that can occur when patients transfer from one care setting to another (e.g., hospital to home) or when new medications are added. Medication reconciliation aims to reduce adverse drug events and improve patient safety by ensuring that the right medications are given at the right time, in the right dose, and for the right reason. It is typically performed by healthcare professionals such as physicians, pharmacists, and nurses.

Veterans hospitals, also known as Veterans Administration (VA) hospitals, are healthcare facilities provided by the US Department of Veterans Affairs. These hospitals offer comprehensive medical care, including inpatient and outpatient services, to eligible veterans. The services offered include surgery, mental health counseling, rehabilitation, long-term care, and other specialized treatments. The mission of veterans hospitals is to provide high-quality healthcare to those who have served in the US military.

Critical pathways, also known as clinical pathways or care maps, are specialized treatment plans for specific medical conditions. They are designed to standardize and improve the quality of care by providing evidence-based guidelines for each stage of a patient's treatment, from diagnosis to discharge. Critical pathways aim to reduce variations in care, promote efficient use of resources, and enhance communication among healthcare providers. These pathways may include recommendations for medications, tests, procedures, and follow-up care based on best practices and current research evidence. By following critical pathways, healthcare professionals can ensure that patients receive timely, effective, and coordinated care, which can lead to better outcomes and improved patient satisfaction.

Comorbidity is the presence of one or more additional health conditions or diseases alongside a primary illness or condition. These co-occurring health issues can have an impact on the treatment plan, prognosis, and overall healthcare management of an individual. Comorbidities often interact with each other and the primary condition, leading to more complex clinical situations and increased healthcare needs. It is essential for healthcare professionals to consider and address comorbidities to provide comprehensive care and improve patient outcomes.

A pediatric hospital is a specialized medical facility that provides comprehensive healthcare services for infants, children, adolescents, and young adults up to the age of 21. These hospitals employ medical professionals with expertise in treating various childhood illnesses, injuries, and developmental disorders. The facilities are designed to cater to the unique needs of children, including child-friendly environments, specialized equipment, and age-appropriate care.

Pediatric hospitals offer a wide range of services such as inpatient and outpatient care, emergency services, surgical procedures, diagnostic testing, rehabilitation, and mental health services. They also focus on preventive healthcare, family-centered care, and education to support the overall well-being of their young patients. Some pediatric hospitals may specialize further, focusing on specific areas such as cancer treatment, cardiology, neurology, or orthopedics.

Ambulatory surgical procedures, also known as outpatient or same-day surgery, refer to medical operations that do not require an overnight hospital stay. These procedures are typically performed in a specialized ambulatory surgery center (ASC) or in a hospital-based outpatient department. Patients undergoing ambulatory surgical procedures receive anesthesia, undergo the operation, and recover enough to be discharged home on the same day of the procedure.

Examples of common ambulatory surgical procedures include:

1. Arthroscopy (joint scope examination and repair)
2. Cataract surgery
3. Colonoscopy and upper endoscopy
4. Dental surgery, such as wisdom tooth extraction
5. Gallbladder removal (cholecystectomy)
6. Hernia repair
7. Hysteroscopy (examination of the uterus)
8. Minor skin procedures, like biopsies and lesion removals
9. Orthopedic procedures, such as carpal tunnel release or joint injections
10. Pain management procedures, including epidural steroid injections and nerve blocks
11. Podiatric (foot and ankle) surgery
12. Tonsillectomy and adenoidectomy

Advancements in medical technology, minimally invasive surgical techniques, and improved anesthesia methods have contributed to the growth of ambulatory surgical procedures, offering patients a more convenient and cost-effective alternative to traditional inpatient surgeries.

Follow-up studies are a type of longitudinal research that involve repeated observations or measurements of the same variables over a period of time, in order to understand their long-term effects or outcomes. In medical context, follow-up studies are often used to evaluate the safety and efficacy of medical treatments, interventions, or procedures.

In a typical follow-up study, a group of individuals (called a cohort) who have received a particular treatment or intervention are identified and then followed over time through periodic assessments or data collection. The data collected may include information on clinical outcomes, adverse events, changes in symptoms or functional status, and other relevant measures.

The results of follow-up studies can provide important insights into the long-term benefits and risks of medical interventions, as well as help to identify factors that may influence treatment effectiveness or patient outcomes. However, it is important to note that follow-up studies can be subject to various biases and limitations, such as loss to follow-up, recall bias, and changes in clinical practice over time, which must be carefully considered when interpreting the results.

Pneumonia is an infection or inflammation of the alveoli (tiny air sacs) in one or both lungs. It's often caused by bacteria, viruses, or fungi. Accumulated pus and fluid in these air sacs make it difficult to breathe, which can lead to coughing, chest pain, fever, and difficulty breathing. The severity of symptoms can vary from mild to life-threatening, depending on the underlying cause, the patient's overall health, and age. Pneumonia is typically diagnosed through a combination of physical examination, medical history, and diagnostic tests such as chest X-rays or blood tests. Treatment usually involves antibiotics for bacterial pneumonia, antivirals for viral pneumonia, and supportive care like oxygen therapy, hydration, and rest.

Prospective studies, also known as longitudinal studies, are a type of cohort study in which data is collected forward in time, following a group of individuals who share a common characteristic or exposure over a period of time. The researchers clearly define the study population and exposure of interest at the beginning of the study and follow up with the participants to determine the outcomes that develop over time. This type of study design allows for the investigation of causal relationships between exposures and outcomes, as well as the identification of risk factors and the estimation of disease incidence rates. Prospective studies are particularly useful in epidemiology and medical research when studying diseases with long latency periods or rare outcomes.

An emergency service in a hospital is a department that provides immediate medical or surgical care for individuals who are experiencing an acute illness, injury, or severe symptoms that require immediate attention. The goal of an emergency service is to quickly assess, stabilize, and treat patients who require urgent medical intervention, with the aim of preventing further harm or death.

Emergency services in hospitals typically operate 24 hours a day, 7 days a week, and are staffed by teams of healthcare professionals including physicians, nurses, physician assistants, nurse practitioners, and other allied health professionals. These teams are trained to provide rapid evaluation and treatment for a wide range of medical conditions, from minor injuries to life-threatening emergencies such as heart attacks, strokes, and severe infections.

In addition to providing emergency care, hospital emergency services also serve as a key point of entry for patients who require further hospitalization or specialized care. They work closely with other departments within the hospital, such as radiology, laboratory, and critical care units, to ensure that patients receive timely and appropriate treatment. Overall, the emergency service in a hospital plays a crucial role in ensuring that patients receive prompt and effective medical care during times of crisis.

The American Hospital Association (AHA) is a national organization that represents and serves hospitals, healthcare networks, and their patients and communities. The AHA advocates for hospital and health system issues at the federal level, provides information and education resources to its members, and collaborates with other organizations to improve the overall state of healthcare in the United States.

The mission of the AHA is to advance the health of individuals and communities by providing leadership and advocacy that promotes the best practices and policies for hospitals and health systems. The organization works to ensure that hospitals have the resources they need to provide high-quality care, and it seeks to address the challenges facing the healthcare industry, such as rising costs, access to care, and health disparities.

The AHA is made up of a diverse group of members, including community hospitals, academic medical centers, children's hospitals, and long-term care facilities. The organization provides a range of services to its members, including policy analysis, advocacy, education, and research. It also offers various publications, conferences, and networking opportunities to help members stay informed and connected.

Overall, the American Hospital Association plays an important role in shaping healthcare policies and practices in the United States, working to ensure that hospitals have the resources they need to provide high-quality care to their patients and communities.

An acute disease is a medical condition that has a rapid onset, develops quickly, and tends to be short in duration. Acute diseases can range from minor illnesses such as a common cold or flu, to more severe conditions such as pneumonia, meningitis, or a heart attack. These types of diseases often have clear symptoms that are easy to identify, and they may require immediate medical attention or treatment.

Acute diseases are typically caused by an external agent or factor, such as a bacterial or viral infection, a toxin, or an injury. They can also be the result of a sudden worsening of an existing chronic condition. In general, acute diseases are distinct from chronic diseases, which are long-term medical conditions that develop slowly over time and may require ongoing management and treatment.

Examples of acute diseases include:

* Acute bronchitis: a sudden inflammation of the airways in the lungs, often caused by a viral infection.
* Appendicitis: an inflammation of the appendix that can cause severe pain and requires surgical removal.
* Gastroenteritis: an inflammation of the stomach and intestines, often caused by a viral or bacterial infection.
* Migraine headaches: intense headaches that can last for hours or days, and are often accompanied by nausea, vomiting, and sensitivity to light and sound.
* Myocardial infarction (heart attack): a sudden blockage of blood flow to the heart muscle, often caused by a buildup of plaque in the coronary arteries.
* Pneumonia: an infection of the lungs that can cause coughing, chest pain, and difficulty breathing.
* Sinusitis: an inflammation of the sinuses, often caused by a viral or bacterial infection.

It's important to note that while some acute diseases may resolve on their own with rest and supportive care, others may require medical intervention or treatment to prevent complications and promote recovery. If you are experiencing symptoms of an acute disease, it is always best to seek medical attention to ensure proper diagnosis and treatment.

Myocardial infarction (MI), also known as a heart attack, is a medical condition characterized by the death of a segment of heart muscle (myocardium) due to the interruption of its blood supply. This interruption is most commonly caused by the blockage of a coronary artery by a blood clot formed on the top of an atherosclerotic plaque, which is a buildup of cholesterol and other substances in the inner lining of the artery.

The lack of oxygen and nutrients supply to the heart muscle tissue results in damage or death of the cardiac cells, causing the affected area to become necrotic. The extent and severity of the MI depend on the size of the affected area, the duration of the occlusion, and the presence of collateral circulation.

Symptoms of a myocardial infarction may include chest pain or discomfort, shortness of breath, nausea, lightheadedness, and sweating. Immediate medical attention is necessary to restore blood flow to the affected area and prevent further damage to the heart muscle. Treatment options for MI include medications, such as thrombolytics, antiplatelet agents, and pain relievers, as well as procedures such as percutaneous coronary intervention (PCI) or coronary artery bypass grafting (CABG).

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... time to readmission in 17'145 [corrected] patients with 37'697 hospitalisations at a German psychiatric hospital". PLOS ONE. 8 ... It meant that more patients could be treated without the need for confinement in a psychiatric hospital. It was one of the key ... One of the most important discoveries was chlorpromazine, an antipsychotic that was first given to a patient in 1952. In the ... Oyffe I, Kurs R, Gelkopf M, Melamed Y, Bleich A (2009). "Revolving-door patients in a public psychiatric hospital in Israel: ...
The available data suggests that in general, patients discharged AMA have an increased risk of hospital readmission, and ... "breakdown in the patient-doctor relationship" and an infringement of patient autonomy. Authors across numerous disciplines have ... lacks evidence of its utility to improve patient care, and may harm patients by reducing their likelihood of following up. ... as well as the patient's understanding, should be documented in the patient's chart. Many physicians incorrectly believe that ...
Here he drafted his first publication, a brief case report on a young patient with filariasis. In January 1911, Howard took an ... In any case, he was not permitted readmission to the army. Nevertheless, he did find success in another branch of the ... In October 1911, Knox attempted to rejoin the army and applied to the office of the surgeon general for readmission. His ... he had validated the patient which contributed to his improvement. ...
The oldest patient was the 62-year-old nun. The youngest patient was the 22-month-old baby girl.[citation needed] Two patients- ... However, during the time between Acosta's discharge from and readmission to Willard Parker, he had returned to work at Bellevue ... However, both patients, one a 22-month-old baby girl who had been treated for croup, and the other, Ishmael Acosta, a 27-year- ... Two patients on the same floor at Willard Parker Hospital with Le Bar were discharged soon after Le Bar's death. ...
Health information exchange makes patient care more informed and coordinated, and reduces unnecessary care and readmissions. ... and safety-net providers to explore how a formalized health information organization could enable better care for patients in ...
Due to improved patient outcomes, in the last two decades, laparoscopic surgery has been adopted by various surgical sub- ... "Adhesion-related readmissions following gynaecological laparoscopy or laparotomy in Scotland: an epidemiological study of 24 ... The risk of such injuries is increased in patients who have a low body mass index or have a history of prior abdominal surgery ... About 20% of patients undergo hypothermia during surgery and peritoneal trauma due to increased exposure to cold, dry gases ...
The purpose of this study was to comparatively examine patients who received … ... Nursing telephone calls after hospital discharge are commonly adopted as a tool to improve patient satisfaction and continuity ... Readmission rates were 10.8% for patients who did not receive telephone follow-up compared to 9.5% for patients who received a ... Does telephone follow-up predict patient satisfaction and readmission? Popul Health Manag. 2011 Oct;14(5):249-55. doi: 10.1089/ ...
Plantinga highlighted how most prior readmission studies including ESRD patients have mainly focused on patients receiving in- ... Readmissions High Among Peritoneal Dialysis Patients. - Nearly a quarter readmitted within a month. by Kristen Monaco, Staff ... "Our findings were surprising in that readmission risk was the same, if not higher, among U.S. peritoneal dialysis patients than ... Overall, Plantinga suggested these high readmission rates among peritoneal dialysis patients may be, at least in part, due to ...
A pilot of the Transitional Care Model at a community hospital reduced readmission rates for patients with heart failure by 48 ... Transitional care models: preventing readmissions for high-risk patient populations Crit Care Nurs Clin North Am. 2014 Dec;26(4 ... A pilot of the Transitional Care Model at a community hospital reduced readmission rates for patients with heart failure by 48 ... experience of a large metropolitan health care system in expanding transitional care across facilities to decrease readmission ...
Decreasing 30-Day Readmission Rates in Patients With Heart Failure Author(s): Nancy Rizzuto, DNP, MSN, ANP, CCRN, Greg Charles ... Education Continuing Education Activities Decreasing 30-Day Readmission Rates in Patients With Heart Failure ... The project design was a quality improvement project of all patients admitted to this unit with a diagnosis of HF. The ... Identify the necessary counseling and appropriate discharge instructions for patients.. Continuing Education Disclosure ...
The declining readmission rates change the fact that patient deaths -- the ultimate outcome -- have increased. As Fonarow ... But they say the policy of reducing readmissions is focused too narrowly on not readmitting patients to hospitals. ... failure patients readmission rates, mortality rates and characteristics, along with hospital characteristics, from January ... The findings point to a reversal in a decades-long trend of a declining death rate among patients with heart failure, one that ...
Notably, seven (7%) readmissions occurred in the initial 100 patients and five (2%) in the remaining 243 patients (p= 0.04). ... Readmission rates following laparoscopic sleeve gastrectomy: Detailed analysis of 343 consecutive patients.. Amani Jambhekar, ... Patients readmitted within 30 days were compared to the remaining patients using Student t-tests for continuous variables and ... the causes for readmission after LSG and to identify patterns of complications and causes for readmissions in LSG patients that ...
... and 30-day readmissions through a retrospective analysis of adult surgical patients in a single heath system over a two year ... The authors also described the accuracy of a risk prediction model to identify high-risk patients for 30-day admissions. ... The authors found that the harms with the highest 30-day readmission rates were pressure ulcers (45%), central line-associated ... bloodstream infections (40%), Clostridium difficile infections (29%), international normalized ratio ,5 for patients taking ...
... rates that do not take into account the full range of patient characteristics that may be related... ... Critics of the methodology used in calculating Hospital Readmissions Reduction Program (HRRP) penalties have highlighted in ... Barnett ML, Hsu J, McWilliams J. Patient Characteristics and Differences in Hospital Readmission Rates. JAMA Intern Med. ... The authors found that a substantial portion of the variance in readmissions risk between those with low and high readmissions ...
... now is the time for physicians to watch those readmission rates. ... Patient Readmission Rates: One Metric to Closely Monitor. ... Under the readmissions program, hospitals landing in the top third of relative performance are exempt from the fine. The ... It is also prudent to closely monitor readmission rates for total joints and chronic obstructive pulmonary disease now because ... Key remote patient monitoring takeaways from the 2024 PFS proposed rule. August 17th 2023 ...
What is the etiology of 30-day readmissions in postoperative patients? Background: As the focus of healthcare changes to a ... quality-focused model, readmissions impact physicians, reimbursements, and patients. ... If patient factors are identified as a major cause for readmissions in postoperative patients, changes in preoperative ... Understanding the cause of the readmissions in postoperative patients can prevent further readmissions, improve quality of care ...
... of non-invasive ventilation and home oxygen therapy can significantly prolong time to readmission or death for patients with ... Study: Combining non-invasive ventilation and home oxygen therapy can reduce hospital readmissions for chronic COPD patients. * ... can significantly prolong time to readmission or death for patients with chronic obstructive pulmonary disease (COPD) following ... "Patients with severe COPD and persistent hypercapnia have historically had limited therapy options available to them and ...
A new study warns that programs designed to prevent hospital readmissions may be having an adverse effect on some patient ... Although hospital readmission programs are designed to reduce the risk of patients returning to the hospital shortly after they ... researchers discovered roughly 10,000 more deaths from pneumonia and heart failure patients. Patients diagnosed with heart ... The study also indicates that after-discharge death rates among patients with pneumonia were stable before HRRP, but began to ...
Protected: Reducing ER Admissions, Readmissions and Cost through Remote Patient Monitoring - A Case Study. This content is ... 32:10 #Digital Measurement #Digital Patient Experience Measurement #Equity #Value-Based Programs Using Validated Data in HEDIS ... 1:03:29 #Digital Measurement #Digital Patient Experience Measurement #Telehealth #Value-Based Programs The Future OF HEDIS ... 43:07 #Digital Measurement #Digital Patient Experience Measurement #Value-Based Programs PCMH Office Hours - July 7, 2021. 7/9/ ...
p,​The national rate of hospital-acquired conditions decreased 9% between 2010 and 2012, preventing 560,000 patient harms in ... HHS Data Shows Patient Safety and Quality Efforts Are Reducing HACs, Readmissions. May 14, 2014 , Strategic Insights for Health ... Clinical PractitionerHealthcare ExecutiveNursePatient Safety OfficerQuality Assurance ManagerRegulator/Policy MakerRisk Manager ... The national rate of hospital-acquired conditions (HACs) decreased 9% between 2010 and 2012, preventing 560,000 patient harms ...
In these patients medical issues/complications primarily resulted in hospital readmission, and the other issues were absent or ... Unplanned early hospital readmission among critical care survivors: a mixed methods study of patients and carers ... Unplanned early hospital readmission among critical care survivors: a mixed methods study of patients and carers ... We aimed to understand contributors to readmissions from the patient/carer perspective. ...
... patients had an unplanned readmission or death (primary endpoint). Among the 29 patients who had the primary endpoint within 7 ... patients had an unplanned readmission or death whereas an additional 124 (50.0%) patients reached this combined endpoint within ... Differences between early and late readmissions among patients: a cohort study. Ann Intern Med 2015;162:741-9. doi:10.7326/M14- ... Differences between early and late readmissions among patients. Ann Intern Med 2015;163:650. doi:10.7326/L15-5149-2. ...
... may have helped lower the rate of 30-day and one-year readmissions for patients discharged after heart failure hospitalizations ... p,​Although the Hospital Readmissions Reduction Program (HRRP) of the Centers for Medicare and Medicaid Services (CMS) ... Program Intended to Reduce Readmissions May be Linked to Increased Mortality Rates in Patients with Heart Failure. November 22 ... Clinical PractitionerPatient/CaregiverPatient Safety OfficerQuality Assurance ManagerRisk Manager ...
Tagged With: Acute Care, HIM, HIT, Hospital Readmissions, MD, Nursing Homes, Patient Care, physicians, post-acute care, ... Avoidable hospital readmissions. Frail and vulnerable patients forced out into the night for a trip to the ER. ... Treat in Place: Protecting Nursing Home Patients From Hospital Readmission. by Waseem Ghannam, MD, President, Telehealth ... Ghannam is a patient-focused physician with a particular interest in creating ways for physicians and patients to interact and ...
To explore the relationship between inpatient diabetes education (IDE) and hospital readmissions in patients with poorly ... Readmissions were calculated only on the first readmission after discharge, so subsequent readmissions for the same patient ... In all, 2,265 patients were included in the 30-day analysis and 2,069 patients were included in the 180-day analysis. Patients ... Patients admitted to the psychiatric hospital, patients aged ,17 years, and patients who died as inpatients were excluded. This ...
... of this EBP proposal is to decrease the readmission rate of Hocking Valley Community Hospital (HVCH) to less... ... Patient Readmissions: A Case Study. The number of readmissions into a hospital before 30 days and costs associated continue to ... "All Causes Risk for Readmission Score", classifying patients as low, moderate, or high risk for readmission. The case managers ... Reduction Of Hospital Re-Admission Rates. At least 20 percent of all patients who are admitted to a U.S. hospital are ...
We tested rates of readmission to hospital, time to first readmission, number of readmissions, and duration of readmission in ... duration of readmission, or time to first readmission. We did not identify a linear relationship between readmission outcomes ... We also tested whether duration of CTO affected readmission outcomes in patients with CTO experience. We examined ... number of readmissions (mean 2·4 readmissions [SD 1·91] vs 2·2 [1·43]; incident density ratio [IDR] 0·97 [95% CI 0·76-1·24]), ...
... among black and Native American patients than other racial groups, and among lower-income patients than those with higher ... "Our study shows how common sepsis readmissions are and some of the factors that are associated with higher risk of readmission ... next stage of the research will be to examine why patients are readmitted after sepsis and the percentage of those readmissions ... They found that the all-cause 30-day readmission rate for sepsis was 20.4 percent. The rates for congestive heart failure and ...
Additionally, the 30-day readmission rate for the patients in the transitional care group was significantly lower than in the ... study shows that transitional care improves self-care and quality of life in adult patients with SLE and reduces readmissions. ... Therefore, we performed a study to examine the effects of transitional care on self-care, readmission rates, and quality of ... Evaluations were conducted at baseline before discharge and at 3 months after discharge by using hospital readmission rate, the ...
Early rehospitalizations of patients in various disease states have been well studied in recent years. Research in this area ... Readmissions can be classified four different categories, including (1) Planned readmission which the reason of the readmission ... Some patient factors that are predictors of readmission due to rebleeding are features of shock at presentation; melena; age , ... Preventing Chf Readmission Rates : A Multi Factorial Approach That Involves Careful Monitoring And Patient Participation. *1180 ...
... developed a successful predictive model to spot patients at high-risk for hospital readmissions. ... To make it easier to identify those at-risk for hospital readmissions, OSF HealthCare required nurses to assess patients using ... Reducing readmissions. Over the course of a year, this resulted in about 425 fewer readmissions than expected in our medium- ... to develop an easier way to proactively identify patients needing help to reduce their risk of hospital readmissions. ...
An easy-to-use index to quantify the risk of readmission or death ... Readmissions to hospital are common, costly and often ... to-use index to quantify the risk of readmission or death after discharge from hospital would help clinicians identify patients ... 48 patient-level and admission-level variables were collected for 4812 medical and surgical patients who were discharged to the ... Simple tool identifies patients who may need closer monitoring after leaving hospital. ...
A Hospital Level Analysis of 30-Day Readmission Performance for Heart Failure Patients and Long-Term Survival: Findings from ... "A Hospital Level Analysis of 30-Day Readmission Performance for Heart Failure Patients and Long-Term Survival: Findings from ... A Hospital Level Analysis of 30-Day Readmission Performance for Heart Failure Patients and Long-Term Survival: Findings from ... "A Hospital Level Analysis of 30-Day Readmission Performance for Heart Failure Patients and Long-Term Survival: Findings from ...
... of readmission for patients aged 85 years and older, versus 16.6% for patients under 64 years old.3 Thus, it is important to ... Readmissions of medical patients: an external validation of two existing prediction scores. QJM 2016;109:245-8.doi:10.1093/ ... Patient Characteristics and Differences in Hospital Readmission Rates. JAMA Intern Med 2015;175:1803-12.doi:10.1001/ ... To determine if patients had an unplanned readmission, the data collection for these observational studies was made from the ...
For most hospitals, a relatively small group of patients with chronic conditions make up a disproportionate amount of medical ... data could be used to identify the at-risk patients who are more likely to be readmitted and form this chronic patient group ( ... However, the model might be useful for identifying patients who could use closer clinical inspection. ... the system over aggressively denied benefits from many patients who should receive them (ibid). Researchers concluded that a ...
  • Plantinga highlighted how most prior readmission studies including ESRD patients have mainly focused on patients receiving in-center hemodialysis, which is "due to recent policy changes that hold both dialysis facilities and hospitals accountable for 30-day readmissions among hemodialysis patients. (medpagetoday.com)
  • Federal policymakers five years ago introduced the Hospital Readmission Reduction Program to spur hospitals to reduce Medicare readmission rates by penalizing them if they didn't. (nyrealestatelawblog.com)
  • In a study of 115,245 fee-for-service Medicare beneficiaries at 416 hospitals, implementation of the reduction program was indeed linked to a decrease in readmissions at 30 days after discharge and at one year after discharge among people hospitalized for heart failure. (nyrealestatelawblog.com)
  • Through this program, Medicare financially penalizes approximately two-thirds of U.S. hospitals based on their 30-day readmission rates,' said senior author Dr. Gregg Fonarow, the Eliot Corday Professor of Cardiovascular Medicine and Science at the David Geffen School of Medicine at UCLA and co-chief of cardiology. (nyrealestatelawblog.com)
  • Using data from the American Heart Association's Get With The Guidelines-Heart Failure program, a voluntary quality improvement initiative at hospitals across the country, as well as Medicare data, researchers compared heart failure patients' readmission rates, mortality rates and characteristics, along with hospital characteristics, from January 2006 through December 2014. (nyrealestatelawblog.com)
  • But they say the policy of reducing readmissions is focused too narrowly on not readmitting patients to hospitals. (nyrealestatelawblog.com)
  • To avoid the penalties, hospitals now have incentives to keep patients out of hospitals longer, possibly even if previously some of these patients would have been readmitted earlier for clinical reasons,' said first author Dr. Ankur Gupta, cardiovascular research fellow at the Brigham and Women's Hospital, Harvard Medical School. (nyrealestatelawblog.com)
  • Therefore, this policy of reducing readmissions is aimed at reducing utilization for hospitals rather than having a direct focus on improving quality of patient care and outcomes. (nyrealestatelawblog.com)
  • The researchers are now studying which types of hospitals and patients are most affected by the trend. (nyrealestatelawblog.com)
  • With more than 2,200 hospitals recently notified of reimbursement reductions by CMS, now is the time for physicians to watch those readmission rates. (physicianspractice.com)
  • These hospitals in particular were identified because of their outlier statistics relating to 30-day readmission rates for heart attack, heart failure, and pneumonia. (physicianspractice.com)
  • Under the readmissions program, hospitals landing in the top third of relative performance are exempt from the fine. (physicianspractice.com)
  • According to Amy Boutwell, MD, president of Collaborative Healthcare Strategies , 'I was very pleased to see that the readmission rates are changing, because there's been a lot of talk about how difficult it is for hospitals to impact the CMS measures. (physicianspractice.com)
  • The takeaway for physicians and hospitals underscores the importance of specific clinical documentation upon admission to the facility by the clinician and management of patients with comorbid conditions - such as diabetes - which can impact the recovery process. (physicianspractice.com)
  • In April 2017, another Philips-sponsored study demonstrated significant cost savings for payers and hospitals from reduced COPD readmission rates resulting from a multifaceted care program that included the use of AVAPS-AE, a proprietary mode of non-invasive ventilation in the Trilogy device. (news-medical.net)
  • In 2012, the Affordable Care Act required Centers for Medicare and Medicaid to impose financial penalties on hospitals with higher-than-expected 30-day readmission rates for patients hospitalized with either heart failure, heart attacks, or pneumonia. (aboutlawsuits.com)
  • When comparing mortality rates among the populations discharged from hospitals for one of the conditions pre-HRRP and post-HRRP announcement, researchers discovered roughly 10,000 more deaths from pneumonia and heart failure patients. (aboutlawsuits.com)
  • Researchers warned that hospitals may be denying patients life-saving care out of fear of being penalized. (aboutlawsuits.com)
  • The national rate of hospital-acquired conditions (HACs) decreased 9% between 2010 and 2012, preventing 560,000 patient harms in hospitals and saving $4.1 billion in costs, according to a May 7, 2014, report from the U.S. Department of Health and Human Services (HHS). (ecri.org)
  • however, beginning in October 2012, hospitals with higher readmission rates faced financial penalties. (ecri.org)
  • 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)
  • It is important that the hospitals releasing these patients have ensured the proper overall course of care from beginning to end. (bartleby.com)
  • To reduce the amount of hospital readmissions, it is imperative that hospitals recognize the need for focused patient care and that programs are being implemented to assist in the care transition. (bartleby.com)
  • This model reimburses hospitals based on quality of care instead of the volume of patients. (bartleby.com)
  • The quality of care is assessed by patient questionnaires and if hospitals are unsatisfactory penalties may be imposed (Edwoldt, 2012). (bartleby.com)
  • Hospitals will either be penalized or receive bonuses for their performance with readmissions. (bartleby.com)
  • Under ACA, hospitals will be penalized or rewarded depending upon their performance on 30-day readmissions, infection control and patient satisfaction levels (1). (bartleby.com)
  • Methods - In a prospective cohort study, 48 patient-level and admission-level variables were collected for 4812 medical and surgical patients who were discharged to the community from 11 hospitals in Ontario. (ices.on.ca)
  • RESULTS: The overall 30-day readmission rate was 19.8% and the 3-year mortality rates were 61.8%, 61.0%, 62.6%, and 59.9% for top 25%, 25-50%, 50-75%, and bottom 25% hospitals for 30-day RSRR performance, respectively. (duke.edu)
  • For most hospitals, a relatively small group of patients with chronic conditions make up a disproportionate amount of medical costs. (eticasfoundation.org)
  • Though hospitals have been trying to bring out transitions in patient care with emerging technology they are constantly facing same issues over a period of time called readmission. (healthviewx.com)
  • Hospitals that are registered under Medicare bears the pain of being penalized if their patients get readmitted. (healthviewx.com)
  • 1 These costly episodes of care have given rise to numerous policy initiatives, such as the Medicare Hospital Readmissions Reduction Programme which fiscally penalises hospitals with 'excess' readmissions. (bmj.com)
  • What follows are six more ways hospitals and health systems around the country are reducing readmissions. (managedhealthcareexecutive.com)
  • Hospitals lost out on over half a billion dollars in Medicare reimbursements in 2017 - penalties from CMS for failing to reduce unnecessary readmission rates. (cyracom.com)
  • a marked reduction in readmission rates in hospitals whose rates had been high prior to implementing the new protocol. (cyracom.com)
  • Hospitals and health systems that treat a high percentage of limited-English proficient (LEP) patients might consider implementing a similar survey with the aid of phone or video interpretation services. (cyracom.com)
  • PTs are playing an important role in reducing patient readmissions to hospitals. (apta.org)
  • Programs like the Hospital Readmissions Reduction Program encourage hospitals in the USA to improve communication and care coordination to better engage patients and caregivers in discharge plans and, in turn, reduce avoidable readmissions linking payment to the quality of hospital care. (easysolution.in)
  • Hospital management software can help reduce readmission rates by providing hospitals with a well-rounded approach to patient care. (easysolution.in)
  • The rate of patient readmissions is a very important quality indicator that shows how good the hospitals' infection control practices are. (easysolution.in)
  • For the study, logistic regression models based on function and gender were developed to predict the odds of three, seven, and thirty day readmission from inpatient rehabilitation facilities to acute care hospitals. (spauldingrehab.org)
  • The models show a clear opportunity to improve current national readmission risk models to more accurately predict readmissions and more fairly reimburse hospitals based on performance. (spauldingrehab.org)
  • The database includes Oklahoma residents in licensed, nonfederal, in-state hospitals with readmissions and transfers included. (cdc.gov)
  • Learners must attend/view/read the entire activity, read Implicit Bias impacts patient outcomes , and complete the associated evaluation to be awarded the contact hours or CERP. (aacn.org)
  • The policy should focus on incentivizing improving quality and patient-centered outcomes of those with heart failure and not on a misguided utilization metric of re-hospitalizations,' Fonarow said. (nyrealestatelawblog.com)
  • Patients with severe COPD and persistent hypercapnia have historically had limited therapy options available to them and outcomes have generally been poor," said Dr. Nicholas Hart, Professor and Clinical Director of Lane Fox Respiratory Service, St Thomas' Hospital in London. (news-medical.net)
  • To combat this accountability problem and improve patient outcomes, a stronger provider base is needed in post-acute care settings, made up of physicians who are competent, licensed, and motivated to provide the level of service that nursing home patients require. (hitconsultant.net)
  • We also tested whether duration of CTO affected readmission outcomes in patients with CTO experience. (ox.ac.uk)
  • We did not identify a linear relationship between readmission outcomes and duration of CTO. (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)
  • Evaluations were conducted at baseline before discharge and at 3 months after discharge by using hospital readmission rate, the Exercise of Self-Care Agency Scale, and the Medical Outcomes Study Short Form 36-item Health Survey for self-care and quality of life. (biomedcentral.com)
  • Further research is required to determine whether such quantification changes patient care or outcomes. (ices.on.ca)
  • It strengthens patient engagement, enhances ease of access and convenience, and improves clinical outcomes - all while reducing costs. (healthydebate.ca)
  • 3. Impact of the problem, issue, or educational deficit on the work environment, the quality of care provided by staff, and patient outcomes. (topnursingessays.com)
  • Secondary outcomes included trends in readmission length of hospital stay (LOS), total hospital cost (THC), and Charlson comorbidity index score (CCI). (dermatologyadvisor.com)
  • How would we improve health outcomes for high-risk patients and, in turn, decrease the number of hospital readmissions? (hfma.org)
  • African Medical Journal describing its use of service claims data to patient investigation and treatment, as well as providing a framework determine standardised mortality rates, across hospital systems, for against which clinical outcomes can be measured. (who.int)
  • Understanding best practices for antifungal prophylaxis can optimize prevention in at-risk populations, while research on antifungal resistance can improve patient outcomes. (cdc.gov)
  • This study analysed the management and outcomes of patients presenting with AMI at a district hospital in KwaZulu-Natal. (bvsalud.org)
  • This article shares the experience of a large metropolitan health care system in expanding transitional care across facilities to decrease readmission rates. (nih.gov)
  • The multidisciplinary team approach reduced gaps in care, provided better coordination and transition of care, thus leading to a decrease in readmission rates. (aacn.org)
  • Increasing surgeon experience may result in further decrease of readmission rates following LSG. (sages.org)
  • Understanding the cause of the readmissions in postoperative patients can prevent further readmissions, improve quality of care, and decrease healthcare costs. (the-hospitalist.org)
  • The main goal (or purpose) of this EBP proposal is to decrease the readmission rate of Hocking Valley Community Hospital (HVCH) to less than 4%, with an intended goal of 2% or less and increasing patient satisfaction by initiating comprehensive discharge planning. (bartleby.com)
  • does it decrease hospital readmission rates? (bartleby.com)
  • There are many aspects of healthcare associated with readmission, such as lack of discharge planning and education, which need to be addressed i to decrease the amount of preventable re-hospitalizations. (bartleby.com)
  • Overall, the system-wide readmission rate has remained steady, but we did see a change in the distribution of our population with an increase in medium-high patients and a decrease in those within our low-risk category. (osfhealthcare.org)
  • One way to decrease readmissions is through virtual care, in which patients interact with one or more health-care providers via videoconferencing, telephone, web-based tools or secure messaging. (healthydebate.ca)
  • There was a decrease in 30-day readmission rates, from 13.5% in 2010 to 10.8% in 2018 (adjusted P -trend =.0001). (dermatologyadvisor.com)
  • Comparison of data from readmitted patients ( n = 62) and a sample of nonreadmitted patients ( n = 62) showed that adherence by health care providers to American Diabetes Association guidelines for admission work-up (OR 0.91, 95% CI: 0.85-0.99) and readiness for discharge criteria (OR 0.89, 95% CI: 0.84-0.95) were significantly more likely to decrease the risk of readmission within 28 days. (who.int)
  • As of 2018, there were "3.8 million adult hospital readmissions within 30 days" in the U.S. Undue stress and frustration also negatively impact the patients. (forbes.com)
  • Patients with atopic dermatitis (AD) experienced lower 30-day readmission rates but higher comorbidity burden from 2010 to 2018, according to findings from a longitudinal analysis published in the Journal of The European Academy of Dermatology and Venereology . (dermatologyadvisor.com)
  • There was an increase in the percentage of patients with a CCI score of 3 or greater, from 29.2% in 2010 to 38.4% in 2018, while those with a CCI score of 0-2 decreased from 70.8% in 2010 to 61.6% in 2018 (adjusted P -trend =.037). (dermatologyadvisor.com)
  • Mean LOS of readmissions reduced nonsignificantly from 6.2 days in 2010 to 5.9 days in 2018, and THC increased nonsignificantly from $10,773 in 2010 to $13,270 in 2018. (dermatologyadvisor.com)
  • Methods: A descriptive study that assessed hospital records of all patients diagnosed with AMI over a 2-year period (01 August 2016 to 31 July 2018). (bvsalud.org)
  • The Affordable Care Act created several national initiatives aimed at reducing hospital readmission rates for heart attacks, congestive heart failure and other common high-risk conditions. (uclahealth.org)
  • The findings point to a reversal in a decades-long trend of a declining death rate among patients with heart failure, one that the researchers concluded was linked to the implementation of the Hospital Readmission Reduction Program. (nyrealestatelawblog.com)
  • In a study published last week in the Journal of the American Medical Association (JAMA) , Harvard researchers found that patients discharged for heart failure and pneumonia complications had a significantly higher post-discharge mortality rate after a hospital readmission reduction program was implemented. (aboutlawsuits.com)
  • Due to the high costs of readmissions Medicare and Medicaid have implemented a Hospital Readmission Reduction program. (bartleby.com)
  • Search our extensive library of COPD care and readmissions reduction resources, including best practices, research articles, educational materials and toolkits. (copdfoundation.org)
  • Critics of the methodology used in calculating Hospital Readmissions Reduction Program (HRRP) penalties have highlighted in their commentary the use of insufficiently comprehensive readjustment rates (i.e., rates that do not take into account the full range of patient characteristics that may be related to hospital readmissions). (copdfoundation.org)
  • Although hospital readmission programs are designed to reduce the risk of patients returning to the hospital shortly after they are discharged, new research suggests that the reduction programs may actually be increasing the number of deaths among individuals suffering from certain conditions. (aboutlawsuits.com)
  • Quality measures include a reduction in the readmission rate, increased patient satisfaction and increased success in the patient discharge. (bartleby.com)
  • The review identified that effective discharge planning does have a direct correlation with the reduction of readmission rates. (bartleby.com)
  • When the Centers for Medicaid & Medicare Services (CMS) introduced the Hospital Readmissions Reduction Program in 2012, healthcare organizations across the United States faced a considerable challenge. (hfma.org)
  • Structure and predictors of in-hospital nursing care leading to reduction in early readmission among patients with schizophrenia in Japan: A cross-sectional study. (bvsalud.org)
  • A new questionnaire was developed to assess the extent to which respondents delivered in- hospital nursing care leading to reduction in early readmission among patients with schizophrenia . (bvsalud.org)
  • Item analyses and exploratory factor analyses were performed using the new questionnaires to investigate the structure of in- hospital nursing care leading to reduction in early readmission. (bvsalud.org)
  • Stepwise regression analyses were conducted to examine the factors predicting in- hospital nursing care leading to reduction in early readmission. (bvsalud.org)
  • In- hospital nursing care leading to reduction in early readmission was found to consist of five factors promoting cognitive functioning and self-care , identifying reasons for readmission, establishing cooperative systems within the community , sharing goals about community life , and creating restful spaces. (bvsalud.org)
  • In- hospital nursing care leading to reduction in early readmission was predicted by the following variables the score on the nursing excellence scale in clinical practice, the score on therapeutic hold, and the participation of community care providers in pre-discharge conferences . (bvsalud.org)
  • Japanese psychiatric nurses provide nursing care based on these five factors leading to reduction in early readmission. (bvsalud.org)
  • Logistic regression was used to evaluate whether call data significantly predicted survey response and 30-day readmission rates. (nih.gov)
  • But an index admission due to peritonitis, as opposed to other causes, was actually tied to a significantly lower risk for readmission among these patients (OR 0.77, 95% CI 0.66-0.89) -- another finding Plantinga told MedPage Today was unexpected. (medpagetoday.com)
  • Recently published advancements in pulmonary research suggest that the combination of non-invasive ventilation (NIV) and home oxygen therapy (HOT) can significantly prolong time to readmission or death for patients with chronic obstructive pulmonary disease (COPD) following a life-threatening respiratory event or exacerbation. (news-medical.net)
  • 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)
  • Additionally, the 30-day readmission rate for the patients in the transitional care group was significantly lower than in the usual care group, and this effect remained significant at 60 and 90 days after patient discharge. (biomedcentral.com)
  • The frequent admission significantly aggravates the burden of patients with SLE. (biomedcentral.com)
  • 4 They demonstrate that patients randomised to their TPC-ESHF intervention experienced significantly fewer hospital readmissions at 12-week follow-up compared with their attention control (relative risk (95% CI) 0.55 (0.35 to 0.88)) along with significant improvements in health-related quality of life (QOL), satisfaction with care and symptom burden. (bmj.com)
  • By univariate analysis in-hospital clinical adverse events (AEs), a previous hospital admission, number of diagnoses and drugs, comorbidity and severity index (according to Cumulative Illness Rating Scale-CIRS), vascular and liver diseases with a level of impairment at discharge of 3 or more at CIRS were significantly associated with risk of readmission. (unimore.it)
  • Multivariate logistic regression analysis showed that only AEs during hospitalization, previous hospital admission, and vascular and liver diseases were significantly associated with the likelihood of readmission. (unimore.it)
  • DETROIT - Taking some extra time to involve family members and educate them on how to care for someone with memory loss can pay off in significantly reduced hospital readmissions. (reliasmedia.com)
  • For 3-, 7-, and 30-day readmissions, models based on function and gender (c-statistics 0.691, 0.637, and 0.649, respectively) performed significantly better than even the best-performing models based on comorbidities and gender (c-statistics 0.572, 0.570, and 0.573, respectively). (spauldingrehab.org)
  • Completion of a nursing call with a patient who reported a physician appointment was a significant predictor (P = 0.04) of lower 30-day readmissions. (nih.gov)
  • As the focus of healthcare changes to a quality-focused model, readmissions impact physicians, reimbursements, and patients. (the-hospitalist.org)
  • Like many in healthcare, I suspected third shift nurses, trained in only the basics of patient care, didn't have the right support and saw the ER as the only option. (hitconsultant.net)
  • The health care organizations have big opportunity to improve their quality of healthcare service as well as improve life quality of customers through reducing an avoidable readmission. (bartleby.com)
  • The biggest take-away I have from watching the Improving Transitions of Care videos is that transition of care has been and continues to be a huge ongoing problem with poor communication between the healthcare providers and the patient. (bartleby.com)
  • As a Ministry, OSF HealthCare prioritizes objectives to ensure success and that we can continue serving patients with the greatest care and love as we have for more than 140 years. (osfhealthcare.org)
  • To make it easier to identify those at-risk for hospital readmissions, OSF HealthCare required nurses to assess patients using a questionnaire that was located within the electronic health record (EHR). (osfhealthcare.org)
  • This led the Healthcare Analytics team, a part of OSF Innovation , to develop an easier way to proactively identify patients needing help to reduce their risk of hospital readmissions. (osfhealthcare.org)
  • Many buzzwords are battling around healthcare practices and patient engagement is not new. (healthviewx.com)
  • RPM has acted as a boon for patients with chronic health conditions who need regular checkups or monitoring and acts as a bridge between the patient and the healthcare provider. (forbes.com)
  • RPM is the advanced process of keeping an eye on patients after electronically analyzing their health data and conveying it to healthcare providers so that necessary actions can be taken, helping to reduce hospital admissions or readmissions. (forbes.com)
  • Why Do Healthcare Providers And Patients Try To Avoid Hospital Readmissions? (forbes.com)
  • Hospital readmissions have considerably imposed a financial burden on the United States healthcare system. (forbes.com)
  • According to a report published by the Agency for Healthcare Research and Quality, the average cost of readmission is $15,200 per patient. (forbes.com)
  • By reducing the need for patients to physically visit healthcare providers, RPM can reduce hospital readmissions by applying the following strategies. (forbes.com)
  • Healthcare providers, via RPM, can improve patients' medication-taking behavior by setting up alerts and voice calls. (forbes.com)
  • If Innovation Health patients experience redness or itchiness for a wound related to gallbladder surgery, Sunil Budhrani, MD, chief medical officer and chief medical informatics officer at the Falls Church, Virginia-based organization (which is a partnership between Inova healthcare system that serves more than two million people each year, and Aetna) wants to keep them out of the emergency room. (managedhealthcareexecutive.com)
  • The full-day training course, which nurse practitioners also attend, covers the foundations of healthcare communications-such as establishing rapport with patients-and includes practicing those skills and receiving feedback. (managedhealthcareexecutive.com)
  • Healthcare service providers need to have a clear policy for reducing patient readmissions to maintain the goodwill of their hospital or clinic. (easysolution.in)
  • In collaboration with our neighbor, Philadelphia College of Osteopathic Medicine (PCOM), we identified a solution that both addressed the immediate concern of preventing hospital readmissions and offered significant added value across numerous aspects of healthcare delivery and medical student education. (hfma.org)
  • The readmission of patients is one of the greatest challenges to the healthcare system, with estimates at well over forty billion dollars annually in costs to providers. (spauldingrehab.org)
  • The resurgence of the COVID-19 virus in many regions has many states near or at bed and intensive care unit (ICU) capacity, and healthcare facilities' ability to meet the needs of patients presenting for essential surgery may be stressed by new influxes of COVID-19 patients. (medscape.com)
  • Healthcare organizations, physicians, and nurses must therefore remain prepared to meet the demands for patients hospitalized with COVID-19 and for patients in need of essential surgery services. (medscape.com)
  • OUTCOME MEASURES: Cox regression was used to analyse readmission and death the year after discharge, and logistic regression was used to analyse healthcare the week prior to hospitalisation. (lu.se)
  • If you are a patient, please refer your questions to your healthcare provider. (cdc.gov)
  • Drug, Healthcare and Patient Safety. (lu.se)
  • The period immediately following hospital discharge is a sensitive one as these patients often are on new medications or have changes in existing medications, are deconditioned, and/or have acquired new diagnoses One study showed that out of one hundred sixty-five (165) readmissions that occurred within thirty (30) days of discharge, twenty-two percent (22%) of them were possibly preventable. (bartleby.com)
  • Background - Readmissions to hospital are common, costly and often preventable. (ices.on.ca)
  • The reason behind this payment is to reduce preventable readmission, and emergency room visits. (healthviewx.com)
  • The proportion of all readmissions assessed as preventable varies from 9 to 59% depending on the population of patients studied, duration of follow-up, type and methodology of the study and case-mix- related factors. (hkmj.org)
  • The assessment of preventable risk factors for readmissions also provides a basis for designing and implementing intervention programmes. (hkmj.org)
  • Additionally, patients often didn't know that by identifying certain triggers, some symptoms may have been preventable. (michiganvalue.org)
  • CONCLUSION: Hospital performance on 30-day readmissions in HF has no or little association with risk adjusted 3-year mortality or median survival. (duke.edu)
  • An index admission was defined as the first admission after 120 days had lapsed, while a readmission included a hospitalization within 30 days of the prior discharge date. (medpagetoday.com)
  • CONCLUSIONS: The results demonstrate the need for increased medical attention towards elderly patients discharged from hospital with characteristics such as AEs during the hospitalization, previous admission, vascular and liver diseases. (unimore.it)
  • We sought to determine whether patients hospitalized for an asthma exacerbation were at greater risk of readmission if they had a high blood eosinophil count documented before the first hospitalization. (ox.ac.uk)
  • CONCLUSIONS: A high blood eosinophil count in the year before an asthma-related hospitalization is associated with increased risk of readmission within the following year. (ox.ac.uk)
  • Admission to any acute care hospital within 30 days of discharge from the index hospitalization, except when the patient was discharged with specific intent to readmit soon afterwards for a planned procedure (eg, revascularization) Special attention is paid to readmission rates for the following index diagnoses: AMI, CHF, COPD exacerbation, elective total hip or knee arthroplasty, and pneumonia. (medscape.com)
  • In a cohort or 10,167 index hospital admissions for peritoneal dialysis patients, nearly 25% experienced a readmission within 30 days, according to senior study author Laura Plantinga, PhD, of Emory University School of Medicine, and colleagues. (medpagetoday.com)
  • The authors also described the accuracy of a risk prediction model to identify high-risk patients for 30-day admissions. (ahrq.gov)
  • Lack of adequate self-care, frequent admissions, and poor quality of life are common and serious problems in adult patients with systemic lupus erythematosus (SLE). (biomedcentral.com)
  • The PICOT question must be based on LVAD patients with recurring line drive infections that lead to re-admissions to the ICU. (topnursingessays.com)
  • Additionally, all admissions and readmissions were related to some form of respiratory insufficiency or a cancer treatment side effect. (michiganvalue.org)
  • Globally, about 15%-30% of patients with schizophrenia discharged from inpatient psychiatric admissions are readmitted within 90 days due to exacerbation of symptoms that leads to self -harm, harm to others, or self-neglect . (bvsalud.org)
  • Specific attention is paid to patients whose index admissions are for acute myocardial infarction (AMI), congestive heart failure (CHF), acute exacerbation of chronic obstructive pulmonary disease (COPD), elective total hip or knee arthroplasty, and pneumonia. (medscape.com)
  • The five-year, multi-center study resulted in prolonged median time to readmission or death by nearly three months, and improved patient health-related quality of life in the first six weeks. (news-medical.net)
  • The results showed that the addition of home NIV prolonged the median time to readmission or death from 1.4 months to 4.3 months. (news-medical.net)
  • Although the cause of most patient's readmissions were listed as "other," infections (30.8%) and cardiovascular-related events (25.4%) were two prominent causes for readmission overall. (medpagetoday.com)
  • Larger, more detailed prospective studies are needed to determine the causes for readmission after LSG and to identify patterns of complications and causes for readmissions in LSG patients that may differ from other bariatric procedures. (sages.org)
  • But it was also linked to an increase in mortality rates among these groups of patients. (nyrealestatelawblog.com)
  • Based on a study of Medicare beneficiaries, patients treated with one of the three evidence-based beta-blockers -carvedilol, bisoprolol, or sustained-release metoprolol succinate-had lower heart failure readmission and mortality rates. (medscape.com)
  • A standard instrument to identify avoidable readmission is important in enabling valid comparisons within the system and at different timelines, so as to permit robust evaluation of interventions. (hkmj.org)
  • The authors of this JAMA article examined the relationship between a broad set of 29 patient variables not included in the current CMS risk adjustment calculations and survey data for all-cause readmissions using Health and Retirement Study and Medicare data sets. (copdfoundation.org)
  • In the final 180-day model, no IDE, African American race, Medicaid or Medicare insurance, longer stay, and lower HbA 1c were independently associated with increased hospital readmission. (diabetesjournals.org)
  • In addition, the Medicare Payment Advisory Commission has reduced reimbursement rates for patients who have early rehospitalizations for certain conditions such as congestive heart failure (CHF) ( 2 ). (diabetesjournals.org)
  • The readmission is defined by Centers for Medicare and Medicaid Service (CMS) "Admission to a subsection hospital within 30 days of a discharge from the same or another subsection hospital" Hoffman, J.H. (2012). (bartleby.com)
  • Research in this area has increased since the Centers for Medicare & Medicaid Services (CMS) made readmissions within thirty (30) days a major quality indicator for health care organizations. (bartleby.com)
  • It was reported that Medicare readmissions within 30 days of discharge cost 17 billion dollars annually (Edwoldt, 2012). (bartleby.com)
  • In 2013 an average of one out of eight Medicare patients are readmitted within a 30-day period which lead to the estimated costs of around $18 billion a year for Medicare patients alone. (bartleby.com)
  • BACKGROUND: Medicare utilizes 30-day risk-standardized readmission rates (RSRR) as a measure of hospital quality and applies penalties based on this measure. (duke.edu)
  • The Robert Wood Johnson Foundation's report The Revolving Door: A Report on US Hospital Readmissions claimed that rehospitalizations within 30 days of discharge (also known as "bounce-backs") occur in 1 of 6 medical and 1 of 8 surgical Medicare patients. (medscape.com)
  • The purpose of this project was to Reduce 30 - day hospital readmission rate for Heart Failure (HF) by implementing a comprehensive self-care program for patients and families. (aacn.org)
  • To date, one previous study has reported a 1.7% readmission rate for 529 Laparoscopic Sleeve Gastrectomies (LSG). (sages.org)
  • Patients diagnosed with heart attacks were also found to have an increased mortality rate, however, not as significant as the other conditions. (aboutlawsuits.com)
  • Hospital readmission rate has gained attention over the last few years because it reveals the …show more content… al, 2003). (bartleby.com)
  • They found that the all-cause 30-day readmission rate for sepsis was 20.4 percent. (uclahealth.org)
  • In recent decades, the survival rate of patients with SLE has improved because of improvements in SLE diagnosis and treatment [ 5 ]. (biomedcentral.com)
  • In total, compared with those with other chronic illnesses, patients with SLE have the sixth highest hospital readmission rate in the USA [ 11 ]. (biomedcentral.com)
  • A study conducted to examine the relationship between rehospitalizations within thirty (30) days and mortality at ninety (90) days showed liver disease patients had a thirteen percent (13%) ninety (90) day mortality rate. (bartleby.com)
  • Chronic Care Patients who have early follow-up within 7 days have lowered the readmission rate. (healthviewx.com)
  • And since LEP patients consistently readmit at a higher rate than those who speak English fluently, reducing unnecessary LEP patient readmissions could have a disproportionate impact on the hospital's overall readmission rate. (cyracom.com)
  • In terms of the program's original objective, we have seen a measurable decline in the rate of hospital readmissions and unnecessary emergency department (ED) visits at Lankenau since the MSA Program was introduced. (hfma.org)
  • Optimal Nutrition Care for All' against readmission rate. (who.int)
  • This retrospective cohort and case-control study aimed to determine the readmission rate for diabetic patients within 28 days after discharge and the association between quality of inpatient care and unplanned readmission. (who.int)
  • Dia- study aimed to determine the 28-day sion among diabetic patients exposed betic patients may face problems in readmission rate for diabetic patients to substandard care was 2.24, and the controlling or managing blood sugar at a hospital in the Eastern province fraction of early unplanned readmis- levels. (who.int)
  • Is my rate of heart failure readmissions artery bypass graft (CABG) surgery, pneumonia and acute stroke). (who.int)
  • Patients with a higher risk of readmissions can be provided with a comprehensive virtual care plan, which includes a communication device paired with Bluetooth peripherals for keeping tabs on a patient's health data in real time and customizing risk alerts via RPM to enable clinicians to respond quickly in an emergency. (forbes.com)
  • For example, if a patient has to undergo physiotherapy after the treatment the physiotherapist needs to have a clear idea about the patient's condition. (easysolution.in)
  • For patients displaying baseline cognitive impairment, the entire patient treatment team -- attending physician, resident, fellow, nursing, and case manager - was encouraged to convey concern about the patient's likely difficulty adhering to the complex medication regimens. (reliasmedia.com)
  • The impact of the program is meticulously tracked using various metrics, including the level of patient satisfaction and how identified food sources influence a patient's body mass index or blood sugar levels. (hfma.org)
  • An MSA connected with the patient and conducted a social needs survey, determining that the cost of copays impeded the patient's ability to obtain asthma medication. (hfma.org)
  • Because of this, there was generally not much information available regarding the clinical details and frequency of readmissions for peritoneal dialysis patients, she explained. (medpagetoday.com)
  • COE clinical pathways were followed consistently for all patients. (sages.org)
  • all resolved their presenting clinical problems with conservative management during readmission hospital stays of 1 - 7 days (mean = 3.5). (sages.org)
  • However, the model might be useful for identifying patients who could use closer clinical inspection. (eticasfoundation.org)
  • Eligibility criteria Original studies, which internally or externally validated the clinical scores of hospital readmissions in elderly inpatients. (bmj.com)
  • The choice of the most suitable score relies on available patient data, patient characteristics and the foreseen clinical care intervention. (bmj.com)
  • In order to pair the intervention with the appropriate clinical score, further studies of external validation of clinical scores, identifying elderly patients at risk of early unplanned readmission, are needed. (bmj.com)
  • Our systematic review includes clinical risk scores predicting elderly early unplanned readmission. (bmj.com)
  • Consider the clinical environment in which you are currently working or have recently worked (SURGICAL INTENSIVE CARE UNIT) Collaborate with a leader or educator in the clinical environment to identify a problem (READMISSIONS OF LVAD PATIENTS), issue, or educational deficit upon which to build a proposal for change. (topnursingessays.com)
  • This can ease the physicians' process of clinical decision making and can be an advantage for the patients. (forbes.com)
  • A number of studies classified risk factors for readmission into four categories: patient, social, clinical, and system factors. (hkmj.org)
  • In the pages of Physical Therapy last November, 1 a physical therapist (PT) and a clinical psychiatrist asked the question, "Physical Therapy Information: Could It Reduce Hospital 30-Day Readmissions? (apta.org)
  • METHODS: This historical cohort study drew on 2 years of medical record data (Clinical Practice Research Datalink with Hospital Episode Statistics linkage) of patients (aged ≥5 years) admitted to hospital in England for asthma, with recorded blood eosinophil count within 1 baseline year before admission. (ox.ac.uk)
  • PARTICIPANTS: There were 447 patients hospitalised for sepsis (cases), and 541 hospitalised for other causes (control) identified through clinical chart review. (lu.se)
  • A case of MDR-TB was defined as a positive culture for M. tuberculosis in any patient at the hospital from January 1, 1988, through January 31, 1990, whose clinical course was consistent with TB and whose isolate was resistant to at least isoniazid (INH) and rifampin. (cdc.gov)
  • Was the death specific clinical conditions (i.e. acute myocardial infarction, coronary of this patient expected? (who.int)
  • Clinical decision that patient needs immediate intubation and ventilation for life-threatening hypoxia, shock or decreased conscious level. (who.int)
  • Clinical/baseline data will be collected along with details of types of breathing support received (including weaning, switches and escalations from Humidified Standard Oxygen (HSO), High Flow Nasal Cannula (HFNC), Continuous Positive Airway Pressure (CPAP)) and patient comfort (FLACC score). (who.int)
  • Background Many intensive care (ICU) survivors experience early unplanned hospital readmission, but the reasons and potential prevention strategies are poorly understood. (bmj.com)
  • Objectives The aim of this systematic review was to describe and analyse the performance statistics of validated risk scores identifying elderly inpatients at risk of early unplanned readmission. (bmj.com)
  • Conclusions: Readmission rates following LSG remain in a similar range as described previously for other laparoscopic bariatric procedures. (sages.org)
  • Conclusions Although some readmissions are medically unavoidable, for many ICU survivors complex health and psychosocial issues contribute concurrently to early rehospitalisation. (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)
  • Now, a new UCLA study found that sepsis accounts for roughly the same percentage of hospital readmissions in California as heart attacks and congestive heart failure - and that it costs the health care system more than both of them combined. (uclahealth.org)
  • The estimated annual cost of sepsis-related readmissions in California during the study period was $500 million, compared with $229 million for congestive heart failure and $142 million for heart attacks. (uclahealth.org)
  • Nursing telephone calls after hospital discharge are commonly adopted as a tool to improve patient satisfaction and continuity of care. (nih.gov)
  • These results, together with our finding of lower readmission risk among patients admitted for peritonitis -- which would likely be closely monitored in the post-discharge period -- suggests that there are missed opportunities for improving care transitions at hospital discharge in this population," she concluded. (medpagetoday.com)
  • Despite advances in the treatment of heart failure, patient optimization remains a challenge for health care providers. (aacn.org)
  • The implementation of an Evidence Based HF program demonstrated improvement in self- care when patients were provided adequate education and resources. (aacn.org)
  • The analysis of clinically collected data confirms what an analysis of billing data had previously suggested -- that the major federal policy, implemented under the Affordable Care Act, is associated with an increase in deaths of patients with heart failure. (nyrealestatelawblog.com)
  • Implementation science for ambulatory care safety: a novel method to develop context-sensitive interventions to reduce quality gaps in monitoring high-risk patients. (ahrq.gov)
  • Increasing patient safety event reporting in 2 intensive care units: A prospective interventional study. (ahrq.gov)
  • These findings add considerably to our knowledge of this highly prevalent and debilitating respiratory disorder, and are expected to greatly influence how clinicians care for patients with COPD on long-term oxygen therapy. (news-medical.net)
  • These patients typically described inadequate preparation for hospital discharge, poor communication between secondary/primary care, and inadequate support with psychological care, medications and goal setting. (bmj.com)
  • Care pathways that anticipate and institute anticipatory multifaceted support for these patients merit further development and evaluation. (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)
  • Without a captain of the ship at the nursing home, avoidable hospital readmissions occur often, disrupting continuity of care for patients and prolonging their recovery. (hitconsultant.net)
  • Hospital readmission is an important contributor to total medical expenditures and is an emerging indicator of quality of care. (diabetesjournals.org)
  • The Affordable Care Act is placing increasing focus on medical homes and accountable care organizations, and transition programs for hospitalized patients have garnered increasing attention ( 1 ). (diabetesjournals.org)
  • Including the PCP is a great way to ensure the patient will have the necessary care and support to continue to succeed at home. (bartleby.com)
  • The overall process of discharging a patient from a hospital and the transition back home or to a care facility are critical advancements in the overall course of both acute and long-term care. (bartleby.com)
  • In addition, we show that sepsis readmissions have a significant impact on health care expenditures relative to other high-risk conditions that are receiving active attention and interventions. (uclahealth.org)
  • The next stage of the research will be to examine why patients are readmitted after sepsis and the percentage of those readmissions that are due to processes that can be improved upon, such as discharge practices, follow-up care and teaching patients how to take their medications. (uclahealth.org)
  • Therefore, we performed a study to examine the effects of transitional care on self-care, readmission rates, and quality of life in adult patients with SLE. (biomedcentral.com)
  • This study was a single-center, single-blind, and parallel-group randomized controlled trial comparing transitional care with usual care in SLE patients from a university hospital in China. (biomedcentral.com)
  • This study shows that transitional care improves self-care and quality of life in adult patients with SLE and reduces readmissions. (biomedcentral.com)
  • Previous studies have shown that adequate self-care knowledge and skill are key factors for patients to reduce readmission rates and improve quality of life [ 15 , 16 ]. (biomedcentral.com)
  • Sullivan [ 20 ] developed a questionnaire to investigate disease and self-care knowledge of patients with SLE, and only 13.4% of the participants scored 50% or higher on the questionnaire. (biomedcentral.com)
  • Therefore, it is urgent to develop targeted intervention to improve self-care, reduce readmission rates, and enhance quality of life in patients with SLE. (biomedcentral.com)
  • Transitional care is a set of actions designed to ensure the coordination and continuity of health care when patients transfer between different settings (e.g., from hospital to home). (biomedcentral.com)
  • There are unfavorable consequences to the health care system, as well as the patients. (bartleby.com)
  • The disease process of cirrhosis and its complications can be overwhelming for patients and those that are involved in their care. (bartleby.com)
  • This means our clinicians not only have to determine who is most at-risk for readmission, they also have to make sure these patients have the understanding, support and ability to care for themselves outside of the hospital. (osfhealthcare.org)
  • These staff time reductions translate to a little more than $2 million per year that we can put back into direct patient care. (osfhealthcare.org)
  • An easy-to-use index to quantify the risk of readmission or death after discharge from hospital would help clinicians identify patients who might benefit from more intensive post-discharge care. (ices.on.ca)
  • There is a compelling need to utilize more meaningful and patient-centered outcome measures for reporting and incentivizing quality care for HF. (duke.edu)
  • Hence, it aligns with a value-based model of care and can improve the patient and health-care provider experience. (healthydebate.ca)
  • In 2019, the University Health Network started "Integrated Care" programs for discharged thoracic, cardiovascular and vascular surgery patients. (healthydebate.ca)
  • Each program involves one digital patient record, one care team and one 24/7 phone line for patients and their caregivers. (healthydebate.ca)
  • In Chronic Care Management, patients get 20 minute of care after their discharge and CMS pays for it. (healthviewx.com)
  • Each individual's health outcome depends on the consistent effort taken by primary care physicians, registered nurses, care coordinators, community health workers, family members and the patients themselves. (healthviewx.com)
  • If there is a readmission then it means there is either a gap in care flow or in communication flow. (healthviewx.com)
  • The only solution to this problem is to engage patients in their own care through simple user-friendly technologies. (healthviewx.com)
  • Mobile technology allows the patient to know about the details of their disease, medication plan, sends appointment reminders to both patient and doctor if any wrong occurs, it helps physicians to create care plans and communicate any time with their patients. (healthviewx.com)
  • Transitional care programmes have emerged as a potential solution to avert HF readmissions by monitoring and supporting patients and caregivers for a limited period of time post-discharge. (bmj.com)
  • In their Heart publication, Wong et al report the findings from their pilot trial of a transitional palliative care programme for patients with end-stage HF (TPC-ESHF). (bmj.com)
  • Innovation Health's efforts are a prime example of how improved care coordination and patient education can reduce readmissions. (managedhealthcareexecutive.com)
  • It's all about communication skills during transitions of care, and communicating with patients so that they understand their instructions and they're empowered in their care," says Velez. (managedhealthcareexecutive.com)
  • Physicians also learn how to ensure patients feel respected and are invested in their care plans, says Velez, who notes that it's important for physicians to engage patients in these conversations, rather than lecturing at them-and ask patients to relay what they have learned back to physicians. (managedhealthcareexecutive.com)
  • Learning how to communicate with empathy] is immediately relevant regarding readmissions because physicians need to engage patients as they prepare for transitions of care. (managedhealthcareexecutive.com)
  • The eight-question survey - developed in part by the American Nurses Credentialing Center - asked patients about their level of support at home, their perceived ability to care for themselves, whether they felt physically ready to leave the hospital, and whether they believed they had enough information to be discharged. (cyracom.com)
  • Home-based interventions, intensive education/ counselling, multidisciplinary care approaches, and telephone follow-up were the main types of interventions to address potentially avoidable readmissions. (hkmj.org)
  • Polnaszek B, Mirr J, Roiland R, Gilmore-Bykovskyi A, Hovanes M, Kind A. Omission of physical therapy recommendations for high-risk patients transitioning from the hospital to subacute care facilities. (apta.org)
  • Using Hospital management software will help reduce these visits by providing patients with personalized care plans and reminders about the medication intake. (easysolution.in)
  • Monitoring the after-care of patients is important. (easysolution.in)
  • The best way to ensure that patients who have gone through critical illness, injury, or major surgeries get the proper care and supervision after being discharged from the hospital is by using hospital management software for follow-up teleconsultations. (easysolution.in)
  • The patients and caregivers can make use of interactive portals to share information on the proper administration of prescribed medicines and also give guidance on proper health care. (easysolution.in)
  • Care managers then engaged the patients and went over a questionnaire with them. (michiganvalue.org)
  • Lastly, a consideration was made if a patient was a candidate for palliative care. (michiganvalue.org)
  • We found that involving and educating the family about the forgetfulness we frequently see in patients and having them more involved in overseeing the care at home proved to be really successful in keeping patients from returning to the hospital. (reliasmedia.com)
  • Taking into account the cost of readmissions and the care associated with them, Ketterer theorized that nearly $180,000 a month could be saved for every 100 patients benefiting from effective involvement and education of family members. (reliasmedia.com)
  • Patients and/or families then were approached with "Destigmatized Cognitive-Behavioral Psychoeducation," which educated them about the frequency and nature of cognitive impairment and enlisted their help in managing care for the illness. (reliasmedia.com)
  • At Lankenau Medical Center, part of Main Line Health in southeastern Pennsylvania, we serve patients who have abundant resources as well as those with limited access to care and wellness options. (hfma.org)
  • In the MSA Program, second-year medical students at PCOM can choose to volunteer a minimum of five hours each week with Lankenau Medical Associates, a primary care practice with a large population of high-risk patients. (hfma.org)
  • The students serve as patient advocates, working closely with the practice's patient-centered medical home team to recognize and address nonmedical needs and barriers to care. (hfma.org)
  • Model performance was assessed using c-statistics, a statistical test used to assess the ability of the model to predict patients that require readmission to the acute care hospital. (spauldingrehab.org)
  • CDAD patients were signifi cantly more likely than controls to Methods be discharged to a long-term-care facility or outside hospital. (cdc.gov)
  • Even in a nonoutbreak setting, CDAD had a statistically sig- tal (BJH), a 1,250-bed, tertiary-care academic hospital in nifi cant negative impact on patient illness and death, and the St. Louis, Missouri. (cdc.gov)
  • Here are 9 tips to help you care for these patients. (medscape.com)
  • Facilities should engage in regional cooperation to address capacity and new patient needs to ensure facilities have appropriate number of ICU and non-ICU beds, PPE, testing reagents and supplies, ventilators, and trained staff to treat all nonelective patients without resorting to a crisis standard of care. (medscape.com)
  • ABSTRACT Readmission of diabetic patients after discharge from hospital has potential value as a quality of care indicator. (who.int)
  • the relationship between quality of To determine the sample size for the Good diabetes self-management is of diabetes care and early readmission case-control study, it was assumed critical importance in preventing seri- in Saudi Arabia. (who.int)
  • found that, due to ongoing antibiotic treatment, the majority of their patients in intensive care units had dominance of their gut microbiome by potential pathogens. (cdc.gov)
  • From January through April 1990, tuberculin skin-test conversions* occurred among eight health-care workers (HCWs) on a specialized ward for human immuno deficiency virus (HIV)-infected patients at a large urban hospital in Florida. (cdc.gov)
  • And final y, it allows patients to The publication sought to transparently examine variations in care make informed decisions about possible treatment options. (who.int)
  • Data extracted recorded patient demographics, risk factors, timing of care, therapeutic interventions, follow up with cardiology and mortality of patients. (bvsalud.org)
  • Relationships between IDE and hospital readmission were analyzed with stepwise backward logistic regression models. (diabetesjournals.org)
  • Most of the factors we identified as being associated with higher readmission risk, including longer length of stay in the index admission and comorbid conditions (e.g., heart failure, ischemic heart disease, peripheral vascular disease, and diabetes), were less surprising, given they are general risk factors for readmission. (medpagetoday.com)
  • To review literature identifying key components for measuring avoidable readmissions, their prevalence, risk factors, and interventions that can reduce potentially avoidable readmissions. (hkmj.org)
  • To identify risk factors for MDR-TB, a case-control study was conducted by comparing case-patients with randomly selected TB patients at the hospital with drug-susceptible M. tuberculosis isolates. (cdc.gov)
  • Smoking (73.5%) and hypertension (63.3%) were the most prevalent risk factors for patients with ST elevation myocardial infarction (STEMI) in contrast to dyslipidaemia (70.2%) and hypertension (68.1%) in patients with non-ST elevation myocardial infarction (NSTEMI). (bvsalud.org)
  • The study also indicates that after-discharge death rates among patients with pneumonia were stable before HRRP, but began to rise after the program was introduced. (aboutlawsuits.com)
  • HRRP, which went into effect in April 2010, involves public reporting of hospital 30-day readmission rates for heart failure and other conditions. (ecri.org)
  • Since then, excessive readmission rates have been the dominant driver of penalties in the HRRP. (ecri.org)
  • This data is streamed to patients' smartphones and physicians' customized devices like tablets. (forbes.com)
  • He advises physicians to ask patients who are struggling to adhere to treatment plans about their fears, expectations, and worries associated with those plans. (managedhealthcareexecutive.com)
  • All data including complications and readmissions were collected and entered into a prospectively designed registry. (sages.org)
  • Factors associated with readmission included race/ethnicity, comorbidities, postoperative complications, and extended length of stay. (the-hospitalist.org)
  • In these patients medical issues/complications primarily resulted in hospital readmission, and the other issues were absent or not considered important. (bmj.com)
  • Due to the severity of underlying disease and frequent need of placement of monitoring devices, ICU patients are very likely to develop complications related to underlying disease process and interventions. (bvsalud.org)
  • BACKGROUND: The aim of this study was to identify which factors were associated with a risk of hospital readmission within 3 months after discharge of a sample of elderly patients admitted to internal medicine and geriatric wards. (unimore.it)
  • Here's 10 practical tips for caring for hospitalized geriatric patients, from experts in the field. (medscape.com)
  • This study examined the association of inpatient harms (e.g., infections, medication-related harms) and 30-day readmissions through a retrospective analysis of adult surgical patients in a single heath system over a two year period. (ahrq.gov)
  • To explore the relationship between inpatient diabetes education (IDE) and hospital readmissions in patients with poorly controlled diabetes. (diabetesjournals.org)
  • One study attempted to determine if an algorithm (in this case, logistic multivariate regression) based on routine inpatient data could be used to identify the at-risk patients who are more likely to be readmitted and form this chronic patient group (Howell, Coory, Martin and Duckett 2009). (eticasfoundation.org)
  • The team examining the issue conducted a retrospective study of 120,957 patients in the Uniform Data System for Medical Rehabilitation database who were admitted to inpatient rehabilitation facilities under the medically complex impairment group code between 2002 and 2011. (spauldingrehab.org)
  • There was little information on what factors were associated with readmissions in this population, which could help target interventions. (medpagetoday.com)
  • A recent meta-analysis of these interventions suggests that programmes which incorporate home visits are effective at reducing all-cause readmission and mortality, whereas less-intensive programmes of structured telephone support alone can reduce HF-related readmissions and mortality. (bmj.com)
  • And it was clear that the industry needed to evolve from diagnosis-specific interventions that react to a medical problem to an all-inclusive, proactive approach that focuses on the comprehensive needs-both medical and social-of each patient. (hfma.org)
  • This study opens a significant opportunity to assess the impact of early function-based interventions on reducing readmission risk," said Schneider. (spauldingrehab.org)
  • RPM helps in a trouble-free transitional process for patients with chronic conditions by introducing a personalized patient education module that enables patients to learn about their health conditions and manage their treatment. (forbes.com)
  • This study shows that home noninvasive ventilation is a potent, therapeutic tool that clinicians can use to help keep patients with advanced COPD out of the hospital. (news-medical.net)
  • This made it easier for clinicians to provide case management resources to the most at-risk patients. (osfhealthcare.org)
  • Studies to identify avoidable readmissions usually involve medical records and chart reviews by clinicians using the classification scheme developed by the authors. (hkmj.org)
  • This confirmed what clinicians, patients, and their families had long suspected: Discharge from the hospital is not necessarily a one-way trip home. (medscape.com)
  • Notably, seven (7%) readmissions occurred in the initial 100 patients and five (2%) in the remaining 243 patients (p= 0.04). (sages.org)
  • RESULTS: Out of patients who survived a sepsis hospitalisation, 48% were readmitted the year after discharge, compared with 39% for patients without sepsis (HR 1.50, 95% CI 1.03 to 2.19), p=0.04. (lu.se)
  • Patients readmitted within 30 days were compared to the remaining patients using Student t-tests for continuous variables and Chi-square tests for categorical variables. (sages.org)
  • All readmitted patients were initially discharged home after 1-3 days of routine postoperative hospital stay (mean = 1.7). (sages.org)
  • Readmissions occurred, on average, 15.9 days after surgery (range 4-30). (sages.org)
  • 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)
  • 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)
  • All-cause first readmissions were determined within 30 days and 180 days after discharge. (diabetesjournals.org)
  • IDE was also associated with reduced readmissions within 180 days, although the relationship was attenuated. (diabetesjournals.org)
  • 4 ) showed that rehospitalizations within 30 days of discharge occurred in 20% of patients with diabetes, which is more than the 5-14% estimated for all hospital discharges. (diabetesjournals.org)
  • A formula is utilized to evaluate readmission rates within 30 days of discharge for any medical reason related to their original admission such as heart failure and pneumonia. (bartleby.com)
  • Among these important goals is working hard to keep patients from needing to be readmitted to the hospital within 30 days of discharge. (osfhealthcare.org)
  • We sought to derive and validate an index to predict the risk of death or unplanned readmission within 30 days after discharge from hospital to the community. (ices.on.ca)
  • We used a split-sample design to derive and validate an index to predict the risk of death or nonelective readmission within 30 days after discharge. (ices.on.ca)
  • Results - Of the 4812 participating patients, 385 (8.0%) died or were readmitted on an unplanned basis within 30 days after discharge. (ices.on.ca)
  • and emergency department use (measured as the number of visits in the six months before admission) ('E'). Scores using the LACE index ranged from 0 (2.0% expected risk of death or urgent readmission within 30 days) to 19 (43.7% expected risk). (ices.on.ca)
  • Interpretation - The LACE index can be used to quantify risk of death or unplanned readmission within 30 days after discharge from hospital. (ices.on.ca)
  • In Canada, one in 11 patients is readmitted within 30 days of being discharged from hospital, costing the country $2.3 billion a year. (healthydebate.ca)
  • Despite therapeutic advances in the management of heart failure (HF), approximately 25% of hospitalised patients with HF are readmitted within 30 days. (bmj.com)
  • These occur when patients return to the hospital within 30 days of discharge. (easysolution.in)
  • CDAD was 2.8 days, attributable readmission at 180 days endemic setting. (cdc.gov)
  • The majority (52%) of readmissions occurred within 90 days and 75% within 180 days. (lu.se)
  • Compared with controls, case-patients were hospitalized and/or in the HIV clinic more days while sputum AFB-smear-positive (mean: 23 vs. 7 days, p=0.002). (cdc.gov)
  • Infection-control policy on the HIV ward required that patients with any pulmonary symptoms and/or abnormal chest radiographs be routinely placed in TB isolation (AFB isolation) until TB was excluded or until they had been on anti-TB therapy for at least 7 days. (cdc.gov)
  • The declining readmission rates change the fact that patient deaths -- the ultimate outcome -- have increased. (nyrealestatelawblog.com)
  • However, researchers indicate that the program may have a corresponding negative outcome for patients discharged with heart failure and pneumonia. (aboutlawsuits.com)
  • The primary outcome was mortality at 3 years applying Cox proportional hazards regression adjusted for patient and hospital characteristics. (duke.edu)
  • Although hospital readmission seemed to be a term commonly used as an outcome indicator in many studies, it is difficult to make valid comparison of results from different studies. (hkmj.org)
  • When designing a risk prediction model, patient-proximate variables with a sound theoretical or proven association with the outcome of interest should be used. (who.int)
  • Given the increase in ICC over time, the study authors recommended "a multidisciplinary approach" to identify and manage comorbidities in AD patients as a way preventing unplanned 30-day readmissions. (dermatologyadvisor.com)
  • Around 83% of those patients had other significant comorbidities (e.g. (michiganvalue.org)
  • A new retrospective study published in the May issue of Journal of General Internal Medicine by researchers from Spaulding Rehabilitation Hospital and Harvard Medical School found that readmission models based on functional status consistently outperformed models based on medical comorbidities. (spauldingrehab.org)
  • Boston, MA)- A new retrospective study published in the May issue of Journal of General Internal Medicine by researchers from Spaulding Rehabilitation Hospital and Harvard Medical School found that readmission models based on functional status consistently outperformed models based on medical comorbidities. (spauldingrehab.org)
  • Furthermore, the addition of comorbidities to function-based models did not appreciably improve model performance (c-statistic differences of only 0.013, 0.017, and 0.015 for 3-, 7-, and 30-day readmissions, respectively, for the best-performing models). (spauldingrehab.org)
  • Our study shows how common sepsis readmissions are and some of the factors that are associated with higher risk of readmission after these severe infections," said Dr. Dong Chang, assistant professor of medicine at Harbor-UCLA Medical Center and the study's lead author. (uclahealth.org)
  • Based on these results, we believe that sepsis readmissions are under-recognized and should be among the conditions that are targeted for intervention by policymakers. (uclahealth.org)
  • These findings suggest that efforts to reduce hospital readmissions need to include sepsis prominently, at least on par with heart failure and myocardial infarction," said Dr. Martin Shapiro, chief of the UCLA Division of General Internal Medicine and Health Services Research at the David Geffen School of Medicine at UCLA, and the study's primary investigator. (uclahealth.org)
  • OBJECTIVES: The aim of this study was to compare readmissions and death between sepsis and non-sepsis hospitalisations the first year after discharge, and to investigate what diagnoses patients with sepsis present with at readmission. (lu.se)
  • The aim was also to evaluate to what degree patients hospitalised for sepsis seek medical attention prior to hospitalisation. (lu.se)
  • PARTICIPANTS: There were 447 patients hospitalised for sepsis (cases), and 541. (lu.se)
  • Finally, 34% of patients with sepsis had sought prehospital contact with a physician the week before hospitalisation, compared with 22% for patients without sepsis (OR 1.80, 95% CI 1.06 to 3.04), p=0.03. (lu.se)
  • CONCLUSION: Patients hospitalised for sepsis had a higher risk of readmission the year after discharge compared with patients without sepsis. (lu.se)
  • Patients hospitalised for sepsis had sought prehospital contact the week prior to hospitalisation to a greater extent than patients without sepsis. (lu.se)
  • Readmission rates were 10.8% for patients who did not receive telephone follow-up compared to 9.5% for patients who received a call and who had a scheduled physician appointment. (nih.gov)
  • Our findings were surprising in that readmission risk was the same, if not higher, among U.S. peritoneal dialysis patients than we had seen among U.S. in-center hemodialysis patients in previous studies," Plantinga said. (medpagetoday.com)
  • FINDINGS: We obtained data for 330 patients in the relevant period between Nov 10, 2008 and Feb 22, 2014 (36 months after the last patient was randomly assigned to OCTET). (ox.ac.uk)
  • The findings from our 36-month follow-up support our original findings that CTOs do not provide patient benefits, and the continued high level of their use should be reviewed. (ox.ac.uk)
  • Scholars@Duke publication: A Hospital Level Analysis of 30-Day Readmission Performance for Heart Failure Patients and Long-Term Survival: Findings from Get With The Guidelines-Heart Failure. (duke.edu)
  • These findings suggest that patients with asthma and preadmission high blood eosinophil count require careful follow-up, with treatment optimization, after discharge. (ox.ac.uk)
  • In developed nations, there are regulations by the government which restrict the number of readmissions within a month of treatment by imposing penalties and payment cuts. (easysolution.in)
  • Charged with admitting and caring for patients, I head downstairs and find myself in room 7 where an elderly woman with a blown IV and no family around is writhing under bright fluorescent lights. (hitconsultant.net)
  • There were no statistically significant differences between case- and control-patients in sex, age, race, or HIV transmission category. (cdc.gov)
  • What is the etiology of 30-day readmissions in postoperative patients? (the-hospitalist.org)
  • The etiology of 30-day readmissions in postoperative patients has not specifically been studied. (the-hospitalist.org)
  • If patient factors are identified as a major cause for readmissions in postoperative patients, changes in preoperative management may need to be made. (the-hospitalist.org)
  • Postoperative readmissions are more dependent on patient factors than surgeon- or surgical subspecialty-specific factors. (the-hospitalist.org)
  • The trial suggests that combining home oxygen and home non-invasive ventilation therapy can reduce hospital readmissions while maintaining patients' quality of life, which will drastically change the way we approach COPD treatment worldwide. (news-medical.net)
  • How Can RPM Reduce Hospital Readmission? (forbes.com)
  • Physical therapy: could it reduce hospital 30-day readmissions? (apta.org)
  • Smith JM, Bemis-Dougherty A. On "Physical therapy: could it reduce hospital 30-day readmissions? (apta.org)
  • With better follow-up, some of these readmissions could potentially be prevented. (lu.se)
  • The project design was a quality improvement project of all patients admitted to this unit with a diagnosis of HF. (aacn.org)
  • Patients that understand their diagnosis, medications and what to expect tend to have a better transition to home or nursing home. (bartleby.com)
  • Also patients given support and information related to new medications and diagnosis are more successful at managing their health at home. (bartleby.com)
  • 12 ] found that the total cost of SLE was $3,971,799 in 2015 but that the total cost for all readmissions among those with a confirmed SLE diagnosis was $1,687,450 and the cost for those readmitted within a month was calculated to be $1,036,438. (biomedcentral.com)
  • They included index hospitalizations for all adult AD patients with any diagnosis of AD using ICD 9 and 10 codes for the corresponding year, and excluded elective and traumatic readmissions. (dermatologyadvisor.com)
  • Such terms as "index admission diagnosis," "30 -day unplanned readmission," and "risk adjustment " have become part of the lexicon. (medscape.com)
  • A means of trying to "level the playing field" by adjusting 30-day readmission rates for type and complexity of patients (eg, in terms of age, comorbid conditions, and discharge diagnosis). (medscape.com)
  • The index admission diagnosis is the reason that the patient was in the hospital in the first place. (medscape.com)