Removing Bottlenecks in Patient Discharge Process essay, buy custom Removing Bottlenecks in Patient Discharge Process essay paper cheap, Removing Bottlenecks in Patient Discharge Process essay paper sample, Removing Bottlenecks in Patient Discharge Process essay sample service online
Close to ninety percent of older heart failure (HF) patients have some cognitive deficits at hospital discharge which may impact their ability to make effective decisions about their healthcare. However, informal care partners (CPs) may assist in managing HF when provided with appropriate education and support. The goal of this randomized clinical trial (RCT) is to evaluate an intervention which will provide 1) additional teaching on management of HF to the patient and CP following hospital discharge, 2) improved communication with the family physician, 3) a HF decision support tool for oral diuretic management, and 4) a digital talking scale. The investigators believe this intervention will improve outcomes and be cost saving.. The investigators hypothesize that enhanced education and support for the CPs to assist older HF patients following hospital discharge, combined with improved communication with family physicians, contact with a HF nurse, and simple decision support tools, will lead to ...
A new discharge process at St. Josephs Health Centre is helping keep patients safe from becoming sick with superbugs while in hospital.
Caregivers of patients, age 29 days to 18 years, with a diagnosis of fever, vomiting or diarrhea, and wheezing or asthma were randomized into written or video discharge instruction groups. In the ED, caregivers read standard written discharge instructions or watched a 3-minute video based on their childs diagnosis. They were then asked questions regarding information covered in these instructions. After completing the 20-point questionnaire, standard discharge procedure was followed. Caregivers were contacted by phone 2-5 days after discharge for a follow-up questionnaire. Usefulness of the discharge instructions was also assessed ...
Review: inhaled corticosteroids alone appear to be as effective as oral corticosteroids after emergency department discharge for acute asthma ...
Based on an analysis of more than 1.8 million people-including 770,642 adults with mental disorders-the authors found that short-term suicide rates in the groups of adults with depressive disorder (235.1 per 100,000 person-years), bipolar disorder (216.0 per 100,000 person-years), schizophrenia (168.3 per 100,000 person-years), substance use disorder (116.5 per 100 000 person-years), and other mental disorders (160.4 per 100,000 person-years) were higher than the rates in the inpatients who were not diagnosed with a mental disorder (11.6 per 100,000 person-years) or the U.S. general population (14.2 per 100,000 person-years). ...
Background: A fifth of older adults discharged from the hospital require readmission within 30 days. Readmissions impose an enormous burden on both patients and the healthcare system. Previous investigations have found that less than half of discharged patients are able to understand and execute the discharge plan and are likely to overestimate their comprehension of the plan. It is also known that that one in four post discharge appointments are either canceled or missed by patients. Medication related omissions, adverse effects or errors are often implicated in readmissions. These findings underscore the importance of involving patients and an interdisciplinary team in the discharge process both to solicit their input and to provide effective education and counseling prior to discharge. However, the discharge process is routinely undertaken by the hospitalist, at a workstation outside of the patients room precluding participation by the patient or the interdisciplinary team. Purpose: Our ...
OBJECTIVE. We sought to describe the current costs of newborn care by using population-based data, which includes linked vital statistics and hospital records for both mothers and infants. These data allow costs to be reported by episode of care (birth), instead of by hospitalization.. METHODS. Data for this study were obtained from the linked 2000 California birth cohort data. These data (n = 518704), provided by the California Office of Statewide Health Planning and Development (OSHPD), contain infant vital statistics data (birth and death certificate data) linked to infant and maternal hospital discharge summaries. In addition to the infant and maternal hospital discharge summaries associated with delivery, these data include discharge summaries for all infant hospital-to-hospital transfers and maternal prenatal hospitalizations. The linkage algorithm that is used by OSHPD in creating the linked cohort data file is highly accurate. More than 99% of the maternal and infant discharge abstracts ...
TY - JOUR. T1 - Early hospital discharge of children with cancer treated for fever and neutropenia. T2 - Identification and management of the low-risk patient. AU - Mullen, Craig A.. AU - Buchanan, George R.. PY - 1990/1/1. Y1 - 1990/1/1. N2 - Children with leukemia and solid tumors are often hospitalized for empiric broad-spectrum antibiotic therapy because of fever during periods of chemotherapy-induced neutropenia. Conventional practice dictates that parenteral antibiotics be continued until the patient is afebrile and has recovered from neutropenia, ie, until the absolute neutrophil count (ANC) exceeds 500 cells per cubic millimeter. However, the practice in our center has been to discontinue parenteral antibiotic therapy and discharge many such patients before resolution of neutropenia. Since the feasibility and safety of this approach has not been studied, we reviewed the records of 114 consecutive hospitalizations for fever and neutropenia in 61 patients during a 13-month period. ...
This qualitative study examined the outcome of hospital discharge for Yukon people 55 years of age and over. A descriptive design was used to answer the following questions: Within the first three weeks following hospital discharge, are Yukon people 55 years of age and over able to perform, with or without formal or informal assistance, activities of daily living? Is there a difference in the functional level of the person, within four days prior to hospital discharge compared to three weeks post discharge, based upon a nursing assessment? Semi-structured interviews and the Katz Index of Activities of Daily Living were used for data collection. A Health/Illness Nursing Model of Transition first developed by Chick and Meleis, (1986) provided the framework for the study. Qualitative thematic content analysis revealed that all eight of the patients who participated in this study were able to perform activities of daily living with the assistance of professional caregivers and informal caregivers ...
Building a Better Discharge Committee. With a greater prevalence of chronic disease in our aging population and a healthcare system that is tasked with addressing an increasing number of social and economic issues that contribute towards ones health, the process of discharging a patient from the hospital has become increasingly complex. This complexity contributes towards a poorly standardized discharge process that allows for failures in communication between health providers and their patients. These failures collectively result in sub optimal hospital discharges that may increase a patients risk for readmission, diminish patient and provider satisfaction, and create bed flow issues within a hospital. The Building A Better Discharge team aims to identify variability and inefficiencies within the discharge process that lead to these unwanted outcomes and to develop electronic medical record based interventions that can better orchestrate ideal and efficient hospital discharges.. ...
This masterclass will enable participants to gain a deeper understanding of the evidence surrounding Criteria Led Discharge and support them to tackle the complexities of implementing change, leading to new patient discharge practice.. For further information and to book your place visit. ...
Por meio de observações não participantes campo e diagnóstico da situação atual, foram analisados os principais desperdícios encontrados no processo de alta. Os desperdícios encontrados foram classificados de acordo com as sete perdas da produção enxuta e com o impacto que causam no valor do paciente. Em seguida, ações de contramedidas foram propostas pelos autores. Essas ações focam no nivelamento do fluxo de pacientes, visto que atualmente as altas médicas ocorrem em lotes e com isso ocorre um acúmulo de tarefas nas atividades seguintes o que aumenta o tempo de reocupação dos leitos liberados.. ...
Bragstad, Line Kildal; Kirkevold, Marit; Hofoss, Dag & Foss, Christina (2014). Informal caregivers participation when older adults in Norway are discharged from the hospital. Health & Social Care in the Community. ISSN 0966-0410. 22(2), s 155- 168 . doi: 10.1111/hsc.12071 Show summary This paper describes the participation of informal caregivers in the discharge process when patients aged 80 and over who were admitted from home to different hospitals in Norway were discharged to long-term community care. Data for this cross-sectional survey were collected through telephone interviews with a consecutive sample of 262 caregivers recruited between October 2007 and May 2009. The Discharge of Elderly Questionnaire was developed by the research team and was designed to elicit data concerning informal caregivers self-reported perceptions on participation in the discharge process. A descriptive and comparative analysis of Thompsons levels of participation reported by the older generation (spouses and ...
Discharge lounges enable the swift movement of patients imminently awaiting hospital discharge, to free beds without delay. This Qualitative Yin-Style Case Study describes the patient and caregivers experience of transition from an Acute Medicine Unit (AMU) to a discharge lounge and staff perspectives, as organisers of this process. Audiorecorded, interviews and focus groups were undertaken. Data were analysed using Framework Analysis. Lack of patientcenteredness in moving patients to the discharge lounge emerged with three themes: moving the problem; being moved and feeling removed. Patients were transferred at accelerated speed. Communications between staff, patients and carers were abruptly curtailed. Patient transfer from AMU to a discharge lounge is a transitional stage in the acute discharge process and must be adequately communicated.. ...
Post Discharge Management of Spinal Surgery Wounds. Skye Koturaj Clinical Nurse Specialist C West - Neurosurgery Brisbane Private Hospital June 2013 . How do Surgical Wounds Heal?. There are three main steps in the process by which surgical wounds heal: Slideshow 2029666 by loman
Few studies have described mortality following hospital discharge for patients with HF complicating AMI. In addition, we were unable to identify any studies describing temporal trends in long-term mortality among AMI patients developing HF. A small study of 39 survivors of AMI with pulmonary edema conducted in 1981 documented a 29% mortality rate over the ensuing nine months (22). In a study of 440 AMI patients with HF seen at a single hospital from 1986-1987, the one-year mortality was 39% (14). Analysis of screening data from the Trandalopril Cardiac Evaluation Study (1990-1992) revealed an approximate 43% one-year mortality in AMI patients with HF (23). When assessed chronologically, despite the caveats involved in extrapolating from different studies carried out in different settings and study samples, these studies fail to reveal any patterns of improvement in the one-year mortality rates of this high risk subset of patients.. These trends are in agreement with the findings of this study in ...
On July 25, 2016, CMS released the proposed rule stating they intend to test new bundled payments to Hospitals for the following diagnoses: Myocardial Infarcts (MIs), Coronary Artery Bypasses (CABGs), and Surgical Hip/Femur fractures. This proposal is similar to the Comprehensive Care for Joint Replacement (CJR) model that began the Spring of 2016. That proposal made hospitals responsible for the first 90 days of cost following hospital discharge for that condition. CMS has been pleased with the results thus far.. The new models would run from July, 2017- 2021 and like the CJR model, the hospital providing the procedure would be held accountable for costs and quality of care from surgery through 90 days post acute care. Of course, the hospital will be able to choose the post acute providers.. Agencies should prepare NOW developing Cardiac and/or Orthopedic Best Practice programs if they are not already present. Conduct statistical analysis reflecting outcomes. Demonstrate your agencys value and ...
It is now possible to request a Home Medicine Review (MBS Item 900) directly from our consultant pharmacist at Check My Medicines.. In this way, and through direct communication between the doctor, the accredited pharmacist, and the patient, it is possible to improve the timeliness and efficiency of delivery for Home Medicine Reviews to all of your patients. This may be particularly important for any of your patients that have been recently discharged from Hospital.. Australian research (Journal of Pharmacy Practice and Research, March 2011) demonstrates that there is a significant risk of medication related harm in the first 7 to 10 days, following hospital discharge for high risk patients. Importantly, the direct referral to the accredited pharmacist resulted in quicker response times (less than 7 days) for the delivery of the Home Medicine Review, as compared to referral to community pharmacy (more than 10 days).. ...
Washington, D.C., February 27, 2013 /3BL Media/ - Patients who tested positive for carbapenem-resistant Enterobacteriaceae (CRE) took an average of 387 days following hospital discharge to be clear of the organism, according to a new study published in the March issue of the American Journal of Infection Control, the official publication of the Association for Professionals in Infection Control and Epidemiology (APIC).. The study was conducted in the Shaare Zedek Medical Center, a 700-bed university-affiliated general hospital in Jerusalem, Israel. The research team analyzed follow-up cultures from 97 CRE-positive patients who had been discharged from the medical center between January 2009 and December 2010.. The average time until cultures became negative was 387 days. At three months, 78 percent of patients remained culture positive; at six months, 65 percent remained positive; at nine months, 51 percent, and at one year 39 percent of patients remained positive, meaning they could potentially ...
By Karen Collins, MS, RD, CDN - One of the latest trends in cancer care mirrors a change seen decades ago in cardiac care. Years ago, at least a month of bed rest was mandated before heart attack patients were allowed to walk even short distances. Today, many patients are ready for programs involving significant daily walking within as little as two weeks following hospital discharge ...
Using simple clinical and laboratory criteria, a significant proportion of hospitalized patients with community-acquired pneumonia (44%) can be treated with early switch and early discharge. This model did not affect patient outcome, decreased the length of hospitalization, and was associated with a …
None of this was the fault of doctors, staff, or hospital administrators. They all cared. They all wanted to make things better… but they could only do so much within the constraints given to them. Lean wasnt going to be any sort of easy, quick, magical fix (and they were somewhat disappointed to hear that). You can improve the inpatient discharge process and communication flow all you want, but if theres no place to discharge the patient to, well then youre stuck.. Back to Quebec, where Barrette wants to make changes to a law that would:. ...
Controversy has attended the relationship between risk-adjusted mortality and process-of-care. There would be advantage in the establishment, at the data-base level, of global quantitative indices subsuming the diversity of process-of-care. A retrospective, cohort study of patients identified in the Australian and New Zealand Intensive Care Society Adult Patient Database, 1993-2003, at the level of geographic and ICU-level descriptors (n = 35), for both hospital survivors and non-survivors. Process-of-care indices were established by analysis of: (i) the smoothed time-hazard curve of individual patient discharge and determined by pharmaco-kinetic methods as area under the hazard-curve (AUC), reflecting the integrated experience of the discharge process, and time-to-peak-hazard (TMAX, in days), reflecting the time to maximum rate of hospital discharge; and (ii) individual patient ability to optimize output (as length-of-stay) for recorded data-base physiological inputs; estimated as a technical
If patients could recognise themselves, or anyone else could recognise a patient from your description, please obtain the patients written consent to publication and send them to the editorial office before submitting your response [Patient consent forms] ...
Session Goals Why Focus on Your Emergency Department. Review Emergency Department Trends. Proper Emergency Department E&M Levels. Establishing meaningful leveling methodology to capture resources. Appropriate clinical supporting documentation for levels and critical care. E.D. Patient Discharge Process Point of Service Collections Service Recovery
Using a hospital discharge database, a physician does a study of diabetes mellitus comparing age of onset with response to a specific drug regimen. The physician has gathered _____ from the database. Answer data elements information informatics standards data sets
A stay in the hospital used to be a pretty simple thing. Patients went in when they were sick and left when they were better. Today, a hospital stay is much more complicated. Patients leave the hospital with ever more complicated conditions.. Hospital 101 provides information about preparations that patients need to make before arriving at the hospital. Most importantly, the workshop examines important considerations that need to be addressed before and during the discharge process.. Among the issues discussed will be who goes to the hospital and why, what doctors dont know, the distinction between admitted and observation and creating a discharge plan that patients can realistically follow.. As anyone who has been a patient knows, going into the hospital is a very complex process, said Aaron Van Valkenburg, manager of Pierce County Aging and Disability Resources. Discharge looks much different as patients leave with significant care needs, complex instructions and assumptions about ...
2015 Healthcare Benchmarks: Care Transitions Management, HINs fourth annual analysis of these cross-continuum initiatives, examines programs, models, protocols and results associated with movement of patients from one care site to another, including the impact of care transitions management on quality metrics and the delivery of value-based care. With a special focus on the patient discharge process and follow-up, this 50-page report is based on responses from more than 100 healthcare companies to HINs fourth e-survey on Managing Care Transitions conducted in February 2015. For more information or to order your copy today, please visit ...
It is a good practice to always crosscheck and make sure that everything is in order before discharging a patient. In order to ensure this, hospital management usually has a form which they fill and check before discharging a patient. The essence is that you can easily check the information saved in the document to ensure a patient can be discharged. The hospital discharge letter template here can be modified to suit your needs. You can choose to fill this document online and then just print it or save it as PDF file.
It is a good practice to always crosscheck and make sure that everything is in order before discharging a patient. In order to ensure this, hospital management usually has a form which they fill and check before discharging a patient. The essence is that you can easily check the information saved in the document to ensure a patient can be discharged. The hospital discharge letter template here can be modified to suit your needs. You can choose to fill this document online and then just print it or save it as PDF file.
Abstract :. Purpose: To develop and evaluate diagnostic algorithms for AIDS, hepatitis C status, alcohol abuse and illicit drug use in the administrative healthcare database of the Province of Quebec, Canada (Régie de lassurance-maladie du Québec - RAMQ).. Methods: We selected HIV positive patients contributing to both the RAMQ database and a local clinical database, which was used as gold standard. We developed algorithms to identify the diagnoses of interest in RAMQ using data from hospital discharge summaries, medical and pharmaceutical claims databases. We estimated and compared sensitivity, specificity, positive predictive and negative predictive values, and area under receiver operating curve for each algorithm.. Results: 420 patients contributed to both databases. Prevalence of conditions of interest in the clinical database were as follows: AIDS 233(55%), hepatitis C infection 105(25%), alcohol abuse 106(25%), illicit drug use 144(34%) and intravenous drug use 107(25%). Sensitivity to ...
Before you can leave the hospital, there are several things that you or your caregiver must attend to. You may need to wait until after a lab or test result is received before you are able to leave the hospital. Please check with your nurse before you make arrangements with a family member or friend for assistance getting home. Your nurse will go over your discharge instructions before you leave. We are always concerned about you and your health, so we want to be sure that all of your health care needs have been met before you are discharged. The discharge process can take several hours ...
Before you can leave the hospital, there are several things that you or your caregiver must attend to. You may need to wait until after a lab or test result is received before you are able to leave the hospital. Please check with your nurse before you make arrangements with a family member or friend for assistance getting home. Your nurse will go over your discharge instructions before you leave. We are always concerned about you and your health, so we want to be sure that all of your health care needs have been met before you are discharged. The discharge process can take several hours ...
To improve the hospital discharge process, three departments at UC Davis Medical Center are collaborating on projects that incorporate central roles for residents
Survival from hospital at: 30 days post discharge and 180 days post discharge - Composite endpoint of improved left ventricular regional and global function (both regional wall motion analysis and left ventricular ejection fraction) as measured by echocardiography prior to hospital discharge, survival to discharge and favourable. Left ventricular regional function and left ventricular ejection fraction as measured by echocardiography will be measured prior to discharge or up to 180 days post hospital discharge. ...
Author: Elie Matar. Reviewer: Katherine George. Its your first day of internship and you step onto the ward. Youve seen Greys Anatomy, House MD, Scrubs so you have some idea what youre in for…or at least you thought you did. A few hours in it doesnt take long before you realise that you are underprepared for one of the most important responsibilities of your job. No, I am not talking about emergency tracheostomies, end of life discussions, inotropes … Im talking about discharge summaries.. As part of our local redesign group at our hospital, we were tasked with regularly surveying junior medical officers to identify key issues within the hospital system that can be improved. A recurrent issue raised year after year was a resounding dissatisfaction of interns with discharge summaries. It wasnt just that they were cumbersome (though this was undoubtedly a contributor), but rather that there was a lack of formal guidelines or education about what was required for discharge summaries. ...
The discharge process is completed as early in the day as possible. It is important that you make arrangements for going home. Your nurse, case manager or social worker will be happy to assist you with arranging transportation for getting home if you need assistance.
Variations in the validity of hospital discharge diagnoses can complicate the assessment of trends in incidence of acute myocardial infarction (AMI). To clarify trends in the validity of discharge codes, the authors compared event classification based on published Atherosclerosis Risk in Communities (ARIC) Study criteria with the presence or absence of an International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) hospital discharge code for AMI (code 410). Between 1987 and 2000, 154,836 coronary heart disease events involving hospitalization in the four ARIC communities had ICD-9-CM codes screened for AMI. The sensitivity of ICD-9-CM code 410 for classifying AMI in men (sensitivity = 0.65, 95% confidence interval (CI): 0.63, 0.66) was statistically significantly greater than that found for women (sensitivity = 0.60, 95% CI: 0.58, 0.62) and was greater in Whites (sensitivity = 0.67, 95% CI: 0.65, 0.68) than in Blacks (sensitivity = 0.50, 95% CI: 0.47, 0.53). The ...
This paper assesses the quality of information in Electronic Discharge Summaries (EDSs) with respect to adequacy and specificity for optimal post-discharge care of the patient. The assessments were done by randomly selecting 40 EDSs of the patients discharged from two secondary care hospitals affiliated with Waitemata District Health Board and using a questionnaire with an expert panel composed of two medical specialists and a clinical coder. Irrelevant data in laboratory results, and insufficient management and follow up information to patients and primary care physicians were identified as the most common quality issues.. ...
Some patients need help after they leave the hospital. With proper planning, many patients can leave the hospital earlier and recover comfortably at home.
The MEQAPI tweetchat aims to give voice to a broad range of stakeholders in healthcare quality, and will include everyone from administrators to zoologists, and include physicians, nurses, researchers, bed czars, cleaners, and yes, patients and care-givers.
This bill would require each hospital to include a written homeless patient discharge planning policy and process within the hospital discharge policy, as specified. The bill would require a hospital to document specified information before discharging a homeless patient. The bill would, commencing on July 1, 2019, require a hospital to develop a written plan for coordinating services and referrals for homeless patients with the county behavioral health agency, health care and social service agencies in the region, health care providers, and nonprofit social service providers, as available, to assist with ensuring appropriate homeless patient discharge. The bill would also, commencing on July 1, 2019, require a hospital to maintain a log of homeless patients discharged and the destinations to which they were released after discharge, as specified, if any. The bill would specify how its provisions are to be construed in relation to local ordinances, codes, regulations, or orders related to the ...
Our study shows that 9.6% of the discharge letters are lacking in patient records in Dutch hospitals. Discharge letters that are available are often lacking certain components. Just as found in other studies on the completeness of patient record data we found that some components of the discharge letter were more often complete than others [16]. Information on name, address and age of the patient is complete for 98% of the patients. Data on receivers of the letter, relevant laboratory results, consultations and changes in medication are currently only available in 65 to 85% of the patients. If the components are available, our data shows that the information is often correct. Besides the completeness and correctness of the discharge letter, it is of importance that the letter is sent within a reasonable time.. The study also gives an insight into groups with a higher risk of missing discharge letters. Especially patients who are electively admitted, with a shorter length of stay, or readmissions ...
RESULTS: An estimated 34.7 million discharges from nonfederal short-stay hospitals occurred in 2005. Discharges used 165.9 million days of care and had an average length of stay of 4.8 days. Persons 65 years and over accounted for 38 percent of the hospital discharges and 44 percent of the days of care. The proportion of discharges whose status was described as routine discharge or discharged to the patients home declined with age, from 91 percent for inpatients under 45 years of age to 41 percent for those 85 years and over. Hospitalization for malignant neoplasms decreased from 1990-2005. The hospitalization rate for asthma was the highest for children under 15 years of age and those 65 years of age and over. The rate was lowest for those 15-44 years of age. Thirty-eight percent of hospital discharges had no procedures performed, whereas 12 percent had four or more procedures performed. An episiotomy was performed during a majority of vaginal deliveries in 1980 (64 percent), but by 2005, it ...
Findings Brief May 2002 PATIENT ORIGIN AND DISTANCE TO CARE: ANALYSIS OF THE NORTH CAROLINA HOSPITAL DISCHARGE DATABASE, FISCAL YEAR 2000 Prepared by the Cecil G. Sheps Center for Health Services Research at the University of North Carolina at Chapel Hill working under contract for the North Carolina Department of Health and Human Services, Division of Facility Services. BACKGROUND This fact sheet presents patterns in hospital discharges by patient origin and illustrates distance to care using fiscal year 2000 ( October 1, 1999 to September 30, 2000) discharge data from North Carolina acute care ( short- stay) hospitals. Psychiatric, rehabilitation and substance abuse hospitals were not included in this analysis and will be examined in a separate analysis. Discharges for patients who were not residents of NC were excluded from this analysis as well. Data are from the NC hospital discharge data, reported to Solucient ( formerly known as HCIA- Sachs) since 1996, as set forth by the Medical Care ...
Patient outcomes at discharge from acute care after knee arthroplasty were investigated in a prospective observational outcome study at three Melbourne public acute care hospitals during a five-month period from November 1999 to March 2000. The participants were 105 consecutive patients (35 at each hospital), with a mean age of 71 years. Outcome measures were length of stay, destination (home or rehabilitation), knee range of movement, and functional mobility at discharge from the acute care facility. During the study period, mean hospital length of stay across the three hospitals was 6.5 days, more than 30% less than the Victorian average for the preceding year. In that time, 56% of patients had achieved functional independence sufficient for discharge directly home, however only 36% were actually discharged home. The reasons identified for discharge to rehabilitation despite the achievement of sufficient functional independence included pressure on clinicians to decrease length of stay and the ...
If med rec has not been completed by the captain of ship, the order form will display active and home medications. Review and click Close. Open order entry worksheet to enter prescriptions. If med rec has been completed by the captain of ship, You will see the details of what medications have been reconciled already, but you cannot add or edit form. Review and click Close. Open order entry worksheet to enter prescriptions. One of Americas Best Hospitals - U. S. News & World Report ...
Sample: Sampling is done in two stages. Sample hospitals are drawn with probabilities ranging from certainty for large hospitals to 1 in 40 for the smallest hospitals. Sample discharges are then selected by a random technique based on the patients medical record number. The sampling ratio for selecting sample discharges within each hospital varies inversely with the probability of selection of the hospital. This is to assure that the overall probability of selecting a discharge is the same in each size class. ...
Sample: Sampling is done in two stages. Sample hospitals are drawn with probabilities ranging from certainty for large hospitals to 1 in 40 for the smallest hospitals. Sample discharges are then selected by a random technique based on the patients medical record number. The sampling ratio for selecting sample discharges within each hospital varies inversely with the probability of selection of the hospital. This is to assure that the overall probability of selecting a discharge is the same in each size class. ...
Among 805 patients, the mean age was 60.3 (+12.6) years. The median preparedness scores were CTM‐3 78 (interquartile range (IQR) 67‐100) and B‐PREPARED 20 (IQR 18‐22). The CTM‐3 and B‐PREPARED were moderately correlated (Spearmans rho 0.4). In the 90 period following hospital discharge, readmission rates were significantly different by category of preparedness (Tables 1 and 2). In logistic regression, higher CTM‐3 (odds ratio (OR)=0.989) and B‐PREPARED scores (OR=0.931) were associated with lower odds of readmission within 90 days. Days to readmission were significantly different across categories of CTM‐3 (p=0.000) and B‐PREPARED (p=0.016) scores. Finally, using rank correlation the ability of B‐PREPARED to discriminate between patients readmitted and those who were not was slightly better than CTM‐3 (Somers d 0.075 vs. 0.067.. ...
Case managers are being challenged to find a discharge destination for patients who are uninsured or underinsured and who need services after hospitalization.These patients often stay in the hospital longer than necessary, at the hospitals expense. Case managers should develop a network of community resources that can assist with care for unfunded patients after discharge. In some cases, it makes sense for the hospital to pay for a lower level of care rather than keeping patients in acute care beds that could be occupied by paying patients. Case managers often are under pressure to move patients through the continuum of care, making it a challenge to create an effective discharge plan for patients with limited financial resources. Many unfunded patients are eligible for financial assistance with their healthcare needs, but they arent aware of it and dont know how to apply ...
Sharon L. Gorman, PT, DPTSc, GCS, Associate Professor, Samuel Merritt University [email protected] Cathy Harro, PT, MS, NCS, Assistant Professor, Grand Valley State University [email protected] Keywords: Prevention, Outcome Measures, Sitting balance, Discharge Destination. Purpose/Hypothesis: To determine the relationship between Function In Sitting Test (FIST) and other measures of balance and function in regards to length of stay and discharge destination; as well as to determine if these measures predict discharge destination after inpatient rehabilitation (IPR).. Number of Subjects: 125. Methods/Materials: This was a prospective, nonblinded, reference-standard comparison study of a population-based sample of 125 adults (56% male, average age 60 years, ±16.63) with sitting balance dysfunction from 4 accredited IPR units in the US, excluding persons with spinal cord injury, significant bracing/orthotics, and inability to perform testing safely. FIST, Functional Independence Measure ...
Statistics are presented in this report on the utilization of non- Federal short-stay hospitals based on data collected by means of the National Hospital Discharge Survey from a national sample of the hospital records of discharged inpatients. Estimates are provided by the demographic characteristics of patients discharged and by geographic region, bed size, and ownership of hospitals which provided inpatient care, conditions diagnosed, and surgical operations performed. Measurements of hospital utilization are given in terms of frequency, rate, percent, and average length of stay ...
Introduction: The aim of this study was to examine the incidence of musculoskeletal problems (i.e. pain, weakness, decreased joint range of movement) in critical care patients post discharge. Post intensive care syndrome (PICS) is now a widely used term to describe the collection of problems patients develop due to their stay in intensive care. ICU survivors have been found to have a high risk of developing not only psychological problems but physical problems such as Intensive Care Unit Acquired Weakness (ICUAW) and chronic pain [1, 2]. Methods: Discharged patients from ICU attended a 5 week multidisciplinary rehabilitation programme as part of a quality improvement initiative within Glasgow Royal Infirmary ICU. Participants completed a one-one musculoskeletal assessment with an ICU physiotherapist. Ethics approval was waived as the programme was part of a quality improvement initiative. Results: Data was collected from 47 of the 48 patients who attended the programme (median age was 52 (IQR, ...
Teleflex produces and markets innovative medical devices, thus helping to reduce infections and improving the safety of patients and customers worldwide.. The well-being of patients who are being treated at home following hospital discharge, or who require constant support as out-patients, is particularly close to our heart and is the reason we are so passionate about developing new and innovative products for home care.. The safety and comfort of the user is the focus of our work, and our aim is to provide the best possible advice and care in every situation. Working in partnership with users, physicians and other health care professionals, we endeavour to provide the perfect solution to meet each and every need.. Teleflex Care at homes wide-ranging product portfolio is testimony to our success and the considerable competence we have acquired in our core areas continence care, bladder management and tracheostomy, as well as ostomy care, respiratory care and airway management. Every day and ...
0004] Nowadays discharge criteria are physician dependent, i.e., they differ per country, hospital, and even physician. The American College of Cardiology/American Heart Association (ACC/AHA) and the European Society of Cardiology (ESC) guidelines do not specify discharge criteria. Only the Heart Failure Society of America (HFSA) guidelines list a number of discharge criteria with Strength of Evidence C (=low) indicative of missing evidence on how effective those discharge criteria are with respect to outcomes. Further, current methods of determining whether HF patients are at a high risk of adverse effects (e.g., HF exacerbation often result in frequent re-admissions and high mortality rates) are used only in clinical research and not in daily practice due to missing tools, bringing the complex risk nomograms into the daily clinicians workflow. The existing methods for medical professionals to prepare the patient for disease management in out-of-hospital settings and propose guideline-based ...
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TY - JOUR. T1 - Cost of hospitalization and length of stay in people with Down syndrome. T2 - Evidence from a national hospital discharge claims database. AU - Hung, Wen Jiu. AU - Lin, Lan Ping. AU - Wu, Chia Ling. AU - Lin, Jin Ding. PY - 2011/9/1. Y1 - 2011/9/1. N2 - The present paper aims to describe the hospitalization profiles which include medical expenses and length of stays, and to determine their possible influencing factors of hospital admission on persons with Down syndrome in Taiwan. We employed a population-based, retrospective analyses used national health insurance hospital discharge data of the year 2005 in this study. Subject inclusion criteria included residents of Taiwan, and diagnosed with Down syndrome (ICD code is 758.0; N=375). Inpatient records included personal characteristics, admissions, length of stay, and medical expenses of study subjects. The results found that Down syndrome patients used 2 hospital admissions and their annual length of stay in hospital was 22.26 ...
Patients transitioning from hospital to home are the most critical care transition for healthcare organizations seeking to coordinate care and reduce readmissions, according to this years HIN benchmark survey on care transitions management. The 2015 Healthcare Benchmarks: Care Transitions Management also identifies other critical transitions of care. Click here to view other challenging transitions of care. Management of patient handoffs is a key factor in the delivery of value-based care. Poorly managed care transitions drive avoidable readmissions, ER use, medication errors and healthcare spend. 2015 Healthcare Benchmarks: Care Transitions Management, HINs fourth annual analysis of these cross-continuum initiatives, examines programs, models, protocols and results associated with movement of patients from one care site to another, including the impact of care transitions management on quality metrics and the delivery of value-based care. With a special focus on the patient discharge process ...
Treatment for patients presenting with sepsis due to an obstructing stone requires urgent urinary tract decompression. Following this, patients are hospitalized for hemodynamic support and broad spectrum antibiotics. Urine culture results are used to tailor outpatient antibiotic therapy. At times patients achieve early clinical stability but remain hospitalized while awaiting antibiotic sensitivities. Dr. Tran and his coauthors attempted to identify predictors of antibiotic resistance that may allow clinicians to select candidates for early discharge on empiric oral antibiotics prior to receiving culture results.
Austrian hospital discharge statistics are produced on an annual basis, and include clinical details such as diagnoses and procedures, along with demographic information such as age, sex, and state of residence. Statistics are case-based rather than person-based. All hospitals in Austria, including general hospitals, special hospitals, homes for convalescents, nursing homes, maternity hospitals, and sanitariums are required to report details of inpatient stays.. ...
This dataset contains inpatient hospital discharge information as reported to the National Institute of Statistics and Censuses (INEC) in Ecuador. INEC collects these data on a monthly basis, from hospitals in both the public and private sectors.. ...
Eyelid cancer is a common problem in the West, representing about 10% of cancers in the head and neck region.7 About 5% to 9.2% of all skin cancers arise in the eyelid and cancers in this location account for at least 11% of all mortalities from skin malignancies.8 In Singapore, 1.9% of all melanomas and 8.5% of all non-melanoma cancers of the skin, recorded from 1968 to 1992, arise in the eyelid.1 The cases described covers patients seen in all hospitals and clinics in Singapore. Cases recorded by the Singapore Cancer Registry are filed according to the National Registration Identity Card (NRIC) number. This is a unique number for each resident in Singapore, as a result, the possibility of duplicate recording is eliminated. These cases of cancer are sourced with all death records (on computer tape), from all hospital discharge summaries and from all pathology reports. This system ensures all cases of cancer seen in Singapore are recorded, hence the validity of data in this report.. The average ...
Project Re-Engineered Discharge is a research group at Boston University Medical Center that develops and tests strategies to improve the hospital discharge process in a way that promotes patient safety and reduces re-hospitalization rates. The RED (re-engineered discharge) intervention is founded on 11 discrete, mutually reinforcing components and has been proven to reduce rehospitalizations and yields high rates of patient satisfaction ...
Methods After initial assessment of the backlog, a pilot for 6 weeks was designed using the PDSA model (Plan Do Study Act) with targeted and specific outcomes. Weekly team meetings were held for planning and disseminating the structured approach. A no compromise policy to finish prospectively all discharge summaries was adopted. A closed communication group for real time daily update of progress was set up. Nursing and admin staff were encouraged to bring the notes of pending summaries to the morning handover to delegate the work load between medical staff of all grades. Outcome data on the time and causes of delay in completion of discharge letters was collected through a data capture form filled in by doctors and nurses. Data was analysed and results were fed back to all staff weekly at grand rounds for 6 weeks. ...
Reducing hospital readmissions is a major patient safety priority. The Centers for Medicare and Medicaid Services policy of nonpayment for readmissions for certain conditions has decreased their incidence. However, the impact of this policy on 30-day postdischarge mortality remains unknown.
Hartford Mayor Luke Bronin returned home Sunday after spending a few days in the hospital. Bronin tweeted Sunday night that he is back home, resting up, and...
The Caesarean delivery rate is steadily increasing and now accounts for 20-30% of deliveries in many developed countries. There has been a steady decline in the length of time mothers spend in hospital after giving birth including after Caesarean delivery. Earlier discharge may give more opportunity for family members to be together as they get to know the baby, contributing to improved bonding, more involvement of the father in caring for the baby and decreased exposure of the mother and baby to hospital-acquired infection. However, earlier discharge may cause a delay in treatment if unsuspected complications were to arise. We are doing a study to compare discharge on Day 1 (next day) versus Day 2 (current standard) after an uncomplicated elective Caesarean delivery in healthy women who have made a good physical recovery and whose baby is also fit for discharge ...
Healthwatch Camden, Barnet, Enfield, Haringey, Islington (Healthwatch) conducted research to gather Views from Black and Minority Ethnic respondents in North Central London. They spoke to 34 residents across North Central London. 33 were spoken to face to face in a one-to-one, and one took part in a telephone interview. The themes in relation to key findings within the report include Care planning, the discharge process and discharge to assess ...
A Hamilton County jail inmate being housed at a mental health hospital is facing a murder charge after police say he attacked another patient.
BACKGROUND AND PURPOSE: The validity of hospital discharge diagnoses is essential in improving stroke surveillance and estimating healthcare costs of stroke. The aim of this study was to assess sensitivity, positive predictive value, and accuracy of discharge diagnoses compared with a stroke register. METHODS: A record linkage was made between a population-based stroke register and the discharge records of the hospital serving the population of the stroke register (n=70 000). The stroke register (including patients aged 15 and older and with no upper age limit), applied here as a gold standard, was used to estimate sensitivity, positive predictive value, and accuracy of the discharge diagnoses classification. The length of stay in hospital by stroke patients was measured. RESULTS: Identifying cerebrovascular diseases by hospital discharge diagnoses (International Classification of Diseases, 9th Revision [ICD-9], codes 430 to 438.9, first admission) lead to a substantial overestimation of ...
The Project RED (Re-Engineered Discharge) training program was designed to help hospitals re-engineer their discharge process. Using the study modules and supporting materials, hospitals will become familiar with Project REDs processes and components, determine metrics for evaluating impact, and learn how to implement Project RED ...
Langelaan, M., Baines, R., Bruijne, M. de, Wagner, C. Association of admission and patient characteristics with quality of discharge letters: a retrospective study. BMC Health Services Research: 2017, 17(1), ...
The risk of rehospitalization may decrease when patients are assessed following discharge by physicians who have received the discharge summary. Further research is required to determine if better continuity of patient information improves patient outcomes.
At Mercy Health-Anderson Hospital in a suburb of Cincinnati, OH, a new council composed of hospital volunteers, staff, and leadership is helping to improve the experience of patients and their families. Known as the Patient Family Council, many of the volunteers participating on the council were once patients or are family members of former patients. The group meets once a month to discuss how best to achieve goals like making sure patients receive the information they need during the hospital discharge process and reducing the noise levels in the hospital at night. Members of the council say the discussions have greatly enhanced communication among patient and family volunteers and staff members and led to an increased awareness of patients needs and perceptions.. We realized when we were starting the council that our volunteers could be a tremendous resource. A lot of them have family members who are patients, or theyve been patients here themselves from time to time. They care about the ...
A booklet of information that summarizes the education, local resources and daily expectations that will help patients stay well managed, independent and out of the hospital setting. This information is a concise and effective summary of what has been reviewed with the patient in the course of the program. Tool should be delivered to patients when they graduate from the program ...
Union offers an environmentally-friendly, high performance PVC-Free Water based system for printing on 100% cotton light fabrics or dark fabrics when using the discharge process. Our Aerotex ATEX series are air curable water based inks, while the DSPP discharge Inks are used to discharge print onto 100% Cotton garments.. Learn More ...
This report presents the first analysis of work-related injuries and illnesses in Louisiana using hospital discharge data. The goal of this analysis is to provide information that might contribute to the development of targeted educational and preventive measures to reduce occupational injuries and illnesses for Louisiana workers. Data from the Louisiana Hospital Inpatient Discharge Database (LAHI
The provision of rehabilitation differs between developed and developing countries, this could impact on the outcomes of post stroke rehabilitation. The aim of this paper is to present provision of in-patient stroke rehabilitation. In addition the challenges experienced by the individuals with participation post discharge are also presented. Qualitative and quantitative research methods were used to collect data. The quantitative data was collected using a retrospective survey of stroke patients admitted to hospitals over a three- to five-year period. Quantitative data was captured on a validated data capture sheet and analysed descriptively. The qualitative data was collected using interviews from a purposively and conveniently selected sample, audio-taped and analysed thematically. The qualitative data was presented within the participation model. A total of 168 medical folders were reviewed for a South African sample, 139 for a Rwandan sample and 145 for a Tanzanian sample. The mean age ranged from
Preanesthesia Evaluation and Testing / L. Reuven Pasternak -- Minimally invasive and advanced ambulatory procedures / Shireen Ahmad -- Adult Clinical Challenges / Donald M. Mathews and Rebecca S. Twersky -- Pediatric clinical challenges / Lucinda L. Everett and Gennadiy Fuzaylov -- Pediatric perioperative management / Raafat S. Hannallah -- Adult preoperative preparation: equipment and monitoring / J. Lance Lichtor -- Sedation techniques / Tong J. Gan and Beverly K. Philip -- Regional anesthesia / Holly C. L. Evans, Karen C. Nielsen and Susan M. Steele -- General anesthesia / Ralph Gertler and Girish P. Joshi -- Anesthesia outside the operating room / Steven C. Hall -- Office-based anesthesia / Hector Vila, Meena S. Desai and Rafael V. Miguel -- Postanesthesia care recovery and management / Johnathan L. Pregler and Patricia A. Kapur -- Discharge process / Frances Chung and Jeremy Lermitte -- Quality management, regulation, and accreditation / Jerry A. Cohen, Sorin J. Brull and Walter G. Maurer ...