Transitions patient readmission. Medical search. Frequent questions

NEW YORK (June 26, 2013) -- Personal contact with patients before and after their hospital discharge resulted in significantly lower readmission rates, according to a study conducted by the Bronx Collaborative, a group of hospitals and health insurers in the Bronx, N.Y. The results were presented today at the annual meeting of the Case Management Society of America in New Orleans, where the study received the Society's annual Research Award. (montefiore.org)
Among 500 patients who received two or more "interventions," in a special program to manage the transition between hospital and home, only 17.6 percent were readmitted to the hospital within 60 days of discharge versus 26.3 percent among a comparison group of 190 patients who received the current standard of care, the data showed. (montefiore.org)
In addition to receiving at least two interventions, the follow-up physician visit within 14 days of discharge appeared to be a key factor in preventing a readmission, according to the research analysis. (montefiore.org)
These results underscore the value of personal contact with patients before and after their discharge from the hospital and follow-up appointments with their personal physicians to help prevent problems that frequently contribute to readmissions," said Anne Meara, R.N., M.B.A., associate vice president, Network Care Management, CMO, Montefiore Care Management , who led the Collaborative's project design team. (montefiore.org)
Together they developed a uniform Care Transitions Program (CTP) with the aim of reducing readmissions within 60 days following a discharge from the Collaborative's hospitals. (montefiore.org)
All-cause first readmissions were determined within 30 days and 180 days after discharge. (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)
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)
The only currently nationally endorsed measure of transitional care quality is the Care Transitions Measure (CTM), which is a 15-item survey for administration to patients after discharge from the hospital. (wikipedia.org)
Smith BA, Fields CJ, Fernandez N. Physical therapists make accurate and appropriate discharge recommendations for patients who are acutely ill. (apta.org)
Ensures patient support post-discharge and reduces adverse events. (chapinc.org)
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)
It was reported that Medicare readmissions within 30 days of discharge cost 17 billion dollars annually (Edwoldt, 2012). (bartleby.com)
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)
Improving the quality of discharge planning in acute care include addressing the lack of appropriate staff and patient education about appropriate planning for discharge (4). (bartleby.com)
Other challenges are patients with complex comorbidities too difficult to discharge as well as lack of community supports and equipment for newly discharge patients and lack of rehabilitation and nursing home beds (4). (bartleby.com)
Discharge planning is used to create a plan of care for a patient who is leaving a care setting. (bartleby.com)
When patients are send back home or to a facility that does not require full time nursing care assistance, programs need to be put into place to ensure that the patient is receiving the proper continuation of care post discharge. (bartleby.com)
What are patient-reported reasons for readmission to the hospital after discharge? (the-hospitalist.org)
A survey of 36 questions was posed to 1,084 patients who were readmitted within 30 days of discharge from November 2010 to July 2011 (32% of eligible patients). (the-hospitalist.org)
Some issues patients raised regarding discharge planning included difficulty with paying for medications, challenges with travel to pharmacies, and concern over medication side effects. (the-hospitalist.org)
Patient-level encounter scheduling data were used to compare the number and proportion of patients who were scheduled and received in-clinic or video dermatology follow-ups within 14 and 90 days after discharge across 3 phases: June to September 2019 (before teledermatology), June to September 2020 (early teledermatology), and February to May 2021 (sustained teledermatology). (jmir.org)
The time from discharge to scheduling and completion of patient follow-up visits for each care modality was also compared. (jmir.org)
More patients completed follow-up within 90 days after discharge during early (n=101) and sustained (n=100) teledermatology use than at baseline (n=74). (jmir.org)
One in five Medicare patients are readmitted to a hospital within 30 days of discharge, and one in three are readmitted within 90 days. (cio.com)
The Avery Telehealth 30-day Readmission Avoidance Program focuses on proactive care transition planning, patient-centric post-discharge care coordination and remote telehealth monitoring. (cio.com)
ACT program components include a tailored risk calculator that provides real-time scoring of transitions of care risk factors, a multidisciplinary team with the capacity to address complex barriers to safe transitions, and enhanced discharge workflows to improve care transitions for complex patients. (nih.gov)
Published recently online in the Journal of Hospital Medicine, the authors surveyed 22 primary-care physician leaders in California-based post-discharge clinics and asked them about ways to improve care transitions. (the-hospitalist.org)
Define the four core measures for patients with heart failure prior to discharge from a hospital. (aacn.org)
Identify the necessary counseling and appropriate discharge instructions for patients. (aacn.org)
AUSTIN, Texas -- Peritoneal dialysis patients may require closer monitoring following a hospital discharge, researchers suggested here. (medpagetoday.com)
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)
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)
Hospitals are now scrambling to comply with the new rules that go into effect this year, and that includes making sure older patients are looked after following discharge. (grandcare.com)
She started analyzing the discharge summaries of those patients who were being admitted most frequently. (dolbey.com)
Some of the people who were coming in most frequently were the ones who don't have discharge summaries on record at the time of readmission," Wise says. (dolbey.com)
The discharge summary is critically important for patients who need further care following a hospital stay. (dolbey.com)
Program within 7 days of hospital discharge and contact patients hospital readmissions by Services within 3 days of discharge to help them transition to outpatient giving patients education to services and make sure they are taking their medication. (cdc.gov)
This study investigated whether older patients' nutritional status at admission predicts unplanned readmission or death in the very early or late periods following hospital discharge. (bmj.com)
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)
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)
1. Hospital readmissions decreased 50 percent when pharmacists reviewed patients' medication regimens and provided counseling during discharge transition, a study from CVS Health Research Institute found. (beckershospitalreview.com)
Patient-centered transitional care service did not improve clinical outcomes in patients hospitalized for heart failure, But there is an improvement in discharge preparedness, quality of transitional care, and quality of life. (medindia.net)
This intervention, delivered to 1,104 patients, included nurse-led self-care education, a structured hospital discharge summary, and a family physician follow-up appointment less than one week after discharge and, for high-risk patients, structured nurse home visits and heart function clinic care. (medindia.net)
However, patients receiving the intervention reported improvements in discharge preparedness, quality of transitional care, and quality of life. (medindia.net)
Medications errors or adverse events are one of the top reasons patients are readmitted to the hospital after discharge," says Tillman Farley, MD, executive VP of medical services for Salud. (nxtbook.com)
Oversee and follow patients/families opened and remaining in the hospital until time of discharge. (hospicewr.org)
Assist patients/families in planning for safe and appropriate discharge. (hospicewr.org)
OBJECTIVE: To investigate the association between patients' ADL function at hospital admission and length of stay, inpatient falls, hospital-acquired pressure injuries, and discharge disposition. (bvsalud.org)

The program was designed to reflect the key concepts of accountable care - improving outcomes and patient satisfaction while lowering costs. (montefiore.org)
During transitions, patients with complex medical needs, primarily older patients, are at risk for poorer outcomes due to medication errors and other errors of communication among the involved healthcare providers and between providers and patients/family caregivers. (wikipedia.org)
Adverse patient outcomes include continuation or recurrence of symptoms, temporary or permanent disability, and death. (wikipedia.org)
Healthcare utilization outcomes for patients experiencing poor transitional care include returning to the emergency room or being admitted to the hospital. (wikipedia.org)
Dr. Eric Coleman and his team at the University of Colorado at Denver and Health Sciences Center developed the CTM, as well as an intervention designed to improve patient outcomes during transitions. (wikipedia.org)
Selectively collaborate with organizations that share patient care goals, communication goals, and quality expectations to foster coordinated care delivery and enhance patient outcomes. (chapinc.org)
With enrollments doubling from 2007 to 2022, Medicare Advantage plans offer a significant opportunity for providers to align with their focus on better outcomes and tap into a larger patient pool. (chapinc.org)
Intensive care units (ICU) have demonstrated the impact of different strategies to address these failures and improve patient outcomes . (ahrq.gov)
Secondary outcomes were long-term rebleeding rates, readmissions for bleeding or anemia, blood transfusions, and death. (the-hospitalist.org)
Effective transitions of care can be highly influential on a patient's outcomes, and it's up to us to help ensure these shifts don't lead to blind spots. (philips.com)
More than ever before, health informatics like data integration and artificial intelligence can provide connected patient care management whenever and wherever care happens - helping to keep patients out of the hospital, improving patient outcomes for those discharged, and helping health systems manage their patient load and resources. (philips.com)
By offering a data-driven, holistic view of a patient's journey, clinicians can effectively decide where a patient will have the most successful outcomes. (philips.com)
Implementing a well-structured transition of care (ToC) process can ease the burdens on the health care system, as well as on patients and their families, and improve patient outcomes. (pharmacytimes.com)
A focus on medication management during ToC is known to improve health outcomes.On an ongoing basis, pharmacists reconcile discrepancies in medication therapy that translate into improved outcomes and reduced readmissions. (pharmacytimes.com)
Based on the patients' journey and course of disease, one can easily understand how CDI is no exception for the ToC process to improve outcomes in these patients. (pharmacytimes.com)
Partners with peers, other healthcare providers, and management to effectively streamline patient workflow, improve patient outcomes, and provide the highest care quality. (collegerecruiter.com)
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)
It uses a team-based approach and an electronic medical record (EMR) system to address the unique health and socioeconomic needs of heart failure patients at high risk for 30-day hospital readmission, improve the quality of care and health outcomes of these patients, and advances health equity. (cdc.gov)
When patients are admitted for inpatient services, they receive a the quality of care and 30-minute consultation with an APP and are given a self- outcomes of low-income, management tool, the Grady Heart Failure Survival Guide . (cdc.gov)
By improving the ability of healthcare professionals (HCPs) to provide virtual care outside of clinical settings, HCPs can intervene quickly when patient health declines, thereby improving patient outcomes. (countyenews.com)
We are leveraging these solutions to improve outcomes for payers, healthcare professionals, and patients. (countyenews.com)
Their solutions improve outcomes for patients and care providers through streamlined workflows, accurate diagnostics, cost reduction, and user-friendly interfaces. (countyenews.com)
Improving care transitions between care settings is critical to improving individuals' quality of care and quality of life and their outcomes. (medicaid.gov)
Transitional care services can improve outcomes in select patients, but have not been systematically implemented. (medindia.net)
We found the patient-centred transitional care service model did not improve clinical outcomes in patients hospitalized for heart failure in our health-care system," said Van Spall. (medindia.net)
Health-care interventions that do not improve clinical outcomes such as readmission or death may still be worthy of program funding if patients report greater satisfaction with care and quality of life," she said. (medindia.net)
Our focus on integrating the transition from inpatient to outpatient care results in excellent outcomes for our patients as measured in length of stay, readmission rates, and patient satisfaction. (jefferson.edu)
IMPORTANCE: Assessing patients' activities of daily living (ADLs) function early in hospitalization may help identify patients at risk for poor outcomes. (bvsalud.org)
AM-PAC IASF scores may be useful in identifying patients with ADL deficits and targeting occupational therapy services for patients who are at higher risk for negative outcomes. (bvsalud.org)
What This Article Adds: Early assessment of ADL function in routine care of hospitalized patients may aid in treatment and care plan decisions, particularly for inpatients who may be at higher risk for adverse outcomes. (bvsalud.org)
This study analysed the management and outcomes of patients presenting with AMI at a district hospital in KwaZulu-Natal. (bvsalud.org)

Most research in the area of transitional care has studied the transition from hospitalization to the next provider setting - often a sub-acute nursing facility, a rehabilitation facility, or home either with or without professional homecare services. (wikipedia.org)
Measuring inpatient readmissions without accounting for observation stays and ED visits underestimates the rate at which patients return to the hospital following an inpatient hospitalization. (rand.org)
Failure of effective transitions of care following hospitalization can lead to excess days in the hospital, readmissions, and adverse events. (nih.gov)
We initiate the care process during hospitalization to set the stage for a seamless transition from hospital to home. (visitingangels.com)
As an example, in Spain, skilled nursing facilities offer intermediate socio-health care to patients that are transitioning from an episode of acute hospitalization to their homes or residence. (who.int)

PTs are playing an important role in reducing patient readmissions to hospitals. (apta.org)
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)
This program will encourage hospitals to concentrate on ways to improve coordinating transitions of care while improving the safety and quality of care provided. (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)
Implementing patient safety initiatives in rural hospitals. (ahrq.gov)
While readmission reduction is a goal of all hospitals, there is much to be gleaned from evaluating patients' view of the problem. (the-hospitalist.org)
Success in this area allows hospitals to assist patients in reaching their highest potential for health and independence prior to returning to home. (teamiha.org)
To add to this burden, we've seen another crisis brewing as hospitals manage COVID-19 surges: emergency department and ongoing care visits have declined due to patient concerns around infection transmission. (philips.com)
The intelligence that comes with collecting, analyzing and representing data that allows caregivers to act on it with confidence plays a critical role in managing the care of our sickest patients and informing resource allocation decisions within the hospitals. (philips.com)
Following Medicaid expansion, non safety-net hospitals experienced a greater percentage increase in Medicaid stays than did safety-net hospitals, which may reflect patient choice or a crowd-out of private insurance. (rand.org)
Patients receiving care from UW Medicine's health system including 4 hospitals and 20-site Post-Acute Care network. (nih.gov)
The most recent report on hospital quality issued by independent healthcare rating company HealthGrades estimates that 254,000 safety incidents that occurred in U.S. hospitals from 2008 to 2010 could have been prevented, and that 56,367 hospitalized patients who died experienced one or more of those preventable events. (the-hospitalist.org)
Drawing upon consumer-reported quality data in CMS' Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey, HealthGrades concluded that 15% more patient safety incidents occurred at hospitals who ranked lowest (the bottom 10%) on the quality of their physician communication. (the-hospitalist.org)
Patient safety and satisfaction: the state of American hospitals. (the-hospitalist.org)
Results of the studies also show that high repeat users, once admitted to the hospital, are more likely to require readmission , and that worries ACEP President, Andrew Sama, MD, because of the recently enacted rule than penalizes hospitals for 30-day readmissions. (healthleadersmedia.com)
Over the next three years, the Center will work with hospitals in Pennsylvania, Colorado, California, and Missouri, to coordinate care for 'hot spotters,' patients who visit EDs four times within a year. (healthleadersmedia.com)
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)
More than one in seven Medicare patients aged 64 and older who are discharged from hospitals nationwide are readmitted. (yale.edu)
4. Just 47 percent of reporting hospitals met the Leapfrog's standard for intensive care unit staffing, even though the standards are associated with increased patient survival rates. (beckershospitalreview.com)
Hospitals were randomized to receive the hospital-to-home transition care intervention. (medindia.net)
ABSTRACT: Falls are one of the most common adverse events in hospitals, and patient mobility is a key risk factor. (bvsalud.org)
In hospitals risk assessment tools are used to identify patient-centered fall risk factors and guide care plans, but these tools have limitations. (bvsalud.org)
Movement of patients between different locations or settings with varying levels of care such as hospitals, primary and specialty care offices, nursing facilities, the patient's home and long-term care facilities. (bvsalud.org)

Why Do Healthcare Providers And Patients Try To Avoid Hospital Readmissions? (forbes.com)

Thematic analysis was used to identify factors contributing to readmissions, and supplemented with questionnaire data measuring patient comorbidity and carer strain, and importance rating scales for factors that contribute to readmissions in other patient groups. (bmj.com)

We know that approximately 40 per cent of early readmissions after heart failure hospitalizations are related to suboptimal care as patients transfer between health-care settings. (medindia.net)

The hospital systems contributed in-kind services and the health plans agreed to pay a fee for each patient who received at least two of the interventions in the program's protocol. (montefiore.org)
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)
Evidence identifies both patient and system factors that influence poor care transitions, yet health systems struggle to translate evidence into complex interventions that have a meaningful impact on care transitions. (nih.gov)
There was little information on what factors were associated with readmissions in this population, which could help target interventions. (medpagetoday.com)
The program offered interventions such as personalized transition support, education, follow-up telephone calls, and links to community resources. (yale.edu)
Data extracted recorded patient demographics, risk factors, timing of care, therapeutic interventions, follow up with cardiology and mortality of patients. (bvsalud.org)

As healthcare expenditures rise at an unsustainable rate, there is increasing focus by patients, providers, and policymakers on restraining unnecessary resource utilization such as that incurred by preventable re-hospitalizations. (wikipedia.org)
Preventable hospital readmissions continue to be a major healthcare burden in this country. (cio.com)
It's estimated that 75 percent of all hospital readmissions are preventable. (cio.com)

The authors also described the accuracy of a risk prediction model to identify high-risk patients for 30-day admissions. (ahrq.gov)
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)
Critical care transition clinic patients with chronic conditions had a 31% reduction in relative risk for inpatient admissions, and the clinic reduced cost by more than $1 million. (ajmc.com)
Our goal was to investigate whether vaccination of haematological patients with pneumococcal 13-valent conjugated vaccine (PCV13) prior to therapy initiation is associated with decreased hospital admissions. (researchgate.net)
The coordinator coordinates the patient´s needs in the accommodation and contact with the Health center and "biståndbedömaren", which leads to a safer care transition to their own home and reduces re-admissions. (vinnova.se)
Our goal was to create seamless health care crossing that provide increased safety for the patient and reduce re-admissions. (vinnova.se)
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)
I started correlating the 30-day readmission rate with the daily admissions," Wise says. (dolbey.com)
After examining the list of patients who'd been admitted in the last 30 days, she compared it with the daily admissions. (dolbey.com)
I think part of the work around geriatric emergency care is not only to improve the care that happens in the ED, but also to surround the ED staff with the resources that allow them to provide safe care outside of the ED facility-to onboard patients toward a better trajectory, so that they can do better and not have rebound admissions. (medscape.com)

Transitional care refers to the coordination and continuity of health care during a movement from one healthcare setting to either another or to home, called care transition, between health care practitioners and settings as their condition and care needs change during the course of a chronic or acute illness. (wikipedia.org)
Acute obscure GI bleeding (OGIB): remains a diagnostic challenge, accounting for 7% to 8% of patients presenting with GI bleeding. (the-hospitalist.org)
Capsule endoscopy of angiography in patients with acute overt gastrointestinal bleeding: a prospective randomized study with long term follow up. (the-hospitalist.org)
What are potential predictors of 30-day readmissions after acute myocardial infarction (MI)? (the-hospitalist.org)
Much attention has been given to evaluate the causes of readmissions of heart failure, acute MI, and pneumonia. (the-hospitalist.org)
This study looked at 30-day readmissions after an acute myocardial infarction (AMI). (the-hospitalist.org)
IHA's team can help assure your hospital is meeting the CMS Conditions of Participation that are required under Appendix W and PP when moving patients from acute to skilled care. (teamiha.org)
Shortly thereafter, the baton was passed to me to take up a new journey: connecting the many transitions of care inside the hospital but also beyond, including acute and chronic patient care management inside the home. (philips.com)
With an emphasis placed on communication and enhancing both quantity & quality of patient encounters, ARC's specialized sub-acute rehabilitation programs provide physiatry care to address issues that most affect skilled nursing facilities. (greatplacetowork.com)
MEASURES: Patient function was assessed using 2 Activity Measure for Post-Acute Care (AM-PAC or "6 clicks") inpatient short forms: (1) basic mobility (eg, bed mobility, walking) and (2) daily activity (eg, grooming, toileting). (bvsalud.org)
These patients were compared with 57 consecutive patients who were evaluated for acute GI bleeding or severe anemia with standard of care prior to the COVID-19 pandemic (pre-COVID arm). (medscape.com)

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)
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)
The authors found that a substantial portion of the variance in readmissions risk between those with low and high readmissions rates was accounted for by factors not included in CMS's current calculations. (copdfoundation.org)
Barnett ML, Hsu J, McWilliams J. Patient Characteristics and Differences in Hospital Readmission Rates. (copdfoundation.org)
colitis rates, readmission rates, and number of coded diagnoses. (nih.gov)
colitis, readmission rates, or case mix index before and after EHR. (nih.gov)
Through a partnership with the Worcester County Health Department (WCHD), Atlantic General has implemented PCMH standards and principles in all seven of its primary care practices, increasing access for patients needing non-emergency episodic care to reduce hospital admission rates and emergency department visits for these Medicare beneficiaries. (cms.gov)
Readmission rates are affected by a patient's social situation. (the-hospitalist.org)
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)
Overall, Plantinga suggested these high readmission rates among peritoneal dialysis patients may be, at least in part, due to less frequent provider contact, as compared to in-center hemodialysis patients. (medpagetoday.com)
Specifically, the program works to reduce the risk of 30-day readmission rates for low-income heart failure patients who are insured, uninsured or underinsured. (cdc.gov)
By helping patients provide continuous care overcome these barriers, the program can reduce rates of 30- for hundreds of patients day hospital readmissions and improve the quality of care and with heart failure health of heart failure patients. (cdc.gov)
Farley continues, "This is a critical time for patients and having a medications expert on board to review and reconcile meds they are discharged with against what they have in their homes makes a big difference in readmission rates. (nxtbook.com)
BRCA1/2 testing rates in epithelial ovarian cancer: a focus on the untested patients. (cdc.gov)
No intergroup differences were observed in rates of blood transfusion, in-hospital or GI-bleed mortality, rebleeding, or readmission for bleeding. (medscape.com)

Patients were selected using a predictive model that identified those most at-risk for a readmission based on their diagnoses and the number of readmissions within the preceding 12 months. (montefiore.org)
Employ data-driven approaches and analytical tools to identify managed care opportunities based on market dynamics, patient lives, and prevalent diagnoses, enabling informed decision-making, and maximizing the chances of success. (chapinc.org)
Assesses, diagnoses, plans and implements the medical care of patients in collaboration with a physician. (collegerecruiter.com)

A recent position statement from the American Geriatrics Society defines transitional care as follows: For the purpose of this position statement, transitional care is defined as a set of actions designed to ensure the coordination and continuity of health care as patients transfer between different locations or different levels of care within the same location. (wikipedia.org)
Transitional care or transition care also refers to the transition of young people with chronic conditions into adult-based services. (wikipedia.org)
The remainder of the patients received usual care in which transitional care was left to the discretion of clinicians. (medindia.net)
There were no significant differences in death, readmissions, or emergency department visits between the patients who received the transitional care intervention and those who received usual care. (medindia.net)

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)
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)

However, little is known about whether teledermatology supports effective and timely transitions from inpatient to outpatient care, which is a common care coordination gap. (jmir.org)
Using mixed methods, this study sought to retrospectively evaluate how teledermatology affected clinic capacity, scheduling efficiency, and timeliness of follow-up care for patients transitioning from inpatient to outpatient dermatology care. (jmir.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)
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)
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)
Due to the high costs of readmissions Medicare and Medicaid have implemented a Hospital Readmission Reduction program. (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)
Atlantic General Hospital Corporation, which serves largely rural Worcester County, Maryland, is working to improve care for Medicare beneficiaries through a patient centered medical home (PCMH) care model. (cms.gov)
According to a 2009 study published in the New England Journal of Medicine on Medicare's fee-for-service program, nearly 20% of Medicare patients discharged from a hospital were readmitted within thirty days, and 34% were rehospitalized within 90 days. (grandcare.com)
The Centers for Medicare & Medicaid Services is committed to helping states and their providers undertake efforts to improve transitions and improve medical and LTSS coordination by providing technical assistance, resources, and facilitating the exchange of information about promising practices of high quality, high impact, and effective care transition models and processes. (medicaid.gov)
Community-based Care Transitions Program (CCTP), created by Section 3026 of the Affordable Care Act, tests models for improving care transitions from the hospital to other settings and reducing readmissions for high-risk Medicare beneficiaries. (medicaid.gov)

Community-Based Care Transition Programs. (apta.org)
Accurate and timely communication can become a critical component of this care transition. (pharmacytimes.com)
Technical brief describes and compares four core management strategies to reduce psychiatric readmissions-length of stay for inpatient care, transition support services, short-term alternatives to psychiatric rehospitalization, and long-term approaches for reducing psychiatric rehospitalization-for patients at high risk of psychiatric readmission. (samhsa.gov)

While the strengthened handoff process was associated with a trend toward reduced readmissions, its most impressive impact was on the total cost of care per patient, which fell significantly. (ahrq.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)
Conducted by pharmacy students and volunteers (non-medical Community HealthCorps members), these home visits are part of a program titled Transitions of Care, and have proven to significantly impact hospital readmissions and successfully transition patients. (nxtbook.com)

Another 85 patients who received only one intervention for a variety of reasons had a higher readmission rate, raising to 22.8 percent the overall 60-day readmission rate for patients in the intervention group. (montefiore.org)
We report on our experience developing, pilot testing, and evaluating a complex intervention (Addressing Complex Transitions program, or ACT program) that aims to improve care transitions for complex patients. (nih.gov)
Early intervention can potentially reduce healthcare costs by decreasing hospital readmission and accelerating the transition of care. (countyenews.com)
The study tested the effect of the intervention on the outcome of hospital readmission or emergency department visit for any cause at 30 days, and readmission, emergency department visit, or death at three months. (medindia.net)

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)
This can ease the physicians' process of clinical decision making and can be an advantage for the patients. (forbes.com)
Manages the medical care for patients utilizing clinical protocols in collaboration with the physicians. (collegerecruiter.com)
Inviting patients to share their perspectives, clinical and non-clinical needs, and lifestyle preferences will help to tailor care plans and promote health equity. (wsha.org)
Interviewing patients reveals non-clinical drivers of utilization, such as transition challenges, communication barriers and otherwise undetected social service needs. (wsha.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)
Quite often we see patients doubling up on their meds because they were given a medication in the hospital with a different name and they either were confused or didn't hear that they should stop taking the one at home," says Senior Clinical Instructor Jeff Freund, PharmD. (nxtbook.com)

Applying root cause analysis to improve patient safety: decreasing falls in postpartum women. (ahrq.gov)
Both clinicians and patients have increasingly turned to telemedicine to improve care access, even in physical examination-dependent specialties such as dermatology. (jmir.org)
Teledermatology increased clinic capacity, even during the pandemic, although the timeliness of care transitions did not improve. (jmir.org)
The purpose of this review is to evaluate current regulatory compliance and improve patient care for your hospital's emergency services. (teamiha.org)
Healthcare providers, via RPM, can improve patients' medication-taking behavior by setting up alerts and voice calls. (forbes.com)
By leveraging these insights, health systems are now implementing centralized command center models to improve care transitions. (philips.com)
Policies to improve patient experience may be more effective if tailored to the patient population at a given practice or hospital. (rand.org)
By using technology to improve care coordination and communication, this program has been shown to dramatically reduce hospital readmissions for patients with chronic conditions such as heart failure and COPD. (cio.com)
they work alongside nursing, therapy, & other physicians to improve the overall patient experience. (greatplacetowork.com)
Hospital engagement networks (HENs) are working with community providers to improve transitions. (medicaid.gov)

More than 1,000 Hospice of the Western Reserve employees and 3,000 volunteers live and work side-by-side in the same neighborhoods with our patients and families. (hospicewr.org)

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)
How Can RPM Reduce Hospital Readmission? (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)
[email protected] and reduce hospital readmissions. (cdc.gov)

Nurses have the ability to provide a safe patient environment and reduce the risk of hospital associated infections by following hospital protocols such as hand washing. (bartleby.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)
5 for patients taking Warfarin (26%), and catheter-associated urinary tract infections. (ahrq.gov)
5. Thorough cleaning of single-patient hospital rooms, including "grey zones", or the areas commonly glossed over in the cleaning process, can lower the risk of antibiotic resistant infections, according to a study in the American Journal of Infection Control. (beckershospitalreview.com)

The model prioritizes low-cost care, reducing hospitalizations and improving patient satisfaction while alleviating financial strain on patients and the healthcare system. (chapinc.org)
Hospital readmissions have considerably imposed a financial burden on the United States healthcare system. (forbes.com)
Despite the widespread belief that these patients can be easily redirected in the healthcare system for less expensive care, and that these patients are somehow abusing the system, the reality is much more complicated,' says O'Connor. (healthleadersmedia.com)

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)
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)

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)
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)

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)

What types of care are elderly patients currently getting at most EDs? (medscape.com)
In infants and elderly patients, a WBC count is especially unreliable because these patients may not mount a normal response to infection. (medscape.com)
Any sign of congestive heart failure, including isolated sinus tachycardia, particularly in physiologically vulnerable populations (eg, very elderly patients), should trigger expeditious workup, treatment, or consultation with a cardiologist. (medscape.com)

A care transitions analyst at each hospital scheduled follow-up physician visits for all patients in the program and also entered data in a special program developed for the CTP by the Bronx Regional Health Information Organization. (montefiore.org)
Most considered postdischarge follow-up patients to be ideal candidates for teledermatology as they had undergone a recent in-person assessment and might have difficulty attending in-clinic visits because of competing health priorities. (jmir.org)
Regardless of the definition, most studies found frequent users to be a very small percentage of the total number of emergency patients, although these patients did make a disproportionate share of emergency department visits,' he says. (healthleadersmedia.com)
The study O'Connor authored, Characteristics of Repeat Emergency Department Users at a University Medical Center , found that frequent ED users made up 20% of all the patients, but nearly 40% of visits. (healthleadersmedia.com)
Home visits as they are known at Salud Family Health Centers are helping patients transition from a hospital admission back into the primary care setting. (nxtbook.com)

A retrospective chart review was undertaken to record quality indicators for all patients admitted to the SICU two years before and two years after EHR implementation. (nih.gov)
An artificial intelligence-based approach for identifying rare disease patients using retrospective electronic health records applied for Pompe disease. (cdc.gov)

Patients who could benefit from the Grady Heart Failure Program failure patients.2 Heart are identified through the hospital's EMR system when they are failure is one of the leading admitted to the emergency room (ER) or when they receive causes of CVD-related inpatient or outpatient care services. (cdc.gov)

The research team enrolled more than 10,000 older high-risk patients in a readmission reduction program. (yale.edu)

Data were integrated iteratively to identify patterns, which were discussed in five focus groups with different patients/carers who also experienced readmissions. (bmj.com)
Care patterns for pediatric asthma can help identify differences between types of patients - and possible ways to reduce avoidable hospitalizations. (rand.org)
Eighty percent of patients disease and death in the Identify and Enroll come from the ER. (cdc.gov)
We aimed to identify longitudinal characteristics of patient mobility prior to a fall to help identify fallers before the event. (bvsalud.org)
MAIN OUTCOME: We examined the utility of nursing assessments of function to identify patients who received lower-value rehabilitation consults, defined as those who received ≤1 therapy visit. (bvsalud.org)

Does training with human patient simulation translate to improved patient safety and outcome? (ahrq.gov)

Dermatology clinicians and schedulers were also interviewed between April and May 2021 to assess their perceptions of teledermatology for postdischarge patients. (jmir.org)

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)
2. Putting healthcare workers through teamwork training can reduce patient mortality by 15 percent and medical errors by 19 percent, a study soon to be published in the Journal of Applied Psychology found. (beckershospitalreview.com)

IDE was also associated with reduced readmissions within 180 days, although the relationship was attenuated. (diabetesjournals.org)
Plan: First look at the current percentage of patients that end up back in the hospital within 30 days. (bartleby.com)
Do: We started by creating a fish bone diagram to get an understanding of the many different aspects that lead to a patient being discharged and re-admitted within 30 days. (bartleby.com)
The researchers then measured the patients' rate of readmission to the same hospital within 30-days, in comparison to control groups. (yale.edu)
PARTICIPANTS: We included patients with a length of stay ≥7 days on units that routinely assessed patient function (n=18,065 patients). (bvsalud.org)
Overall, a higher proportion of adults hospitalized with RSV infection were admitted to the intensive care unit (ICU), readmitted within 30 days, and received any antimicrobial drug compared with patients hospitalized with influenza ( Table 2 ). (cdc.gov)

Seamless care refers to an optimal situation where there is continuity in the healthcare even in the presence of many transitions. (wikipedia.org)
Effective information sharing is vital for seamless care transitions Routines are developed for distance meetings at the care transitions between region and municipality The new employment "coordinator service" was tested within the project and has resulted in a job description The "Biståndsbedömare" gains through the changed working methods and relief from "coordinator service", the ability to follow his patient through the process and tools for an effective stay in the accommodation. (vinnova.se)
home.2 EHDI systems should guarantee seamless transitions for infants and their hearing screening families through this process. (cdc.gov)

Approximately 450,000 cases of Clostridioides difficile infection occur each year in the United States and approximately 25% of patients treated for an initial episode will experience recurrence. (pharmacytimes.com)
Including family and caregivers in bedside huddles increases surveillance to ensure provider infection prevention efforts (like handwashing) and early detection of changes in patient status. (wsha.org)
Sociodemographic characteristics of patients hospitalized with RSV infection or influenza across 5 seasons, 2012-2017, Washington, USA. (cdc.gov)

In order to handle the specialized needs of geriatric patients and their unique medical conditions, many academic centers and universities have embraced evidence-based data that provide support for building these unique facilities. (medscape.com)

Diabetes, similar to other chronic medical conditions, is associated with increased risk of hospital readmission ( 3 ). (diabetesjournals.org)
A program in Australia GMCT Transition Care is an initiative aimed at improving continuity of care for young people with chronic health as they move from children's (paediatric) to adult health services. (wikipedia.org)
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 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)
It's patient who are likely to have limited access to routine healthcare and primary care physicians, which could keep them out of the ED. They're also likely to have a chronic illness, complicated health problems, and mental health emergencies. (healthleadersmedia.com)
Chronic pain is common, multidimensional, and individualized, and treatment can be challenging for healthcare providers as well as patients. (samhsa.gov)
In Spain, LTC beds represent 9% of total beds in government facilities, which typically offer palliative care either for chronic patients or patients with cancer. (who.int)

Why studying human behavior is a critical component of patient safety. (ahrq.gov)
Reducing readmissions is a critical component to improving the value of healthcare. (the-hospitalist.org)
The in-home care service is critical to help support patients as they transition from hospital to home. (grandcare.com)
The device is not intended for use on critical care patients. (countyenews.com)

1. Identification and monitoring of high-risk patients. (forbes.com)

During the 6-month pilot, 565 patients were screened and 97 enrolled in the ACT program. (nih.gov)
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)
The implementation of an Evidence Based HF program demonstrated improvement in self- care when patients were provided adequate education and resources. (aacn.org)
Since 2011, Grady Memorial Hospital, a public safety net hospital in Atlanta, Georgia, has offered the Grady Heart Failure Program as a way to decrease health disparities in cardiovascular disease (CVD) care for vulnerable patients. (cdc.gov)
To achieve this goal, the program works to reduce the barriers that prevent patients from getting the ongoing care they need. (cdc.gov)
The program identifies and enrolls heart failure patients, provides inpatient and is associated with poor outpatient services, and offers services to reduce socioeconomic challenges to care and cardiovascular disease management of patients' CVD conditions. (cdc.gov)
The program relies heavily on pharmacy students who educate patients on their meds, teach them how to use them properly, explain why they are taking them and why they should cease or continue other medications. (nxtbook.com)

Patient responses to the survey predicts return to the emergency department and/or hospital. (wikipedia.org)

A 'complex health and psychosocial needs' context occurred in patients with multimorbidity and polypharmacy, who frequently also had significant psychological problems, mobility issues, problems with specialist aids/equipment and fragile social support. (bmj.com)
Conclusions Although some readmissions are medically unavoidable, for many ICU survivors complex health and psychosocial issues contribute concurrently to early rehospitalisation. (bmj.com)
It includes logistical arrangements, education of the patient and family, and coordination among the health professionals involved in the transition. (wikipedia.org)
Transition care is a Youth Health service. (wikipedia.org)
Patient safety is increased by understanding and reinforcing health care providers' normal ability to bridge gaps. (wikipedia.org)
The electronic health record (EHR) is increasingly viewed as a means to provide more coordinated, patient-centered care. (nih.gov)
There are unfavorable consequences to the health care system, as well as the patients. (bartleby.com)
By facilitating community and hospital collaboration in quality improvement initiatives and the spread of evidence-based practice, we help to bridge the gap between patient safety, public health, healthcare quality and emergency management. (teamiha.org)
While that may seem like a good thing for an overburdened health system, it means patients in need are avoiding care which could lead to a second crisis that overwhelms systems across the health continuum. (philips.com)
Patients with active disease or those suspected of having CDI will receive treatment and their care will be managed across multiple health care settings, including many different levels of health care workers. (pharmacytimes.com)
Sama says better access to mental health services would be huge step in diverting some of the patients from the ED. (healthleadersmedia.com)
The project focus was the care crossing between the health care and the municipality accommodation to the patient home, where the Health center has the medical responsibility. (vinnova.se)
Despite advances in the treatment of heart failure, patient optimization remains a challenge for health care providers. (aacn.org)
Patient and Family Engagement Councils (PFACs) provide community and cultural context when analyzing the root causes of safety events and health disparities. (wsha.org)
WSHA views patient engagement and health equity as cross-cutting approaches touching every area of patient safety and quality. (wsha.org)
Check out this short video illustrating a vision for involving patients and their families in health care delivery. (wsha.org)
That's why a combination of digital health technology tools, in-home caregiving services and medical provider support is necessary for successful transitions. (grandcare.com)
We just wrote a whitepaper called "Healing in Place" , which explores the successful transition piecing together the home health providers, technology, hospital staff, family and patient to seamlessly provide care and make sure they remain happy, healthy and safe at home. (grandcare.com)
Read how Dolbey is making a positive impact on health systems for patients, providers, and doctors. (dolbey.com)
In the United States, patients receiving medical care have certain health rights. (lww.com)
These rights define and provide a guide to patients and health care professionals as to what the best practices are when receiving and providing high-quality ostomy care during all phases of the surgical experience. (lww.com)
There are concerns in the ostomy and continent diversion communities among patients and health care professionals that the standards of care outlined in the PBOR are not occurring across the United States in all health care settings. (lww.com)
Qardio is unique in its ability to provide a remote real-time picture of patient health for Heart Failure, Hypertension, COPD, and Cardiac Rehab. (countyenews.com)
Additional health-care services did not help hospitalized heart failure patients for their transition from hospital to home, according to research led by the Population Health Research Institute (PHRI) of McMaster University and Hamilton Health Sciences (HHS). (medindia.net)
Predictive factors based on the health belief model on cancer screening behaviour in first degree relatives of patients with Lynch syndrome-associated colorectal cancer. (cdc.gov)

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)
In these patients medical issues/complications primarily resulted in hospital readmission, and the other issues were absent or not considered important. (bmj.com)
The data were subdivided based on socioeconomic status and medical versus surgical patients. (the-hospitalist.org)
Readmission is quite expensive as well as detrimental to both the medical institutions and patients. (forbes.com)
HealthSpot offers a telehealth system that provides high-quality medical diagnostics to patients anytime, anywhere. (cio.com)
The Handheld Telemedicine Kit includes the medical devices needed to conduct first-line patient exams, integrated with a tablet computer. (cio.com)
Their non-medical tasks include assisting with walking, making sure patients take medications on time, driving them to doctor appointments, and cooking healthy meals. (grandcare.com)
Qardio is a medical tech company at the forefront of cardiology, virtual care, and remote patient monitoring. (countyenews.com)
The research was a large prospective observational study evaluating the association between nutritional status and readmission or death in medical inpatients ≥60 years old. (bmj.com)
VCE should be considered even when rapid coronavirus testing is available, as active bleeding is more likely to be detected when evaluated sooner, potentially sparing patients from invasive procedures, reported lead author Shahrad Hakimian, MD , of the University of Massachusetts Medical Center, Worchester, and colleagues. (medscape.com)

Four reasons can encourage physicians to put more effort into increasing partnership with patients and families, which in turn improves communication, transparency, and accountability. (acpinternist.org)
This data is streamed to patients' smartphones and physicians' customized devices like tablets. (forbes.com)
Fosters and maintains collaborative relationships between patients, their family/support group, physicians, and other healthcare providers through timely and effective communications. (collegerecruiter.com)
Collaborates and communicates with physicians and other members of the healthcare team to interpret, adjust, and coordinate daily patient care plan to ensure a plan of care that is patient centric with continuity of care. (collegerecruiter.com)
The American College of Emergency Physicians released several studies Tuesday analyzing data about patients who visit EDs frequently. (healthleadersmedia.com)
Physicians, family members, social workers, and home care personnel have to work together and attempt to try to manage [patients] better and prevent them from being hospitalized,' says Sama. (healthleadersmedia.com)
Then things changed, physicians stayed put and patients did the traveling. (nxtbook.com)
ED physicians are some of the best doctors in terms of making a diagnosis, evaluating patients, and creating a care plan. (medscape.com)

In patients having 3 or more recurrent episodes, the rate increases to 40%-65% of patients, with a cycle of multiple recurrences in a single patient contributing to the complexity of care. (pharmacytimes.com)
Because patients may already be taking one of these classes of drugs prior to developing heart failure, the order of therapy initiation and rate of up-titration are generally patient specific. (msdmanuals.com)
Other therapies are used in patient-specific settings (eg, sinus node inhibitors for lowering heart rate if patients cannot tolerate beta blockers). (msdmanuals.com)
When you look at the senior population, they have a higher readmission rate to the ED for the same condition or for a new condition. (medscape.com)

accountable for the assessment, coordination delivery and evaluation of nursing care, including direct patient care, patient/family education and transitions of care. (collegerecruiter.com)

Programs in quality and patient safety initiatives have come to the fore as graduate-level degrees, adding prestige to a new body of knowledge that has emerged in the past decade. (acpinternist.org)
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)
Adheres to hospital polices, industry standards, best practices, and applicable laws/regulations and codes to promote a quality, highly reliable patient experience. (collegerecruiter.com)
The project design was a quality improvement project of all patients admitted to this unit with a diagnosis of HF. (aacn.org)

The study included 295 patients treated under this hospital-at-home (HaH) model and a control group of 212 patients who met HaH eligibility but declined participation or were seen in the ED when an HaH admission could not be initiated. (acpinternist.org)
Patients with unstable angina require admission to the hospital for bed rest with continuous telemetry monitoring. (medscape.com)

Patients' recovery and the success of their treatment mostly depend on medication adherence. (forbes.com)

Further analysis determined that higher HbA 1c was associated with lower frequency of readmission only among patients who received a diabetes education consult. (diabetesjournals.org)
CE has a higher diagnostic yield than angiography in patients with active overt OGIB. (the-hospitalist.org)
Powered by the EasyScan Retinal Imaging System, EyePrevent provides an easy-to-use turnkey solution for primary care providers and ensures higher compliance and better patient care. (cio.com)
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)

Pharmacists are extensively involved in the care transitions workflow and have the opportunity to make a real impact. (pharmacytimes.com)

APPs vulnerable patients with use the guide to teach patients how to manage their CVD heart failure. (cdc.gov)
Choice of drug depends on the type of heart failure along with individual patient characteristics. (msdmanuals.com)

Diseases6

Chemicals and Drugs1

Analytical, Diagnostic and Therapeutic Techniques and Equipment21

Phenomena and Processes8

Disciplines and Occupations2

Anthropology, Education, Sociology and Social Phenomena1

Information Science1

Named Groups2

Health Care46

Geographicals2

Discharge50

Outcomes31

Hospitalization5

Hospitals25

Avoid Hospital Readmissions1

Contribute to readmissions1

Early Readmissions1

Interventions6

Preventable3

Admissions10

Acute11

Rates15

Diagnoses3

Transitional care4

Patient's2

Inpatient to outpatient2

Medicare9

Care transition3

Significantly3

Intervention4

Clinical7

Improve10

Hospice1

Reduce Hospital5

Infections4

Healthcare system3

20182

Risk factors2

Subacute care1

Elderly3

Visits5

Retrospective2

Outpatient care1

Reduction Program1

Identify5

Outcome1

20211

Mortality2

Days6

Seamless3

Infection3

Centers1

Chronic7

Critical4

High-risk1

Program7

Predicts1

Health25

Medical11

Physicians8

Rate4

Coordination1

Quality4

Admission2

Medication1

Higher4

Pharmacists1

Heart failure2