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Factors Significant In The Readmission Of Patients To A Private Neuro Psychiatric Hospital
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Book Synopsis Factors Significant in the Readmission of Patients to a Private Neuro-psychiatric Hospital by : Arlen Dale Miller
Download or read book Factors Significant in the Readmission of Patients to a Private Neuro-psychiatric Hospital written by Arlen Dale Miller and published by . This book was released on 1961 with total page 114 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis Patient Perspectives of Factors Influencing Private Psychiatric Hospital Readmissions by : Vinnie Ruth Curry Beckley
Download or read book Patient Perspectives of Factors Influencing Private Psychiatric Hospital Readmissions written by Vinnie Ruth Curry Beckley and published by . This book was released on 1984 with total page 112 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis A Study of Factors which May be Considered Attributive to the Readmission to the Neuropsychiatric Hospital from the Domiciliary of Patients Previously Discharged from that Hospital to the Domiciliary with Maximum Hospital Benefit by : Robert S. Aguado
Download or read book A Study of Factors which May be Considered Attributive to the Readmission to the Neuropsychiatric Hospital from the Domiciliary of Patients Previously Discharged from that Hospital to the Domiciliary with Maximum Hospital Benefit written by Robert S. Aguado and published by . This book was released on 1952 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis Some factors associated with veteran patients readmission to neuropsychiatric hospitals within one year after being released on trial visit between May 1, 1958 to January 1, 1959, and supervised by the Cincinnati Veterans Administration Hospital, Cincinnati, Ohio by : Deanna Marie Rose
Download or read book Some factors associated with veteran patients readmission to neuropsychiatric hospitals within one year after being released on trial visit between May 1, 1958 to January 1, 1959, and supervised by the Cincinnati Veterans Administration Hospital, Cincinnati, Ohio written by Deanna Marie Rose and published by . This book was released on 1960 with total page 102 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis Factors Associated with Rapid Readmission Among Nevada State Pyschiatric Hospital Patients by : Christopher Owen Moore
Download or read book Factors Associated with Rapid Readmission Among Nevada State Pyschiatric Hospital Patients written by Christopher Owen Moore and published by . This book was released on 2014 with total page 64 pages. Available in PDF, EPUB and Kindle. Book excerpt: Rapid readmission (RR) of psychiatric patients within 30 days of discharge places a costly burden on state psychiatric facilities and may be an indicator of suboptimal service provision. Several studies have previously considered RR to inpatient facilities, but there is a lack of information available about the variables associated with RR of psychiatric patients to state-operated inpatient facilities in Nevada. This study attempts to identify factors associated with RR at a southern Nevada state psychiatric hospital. Participants included 7,177 patients admitted between May 1, 2012 and April 30, 2014. All 12,068 admissions, including 2,220 RR, were reviewed, and rapid readmits were compared to their counterparts who were not readmitted within 30 days in a multivariate model using logistic regression. Multinomial logistic regression was utilized to determine if risk factors varied based on the number of RR, and to ascertain whether or not previous length of stay (LOS) had an impact on time to readmission. Whenever possible, analyses were run separately including all admissions and each patient's first admission only. Results from multiple logistic regression consistently demonstrated that those aged 35-44, never married, divorced, and living in a homeless shelter or other residential or institutional setting are at increased risk for RR; in contrast, females, persons not receiving social security disability, and those over 55 years of age were at reduced risk. Significant factors associated with RR also included a history of legal problems, medication noncompliance, lack of stable housing, and diagnosis with a psychotic or substance use disorder. Persons living in a homeless shelter and having a history of legal issues were more likely to be in the group most often rapidly readmitted (four or more times), and those that did not receive social security disability were less likely to be included in this high risk group. Previous LOS did not contribute significantly in multivariate modeling of time to readmission. Nevada currently suffers from budget cuts in mental health care spending, which were a result of the recent economic crisis, and a severe lack of bed space in southern Nevada. This study demonstrates that it may be possible to reduce rates of costly RR by focusing on those with a history of rapid readmission and modifiable factors including social and financial supports and housing.
Book Synopsis Home Care Factors Associated with Hospital Readmission of Psychiatric Patients by : Ashley Renee Payne
Download or read book Home Care Factors Associated with Hospital Readmission of Psychiatric Patients written by Ashley Renee Payne and published by . This book was released on 2017 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis Frequent Factors for Psychiatric Hospital Readmission by : Kelsey J. Ballard
Download or read book Frequent Factors for Psychiatric Hospital Readmission written by Kelsey J. Ballard and published by . This book was released on 2012 with total page 78 pages. Available in PDF, EPUB and Kindle. Book excerpt: Abstract: The purpose was to examine service providers' perceptions of factors contributing to frequent psychiatric hospital readmission for individuals with severe mental illness and the system's capability to intervene regarding those factors. The study used a quantitative survey completed by 25 staff in an inpatient psychiatric hospital. Staff rated the capability of the system to intervene lower than the frequency of occurrence of most readmission factors, indicating that interventions are insufficient. Results were especially significant for substance use, medication noncompliance, and poor psychiatric follow up, with staff tending to view these factors as high in frequency but low in terms of the system's capability to intervene. Increased funding and outpatient services were suggested by participants.
Book Synopsis Factors Affecting Psychiatric Hospital Readmission Rates in a Child and Adolescent Cohort by : Nancy Hose Harper
Download or read book Factors Affecting Psychiatric Hospital Readmission Rates in a Child and Adolescent Cohort written by Nancy Hose Harper and published by . This book was released on 1982 with total page 106 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis A Study to Identify Factors Associated with Readmission to a Psychiatric Hospital in Adults Attending a Partial Care Program by : Tammy M. Pedrick
Download or read book A Study to Identify Factors Associated with Readmission to a Psychiatric Hospital in Adults Attending a Partial Care Program written by Tammy M. Pedrick and published by . This book was released on 2003 with total page 84 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis Importance of Selected Biosocial Factors in Readmission to a Mental Hospital by : Leon Stanley
Download or read book Importance of Selected Biosocial Factors in Readmission to a Mental Hospital written by Leon Stanley and published by . This book was released on 1946 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis Factors Predicting 30-Day Readmission In Psychiatric Patient Population On An Inpatient Unit by : Sigella Vargas
Download or read book Factors Predicting 30-Day Readmission In Psychiatric Patient Population On An Inpatient Unit written by Sigella Vargas and published by . This book was released on 2017 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Background: Hospital readmission with in thirty day time period has been a major issue in the United States and as per data from Center forMedicare & Medicaid Services, the cost of readmission is estimated to be 26$ billion annually. There is an enormous push to reduce these readmission and in New York. Delivery System Reform Incentive Payment Program (DSRIP) has been established to restructure the health care delivery system with the primary goal of reducing re-admissions by 25% over 5 years with the budget of up to $6.42 billion dollars. DSRIP uses LACE score (Length of stay, Acuity of admission, Co-morbidities & Emergency Department visits in the previous six months) as an assessment tool for determining the high-risk patients for emergent hospitalizations in medicine, but this score has limited validity to psychiatric patients. Relatively new tools developed for psychiatric hospitalization, READMIT score incorporates a weighed scale based on the following factors: repeat admissions, emergent admissions (i.e.harm to self/others), diagnosis (psychosis, bipolar and orpersonality disorder), unplanned Discharge, medical co-morbidity,prior service use intensity, and time in hospital. In an attempt to provide better outcomes for our patient population BLHC has developed a scale that attempts to incorporate factors specific to its own patient populations. This graded scale was coined ZAC score based on risk factors identified on literature review and with 4 components as shownbelow and the score range is from 0 to 12. Methods: We scored the available tools LACE, READMIT and ZAC score for 170 patients, who were admitted to our inpatient units, to assess the accuracy of both measures in predicting psychiatric inpatient readmission within 30 days. The sample consisted of consecutively admitted patients to our inpatient psychiatric units at Bronx Lebanon hospital between June 2014 to June 2015 with Medicaid as health insurance and The follow up data was collected using Office of mental health database PSYCKES fromNew York State Medicaid claims database. Cox Regression analysis was performed for multi-factorial prediction model for 30 day readmission.Results:The readmission rate within 30 days was 28 percent. The variables predicting early readmission were severity of pathology (history of prior hospitalization >= 1 in six months and >=3 in past three years), non compliance (patients on TOO, AOT and ACT teams) and violent behavior (prior to admission, requiring > 2 IM injections within 72 hours). Length of hospitalization was not a predictor for 30 day readmission on multi-factorial analysis.Conclusion: To date, there is no validated tool, used to predictre-admissions in the psychiatric patient population. READMIT & ZAC scores were better in predicting 30 day readmission in psychiatric setting when compared to LACE score. The variables predicting early readmission in our data set were severity of illness, non compliance and violent behavior prior to readmission. Length of hospitalization was not a predictor for 30 day readmission.
Book Synopsis Readmission Rate in a Community Psychiatric Hospital by : Jessica L. Mussa
Download or read book Readmission Rate in a Community Psychiatric Hospital written by Jessica L. Mussa and published by . This book was released on 2014 with total page 46 pages. Available in PDF, EPUB and Kindle. Book excerpt: The present study examines the impact of psychotropic polypharmacy and medication non-adherence on hospital inpatient readmissions within the mental health population. Previous research attempted to determine whether or not there are factors associated with predicting readmissions and has found conflicting results. However, there has been consistent research that demonstrated the relationship between medication non adherence and hospital readmissions. This study expands the research by investigating psychotropic polypharmacy as a factor that coincides with medication non-adherence that leads to rapid readmissions. It was hypothesized that participants who were prescribed a higher quantity of psychotropic medications and scored lower on the Medication Adherence Rating Scale (MARS) would have a higher number of inpatient incidences within a 90 day time frame. The results of the Pearson and Spearman correlation failed to find a significant correlation between quantity of psychotropic medications and MARS scores. Additionally, the logistic regression indicated that neither quantity of psychotropic medications nor MARS scores significantly predicted hospital readmissions. However, the MARS score and number of hospital incidences was in the hypothesized direction. These results may have been impacted by the low sample size and the method used to measure medication adherence. A cohort matched design with an equal amount of participants in the readmission and non readmission group may have been beneficial for this study to use. Overall, this study has found that polypharmacy is prevalent in the psychiatric community and that the use of 2-3 psychotropic medications may be beneficial in the treatment and management of mental illness.
Book Synopsis A Study of Environmental Factors Significant in the Readmission to Mental Hospitals of Schizophrenic Veterans Receiving Trial Visit Supervision from the Veterans Administration Hospital Mental Hygiene Clinic, Providence, Rhode Island, from January 1, 1951 to December 31, 1951 by : William B. Sculthorpe
Download or read book A Study of Environmental Factors Significant in the Readmission to Mental Hospitals of Schizophrenic Veterans Receiving Trial Visit Supervision from the Veterans Administration Hospital Mental Hygiene Clinic, Providence, Rhode Island, from January 1, 1951 to December 31, 1951 written by William B. Sculthorpe and published by . This book was released on 1952 with total page 77 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis Advocacy for Mental Health by : World Health Organization
Download or read book Advocacy for Mental Health written by World Health Organization and published by World Health Organization. This book was released on 2003 with total page 67 pages. Available in PDF, EPUB and Kindle. Book excerpt: This volume is part of a series of publications which contain practical guidance to assist policy-makers and planners in member countries with policy development to address public mental health needs and service provision. This volume highlights the importance of advocacy in mental health policy and service development, a relatively new concept, aimed at reducing stigma and discrimination, and promoting the human rights of people with mental disorders. It considers the roles of various mental health groups in advocacy and sets out practical steps for implementation, indicating how governments can support advocacy services. The full package of eight volumes in the series is also available (ISBN 0119894173).
Book Synopsis Social Factors Associated with Readmission of Patients with Psychiatric Illness by : Martin Falsberg
Download or read book Social Factors Associated with Readmission of Patients with Psychiatric Illness written by Martin Falsberg and published by . This book was released on 1954 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis Some Social Factors Contributing to Readmission of Twenty-six Psychiatric Patients to Veterans Administration Hospital, North Little Rock, Arkansas by : Karen H. Lawman
Download or read book Some Social Factors Contributing to Readmission of Twenty-six Psychiatric Patients to Veterans Administration Hospital, North Little Rock, Arkansas written by Karen H. Lawman and published by . This book was released on 1964 with total page 79 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis Factors Influencing Readmission to the Psychiatric Hospital by : Ramdeo Ramsoondar
Download or read book Factors Influencing Readmission to the Psychiatric Hospital written by Ramdeo Ramsoondar and published by . This book was released on 1983 with total page 172 pages. Available in PDF, EPUB and Kindle. Book excerpt:
