Read Books Online and Download eBooks, EPub, PDF, Mobi, Kindle, Text Full Free.
Minimizing Inpatient Readmissions Through The Use Of Discharge Phone Calls
Download Minimizing Inpatient Readmissions Through The Use Of Discharge Phone Calls full books in PDF, epub, and Kindle. Read online Minimizing Inpatient Readmissions Through The Use Of Discharge Phone Calls ebook anywhere anytime directly on your device. Fast Download speed and no annoying ads. We cannot guarantee that every ebooks is available!
Book Synopsis Minimizing Inpatient Readmissions Through the Use of Discharge Phone Calls by : Vilaylack Sydara
Download or read book Minimizing Inpatient Readmissions Through the Use of Discharge Phone Calls written by Vilaylack Sydara and published by . This book was released on 2015 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Discharge phone call is a new approach that many hospitals are utilizing to ensure a patient's safe transition home. A study showed that 65 percent of patients said, during hospitalization, no one discussed about managing their care at home (Clark et al., 2005). Hospital reimbursements are based on performance measures for patient satisfaction, as well as 30-day readmission rates, hospitals are seeking alternatives to improve the patient experience and prevent readmissions (D'Amore et al., 2011). Discharge phone call provides an opportunity for the patient to ask questions, while allowing healthcare providers to assess the patient's understanding of the discharge instructions. We piloted the discharge phone call on the surgical unit. The targeted population were those anticipating to be discharge home with a urinary catheter. Nurses were provided with two inservices and a discharge checklist to review key teaching points for patients going home with urinary catheter/ leg bag. Over 50 percent of nurses attended the inservices. A poster board was created highlighting 10 easy steps to follow when teaching patients anticipating discharge with a catheter. Follow up phone calls were made within 48hrs after discharge to ensure quality teaching and that all concerns were answered. Post inservices, nurses were more comfortable and confident with educating and discharging patient with a urinary catheter. During the piloted period, results from the discharge phone calls showed that patients did not have any signs and symptoms of infection but instead other concerns were found and addressed on a as needed basis. Discharge phone call is still new and needs further research
Book Synopsis Advances in Patient Safety by : Kerm Henriksen
Download or read book Advances in Patient Safety written by Kerm Henriksen and published by . This book was released on 2005 with total page 526 pages. Available in PDF, EPUB and Kindle. Book excerpt: v. 1. Research findings -- v. 2. Concepts and methodology -- v. 3. Implementation issues -- v. 4. Programs, tools and products.
Book Synopsis Patient Readmission Prevention Using Telephone Intervention: Implications for Nurse Practitioners by : Katherine L. Hand
Download or read book Patient Readmission Prevention Using Telephone Intervention: Implications for Nurse Practitioners written by Katherine L. Hand and published by . This book was released on 2010 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: "Readmission after hospitalization occurs frequently and is a concern for healthcare systems. Adults with chronic illness frequently have the highest readmission rates, often related to adverse events, medication errors, or worsening symptoms. A systematic review of literature related to readmission was conducted. An evidenced-based practice project was implemented to reduce readmission rates within 30 days after hospitalization. The intervention was a telephone call within 24-72 hours after discharge by a nurse practitioner using a prepared script. The purpose of the call was focused upon assessment of patient understanding of medication dosage, side effects, symptoms of worsening conditions, and scheduling of follow-up appointments. The results demonstrated that telephone intervention by a nurse practitioner has the potential to reduce readmission rate for hospitalized adults. Involvement of an advanced practice nurse to contact the patient by telephone during the transition to home after dismissal from the hospital, results in improved management of the condition after discharge. Reconceptualization of the discharge process as a transition period will bridge the gap in healthcare until the follow-up appointment. Telephone contact will individualize health care to meet the needs of the client. Early recognition of new or worsening symptoms will result in practitioner management of the condition, with decreased need for readmission. Keywords: readmission, adverse events, discharge, discharge planning, care transition. ." -- Abstract
Book Synopsis Program Evaluation of Implementing Follow-up Calls to Reduce 30 Day Readmissions by : Laura Lowe
Download or read book Program Evaluation of Implementing Follow-up Calls to Reduce 30 Day Readmissions written by Laura Lowe and published by . This book was released on 2015 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: The information gathered through post-hospital discharge calls can serve as a catalyst for systematic changes in how care is delivered and communicated. Nearly 1 out of 8 patients discharged from a hospital report new or worse symptoms within 2-3 days after going home. Yet despite feeling worse, these patients are only minimally more likely to make follow-up appointments to address their new healthcare concerns. Readmission reduction is largely a new frontier, launched by changes in heathcare reimbursement incentives. Healthcare organizations are looking for sensible, targeted, and measureable approaches to manage the problem of readmissions. Readmissions are a demonstratable problem. Nearly 1 in every 5 Medicare patients admitted to a hospital in a year is readmitted within 30 days. By 90 days, the rate increases to 1 in 3. The cost to Medicare of these readmissions alone was $18 billion in 2007. Health promotion and illness prevention are integral components of the newest approaches to healthcare delivery. Many readmissions are related to medication safety events and readmissions are costly to patients and 3rd party payers. With reimbursement now being tied to patient outcomes, reducing readmissions will be significant to this organization's net operating income. The Johns Hopkins Nursing Evidence-Based Practice Model (JHNEBP) was used for this project process. Dorothea E Orem's Self-Care Deficit Nursing Theory offers the explanation that both internal and external conditions arising from or associated with health states of individuals can bring about action limitation of individuals to engage in care of self. Readmissions from pre-implementation of discharge follow-up phone calls were compared to post implementation of the calls. For the intermediate outcome, there would be a desired downward trend of readmissions. Post-visit phone calls improve clinical outcomes, increase patient satisfaction, and decrease costly and unnecessary return visits to the emergency department as well as readmissions to hospitals.
Download or read book Primary Care written by Barbara Starfield and published by Oxford University Press, USA. This book was released on 1992 with total page 284 pages. Available in PDF, EPUB and Kindle. Book excerpt: This comprehensive work provides a lucid examination of the difficult problems that arise with the implementation of effective primary care. The book has four purposes: to help practitioners of primary care understand what they do and why; to provide a basis for the training of primary care practitioners; to stimulate research that will provide a more substantive basis for improvements in primary care; and to help policy makers understand the difficulties and challenges of primary care and its importance. In addition to discussing systems of primary care and alternative ways of evaluating them, the author addresses important issues such as practitioner-patient communication, information systems and medical records, referral processes, personnel, managed care, financing, quality assessment and community orientation. This unique volume provides a clear and valuable assessment of the basic concepts, issues and challenges in this increasingly important field.
Book Synopsis The Learning Healthcare System by : Institute of Medicine
Download or read book The Learning Healthcare System written by Institute of Medicine and published by National Academies Press. This book was released on 2007-06-01 with total page 374 pages. Available in PDF, EPUB and Kindle. Book excerpt: As our nation enters a new era of medical science that offers the real prospect of personalized health care, we will be confronted by an increasingly complex array of health care options and decisions. The Learning Healthcare System considers how health care is structured to develop and to apply evidence-from health profession training and infrastructure development to advances in research methodology, patient engagement, payment schemes, and measurement-and highlights opportunities for the creation of a sustainable learning health care system that gets the right care to people when they need it and then captures the results for improvement. This book will be of primary interest to hospital and insurance industry administrators, health care providers, those who train and educate health workers, researchers, and policymakers. The Learning Healthcare System is the first in a series that will focus on issues important to improving the development and application of evidence in health care decision making. The Roundtable on Evidence-Based Medicine serves as a neutral venue for cooperative work among key stakeholders on several dimensions: to help transform the availability and use of the best evidence for the collaborative health care choices of each patient and provider; to drive the process of discovery as a natural outgrowth of patient care; and, ultimately, to ensure innovation, quality, safety, and value in health care.
Book Synopsis Reducing Hospital Readmissions Through Telephonic Nursing Interventions by : Johna Honea
Download or read book Reducing Hospital Readmissions Through Telephonic Nursing Interventions written by Johna Honea and published by . This book was released on 2014 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Evidence-based research indicates there is significant evidence to support the positive impact of providing telephonic nursing follow-up interventions to patients post-discharge to reduce hospital readmission rates. Telephonic nursing support has become an intervention with potential to reduce hospital readmissions within the first 30 days of discharge. Physician communication, detailed discharge planning, patient education including demonstration and written instructions, along with follow-up care ultimately generate improved patient outcomes. These studies support the positive impact of telephonic nursing interventions for patients who are admitted to the hospital, a minimum 24 hours, and receiving follow-up telephonic nursing communication result in fewer readmissions within 30 days of discharge. This paper examines the impact on hospital readmission rates for patients who receive nursing telephonic follow-up interventions compared to those who do not.
Book Synopsis Improving Discharge Readiness to Decrease Readmission Risk by : Danielle Nay Richins
Download or read book Improving Discharge Readiness to Decrease Readmission Risk written by Danielle Nay Richins and published by . This book was released on 2023 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Preventable readmissions can occur due to a lack of patient education, preparation, and support and can be costly to hospitals and patients. Evidence indicates the follow-up phone calls and using transition coaches can reduce unnecessary readmissions and improve patient outcomes. The early identification of patient-specific needs and learning barriers can support quality patient care and reduce the likelihood of readmission. Additionally, including the caregiver throughout the discharge process is essential for preparing patients to self-manage diseases at home. This project aims to reduce readmission rates through optimal patient education, discharge planning, and support through the transition from hospital to home. This project will include educational resources for nurses stepping into the transition coach role, a readmission risk health needs assessment, and additional templates for identifying the required transitional care services. These resources will prepare nurses to support patients through discharge to decrease unnecessary readmissions and associated costs.
Book Synopsis Facilitating Patient Understanding of Discharge Instructions by : Institute of Medicine
Download or read book Facilitating Patient Understanding of Discharge Instructions written by Institute of Medicine and published by National Academies Press. This book was released on 2014-12-01 with total page 108 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Roundtable on Health Literacy brings together leaders from academia, industry, government, foundations, and associations and representatives of patient and consumer interests who work to improve health literacy. To achieve its mission, the roundtable discusses challenges facing health literacy practice and research and identifies approaches to promote health literacy through mechanisms and partnerships in both the public and private sectors. To explore the aspects of health literacy that impact the ability of patients to understand and follow discharge instructions and to learn from examples of how discharge instructions can be written to improve patient understanding of-and hence compliance with-discharge instructions, the Roundtable on Health Literacy held a public workshop. The workshop featured presentations and discussions that examined the implications of health literacy for discharge instructions for both ambulatory and inpatient facilities. Facilitating Patient Understanding of Discharge Instructions summarizes the presentations and discussions of the workshop. This report gives an overview of the impact of discharge instructions on outcomes, and discusses the specifics of inpatient discharge summaries and outpatient after-visit summaries. The report also contains case studies illustrating different approaches to improving discharge instructions.
Book Synopsis Does the Implementation of a Post-operative Follow-up Phone Call System Decrease the Chance of 30-day Readmission After Discharge? by : Jordan Ray Rentmeister
Download or read book Does the Implementation of a Post-operative Follow-up Phone Call System Decrease the Chance of 30-day Readmission After Discharge? written by Jordan Ray Rentmeister and published by . This book was released on 2022 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: The U.S. Centers for Medicare and Medicaid Services (CMS) spends nearly 17-26 billion dollars a year on hospital readmissions. This is due to nearly 1/5 of all patients being re-admitted to the hospital within 30 days of being discharged. 15 to 20 billion dollars are spent on unplanned readmission in the average year. If avoidable readmissions are able to be prevented there is a high potential of improving the patient's quality of life and health care systems finance. The ARCC model was used, this along with RED toolbox helped to assure the implementation and effectiveness of this project. The ARCC model is based on EBP mentorship, meaning that during the implementation of this project there was someone that truly knows the problem and has looked into the research on how to fix the problem. The ARCC model accompanied by the transition theory work hand and hand for the implementation of this scholarly project. Transition theory-based discharge planning can guide health profession interventions to standardized care. Combining care at home with hospital care strengthens ongoing patient management. Not only were patients helped by limiting post-operative readmissions the hospital saved potentially millions of dollars per year, as well as staff member's time and energy. This was done by being proactive and preventing and preventing issues before they can arise or become serious. Based on the literature there was anywhere from a 20-30% decrease in hospital readmissions using the template provided through the RED toolkit, the desire was to decrease the readmission rates during the project somewhere in this range. For the risk/barriers of this project the focus was on potential costs implemented on the hospital. Another issue was finding the staff or the time for these phone calls to be implemented. For this project the staff members making the phone calls were the phase 2 recovery staff. These staff members were already at the hospital, being paid while waiting for their next patient being discharged from the recovery department. Utilizing staff time by making these phone calls in between patients costs the hospital no money, addresses concerns and questions from patients, lowers hospital readmission rates, and increases hospital satisfaction scores. In conclusion 387 phone calls were attempted in the month of November, of the 387 phone calls attempted 68 patients were not contacted. There were 846 patients that had surgery during the month of November at Davis Hospital and medical Center. Of the 319 out of the 846 patients that were actually contacted only one patient returned for surgery during the month of November. The McNemar's test showed a statistical difference between the pre and post intervention group, proving the null hypothesis false.
Book Synopsis Reducing Unplanned Hospital Use in Oncology Patients Through a Post-discharge Phone Call from the Emergency Department by : Jessica Sarno
Download or read book Reducing Unplanned Hospital Use in Oncology Patients Through a Post-discharge Phone Call from the Emergency Department written by Jessica Sarno and published by . This book was released on 2021 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Keywords: readmissions, emergency department, oncology, post-discharge, telephone call " -- Abstract
Author :Mary Koloroutis, RN, MS Publisher :Creative Health Care Management ISBN 13 :1886624658 Total Pages :313 pages Book Rating :4.8/5 (866 download)
Book Synopsis Relationship-Based Care by : Mary Koloroutis, RN, MS
Download or read book Relationship-Based Care written by Mary Koloroutis, RN, MS and published by Creative Health Care Management. This book was released on 2004-06-15 with total page 313 pages. Available in PDF, EPUB and Kindle. Book excerpt: The result of Creative Health Care Management's 25 years experience in health care, this book provides health care leaders with basic concepts for transforming their care delivery system into one that is patient and family centered and built on the power of relationships. Relationship-Based Care provides a practical framework for addressing current challenges and is intended to benefit health care organizations in which commitment to care and service to patients is strong and focused. It will also prove useful in organizations searching for solutions to complex struggles with patient, staff and physician dissatisfaction; difficulty recruiting and retaining and developing talented staff members; conflicted work relationships and related quality issues. Now in it's 16th printing, Relationship-Based Care has sold over 65,000 copies world-wide. It is the winner of the American Journal of Nursing Book of the Year Award.
Download or read book Data Compendium written by and published by . This book was released on 1999 with total page 176 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Patient Flow written by Randolph Hall and published by Springer Science & Business Media. This book was released on 2013-12-11 with total page 547 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book is dedicated to improving healthcare through reducing delays experienced by patients. With an interdisciplinary approach, this new edition, divided into five sections, begins by examining healthcare as an integrated system. Chapter 1 provides a hierarchical model of healthcare, rising from departments, to centers, regions and the “macro system.” A new chapter demonstrates how to use simulation to assess the interaction of system components to achieve performance goals, and Chapter 3 provides hands-on methods for developing process models to identify and remove bottlenecks, and for developing facility plans. Section 2 addresses crowding and the consequences of delay. Two new chapters (4 and 5) focus on delays in emergency departments, and Chapter 6 then examines medical outcomes that result from waits for surgeries. Section 3 concentrates on management of demand. Chapter 7 presents breakthrough strategies that use real-time monitoring systems for continuous improvement. Chapter 8 looks at the patient appointment system, particularly through the approach of advanced access. Chapter 9 concentrates on managing waiting lists for surgeries, and Chapter 10 examines triage outside of emergency departments, with a focus on allied health programs Section 4 offers analytical tools and models to support analysis of patient flows. Chapter 11 offers techniques for scheduling staff to match patterns in patient demand. Chapter 12 surveys the literature on simulation modeling, which is widely used for both healthcare design and process improvement. Chapter 13 is new and demonstrates the use of process mapping to represent a complex regional trauma system. Chapter 14 provides methods for forecasting demand for healthcare on a region-wide basis. Chapter 15 presents queueing theory as a method for modeling waits in healthcare, and Chapter 16 focuses on rapid delivery of medication in the event of a catastrophic event. Section 5 focuses on achieving change. Chapter 17 provides a diagnostic for assessing the state of a hospital and using the state assessment to select improvement strategies. Chapter 18 demonstrates the importance of optimizing care as patients transition from one care setting to the next. Chapter 19 is new and shows how to implement programs that improve patient satisfaction while also improving flow. Chapter 20 illustrates how to evaluate the overall portfolio of patient diagnostic groups to guide system changes, and Chapter 21 provides project management tools to guide the execution of patient flow projects.
Book Synopsis Access to Health Care in America by : Institute of Medicine
Download or read book Access to Health Care in America written by Institute of Medicine and published by National Academies Press. This book was released on 1993-02-01 with total page 240 pages. Available in PDF, EPUB and Kindle. Book excerpt: Americans are accustomed to anecdotal evidence of the health care crisis. Yet, personal or local stories do not provide a comprehensive nationwide picture of our access to health care. Now, this book offers the long-awaited health equivalent of national economic indicators. This useful volume defines a set of national objectives and identifies indicatorsâ€"measures of utilization and outcomeâ€"that can "sense" when and where problems occur in accessing specific health care services. Using the indicators, the committee presents significant conclusions about the situation today, examining the relationships between access to care and factors such as income, race, ethnic origin, and location. The committee offers recommendations to federal, state, and local agencies for improving data collection and monitoring. This highly readable and well-organized volume will be essential for policymakers, public health officials, insurance companies, hospitals, physicians and nurses, and interested individuals.
Book Synopsis The CMS Hospital Conditions of Participation and Interpretive Guidelines by :
Download or read book The CMS Hospital Conditions of Participation and Interpretive Guidelines written by and published by . This book was released on 2017-11-27 with total page 546 pages. Available in PDF, EPUB and Kindle. Book excerpt: In addition to reprinting the PDF of the CMS CoPs and Interpretive Guidelines, we include key Survey and Certification memos that CMS has issued to announced changes to the emergency preparedness final rule, fire and smoke door annual testing requirements, survey team composition and investigation of complaints, infection control screenings, and legionella risk reduction.
Author :National Academies of Sciences, Engineering, and Medicine Publisher :National Academies Press ISBN 13 :0309391970 Total Pages :95 pages Book Rating :4.3/5 (93 download)
Book Synopsis Systems Practices for the Care of Socially At-Risk Populations by : National Academies of Sciences, Engineering, and Medicine
Download or read book Systems Practices for the Care of Socially At-Risk Populations written by National Academies of Sciences, Engineering, and Medicine and published by National Academies Press. This book was released on 2016-05-07 with total page 95 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Centers for Medicare & Medicaid Services (CMS) have been moving from volume-based, fee-for-service payment to value-based payment (VBP), which aims to improve health care quality, health outcomes, and patient care experiences, while also controlling costs. Since the passage of the Patient Protection and Affordable Care Act of 2010, CMS has implemented a variety of VBP strategies, including incentive programs and risk-based alternative payment models. Early evidence from these programs raised concerns about potential unintended consequences for health equity. Specifically, emerging evidence suggests that providers disproportionately serving patients with social risk factors for poor health outcomes (e.g., individuals with low socioeconomic position, racial and ethnic minorities, gender and sexual minorities, socially isolated persons, and individuals residing in disadvantaged neighborhoods) may be more likely to fare poorly on quality rankings and to receive financial penalties, and less likely to receive financial rewards. The drivers of these disparities are poorly understood, and differences in interpretation have led to divergent concerns about the potential effect of VBP on health equity. Some suggest that underlying differences in patient characteristics that are out of the control of providers lead to differences in health outcomes. At the same time, others are concerned that differences in outcomes between providers serving socially at-risk populations and providers serving the general population reflect disparities in the provision of health care. Systems Practices for the Care of Socially At-Risk Populations seeks to better distinguish the drivers of variations in performance among providers disproportionately serving socially at-risk populations and identifies methods to account for social risk factors in Medicare payment programs. This report identifies best practices of high-performing hospitals, health plans, and other providers that serve disproportionately higher shares of socioeconomically disadvantaged populations and compares those best practices of low-performing providers serving similar patient populations. It is the second in a series of five brief reports that aim to inform the Office of the Assistant Secretary of Planning and Evaluation (ASPE) analyses that account for social risk factors in Medicare payment programs mandated through the Improving Medicare Post-Acute Care Transformation (IMPACT) Act.
