Kaiser Permanente’s virtual cardiac rehabilitation program has enrolled more than 2,300 patients, making it one of the largest such programs in the U.S.
Falls were the leading reason for readmission among patients whose initial hospital was fall-related and who were discharged to home, even with home care.
A GAO report explored the efforts to manage high-expenditure beneficiaries, which are 5% of all Medicaid beneficiaries but nearly half of all expenditures.
A unified value-based incentive program for SNFs, home health services, inpatient rehabilitation facilities, and long-term care hospitals is recommended.
Increasing hospice services can reduce hospital admissions among all residents of a nursing home, including those not enrolled in hospice.
Community-Based Health Coaches and Care Coordinators Reduce Readmissions Using Information Technology
The use of health coaches supported by the tablet-based software significantly reduced readmission rates among at-risk Medicare patients.
Patient "activation scores" can identify those who might benefit from making behavioral changes, helping improve outcomes and prevent unnecessary costs.
Patients 65 and older who have ambulatory surgery are much more likely to be readmitted to the hospital within 30 days than younger patients.
Significant studies are questioning whether a 30-day interval for readmissions is the best measurement for Medicare-related penalties.
Data on 2,000 patients showed telephone follow-up for older adults following discharge from the emergency department did not affect readmission rates.
MedPAC has had recent discussions on current discharge planning procedures, resulting in possible changes in the ways patients are discharged.
Studies show that patients sent home after knee and hip replacements do not have higher rates of complications than those who went to rehab facilities.