Largest Home-Based Cardiac Rehab Reduces Readmissions to Less Than 2%
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.
Fall Prevention: Second-Leading Diagnosis For Readmissions
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.
Care Management Challenges and Barriers for High-Cost Medicaid Beneficiaries
A GAO report explored the efforts to manage high-expenditure beneficiaries, which are 5% of all Medicaid beneficiaries but nearly half of all expenditures.
Post-Acute Unified Value-Based Incentive Program: 5% Withhold Recommended
A unified value-based incentive program for SNFs, home health services, inpatient rehabilitation facilities, and long-term care hospitals is recommended.
Discharge Planning: Adding Caregivers Reduces Readmissions
Including unpaid caregivers into discharge planning for the elderly patient population reduces readmissions.
Hospice Study: Increasing Hospice Decreases Hospital Readmissions Among All Nursing Homes
Increasing hospice services can reduce hospital admissions among all residents of a nursing home, including those not enrolled in hospice.
Third-Leading Cause of Readmissions are Falls
Fall-related injuries are a major reason why seniors are readmitted to the hospital within a month after being discharged, a new study finds.
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.
Readmission Insights Tied to Patient’s Socio-Demographic Status
CMS is shaping a framework intended to allow better comparisons of post-acute care provided in four different healthcare settings.
Medicare Advantage Beneficiaries Have Fewer Readmissions
Greater use of Medicare Advantage over traditional fee-for-service Medicare has been associated with fewer overall hospitalizations.
Which Patient Populations Cause the Highest Readmissions?
In 2015, the proportion of hospitals receiving a penalty increased to 78% – up from 64% and 66% in 2013 and 2014, respectively.
Discharge Planning Framework Under The IMPACT Act
The IMPACT Act will require hospitals, rehab facilities, and home health agencies to develop a discharge plan based on the goals of each patient.
Patient Activation Measures For High-Risk Patients
Patient "activation scores" can identify those who might benefit from making behavioral changes, helping improve outcomes and prevent unnecessary costs.
Study: Readmission After Ambulatory Surgery for Seniors Leading to 30-Day Readmits
Patients 65 and older who have ambulatory surgery are much more likely to be readmitted to the hospital within 30 days than younger patients.
Analyzing the Readmission Cycle: News Ways to Look at Preventability
Significant studies are questioning whether a 30-day interval for readmissions is the best measurement for Medicare-related penalties.
Best Practice: How Do Post-Discharge Phone Calls Affect Readmissions?
Data on 2,000 patients showed telephone follow-up for older adults following discharge from the emergency department did not affect readmission rates.
A Comprehensive Care Management Model
FirstHealth of the Carolinas has developed an innovative care delivery model to effectively manage high-risk patients with chronic disease.
Discharge Planning: The New Focus on Patient Choice and Choosing Post-Acute Providers
MedPAC has had recent discussions on current discharge planning procedures, resulting in possible changes in the ways patients are discharged.
Readmission Risks After Surgical Procedures
Older adults are at increased risk for adverse events after surgical procedures. Loss of independence is an important patient-centered outcome measure.
Readmission Data For All Cause 7-Day and 30-Day
30-day readmission rates are widely used to measure hospital penalties. Yet, many question if this is the correct interval by condition.
Telehealth: 5 Things to Know About Payer Reimbursement
Telehealth policy develops much more slowly than the rapidly advancing technology, but incremental changes are taking place.
Readmission Analysis By Payer: 7 & 30 Day By Diagnosis
In 2014, 14% of inpatient stays were readmitted within 30 days. More than one-third of these readmissions occurred within seven days.
Where Do the Highest Risk of Readmissions Come From?
This issue of FutureFocus identifies the highest risk of readmissions that are impacting outcomes in the CMS value-based purchasing program.
Hip and Knee Replacement: Home Discharge Insights
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.
