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More hospitals than ever before are being penalized by the Centers for Medicare & Medicaid Services for excess readmissions and insurers are starting to develop their own readmission reduction programs.
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The two recently discharged Ebola patients treated at Emory Hospital in Atlanta were the source of much misinformation and fear upon admission, with many people questioning the wisdom of bringing the deadly virus into the country. In response, Susan Mitchell Grant, RN and chief nurse at Emory wrote a thoughtful op-ed piece for the Washington Post.
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Joint replacement surgery may seem routine, but patients are being readmitted to the hospital for a variety of reasons, including comorbidities, poor outcomes from therapy, and deep venous thrombosis.
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Surveillance also tracks other injuries
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Ebola does not spread by the airborne route, but recently issued infection control recommendations recommend that health care workers don at the least N95 respirators if performing a procedure that may generate aerosols with the patients blood or body fluids.
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CDC issues guidelines for all hospitals
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Why do most workers call in sick?
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Carondelet Health Network and the Pima Council on Aging have partnered to provide follow-up care coordination for at-risk patients who are being discharged from the hospital.
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Patients discharged from an acute care hospital to an acute rehabilitation facility are more likely to be readmitted to the hospital within 30 days if they score poorly on the Functional Independence Measure (FIM) test, which measures a persons ability to perform activities of daily living, according to a study at Johns Hopkins Medicine.
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Transitions from the hospital go smoother and patients are less likely to be readmitted when the providers at the next level of care get detailed and complete information about the patient, says Sandy Merlino, RN, MBA, vice president, integrated delivery systems and hospital market development for Visiting Nurse Service of New York.
