Navigation Links
Better coordination necessary to reduce hospital readmission rates
Date:4/16/2013

Achieving widespread reductions in preventable hospital readmissions among Medicare beneficiaries may take longer than many health care professionals originally anticipated, according to researchers at Penn State, the Weill Cornell Medical College and the University of Pennsylvania.

"Studies show that one in five Medicare beneficiaries returns to the hospital within 30 days of discharge at an annual cost of $18 billion to the program, and many of these readmissions are thought to be preventable with better care," said Jessica Mittler, assistant professor of health policy and administration, Penn State. As a result, in the fall of 2012, Medicare began financially penalizing hospitals with excessive hospital readmissions for heart attacks, congestive heart failure or pneumonia."

The researchers examined the results of the first two years of the State Action on Avoidable Rehospitalizations (STAAR) initiative, which aims to reduce hospital readmissions in Massachusetts, Michigan and Washington by 20 to 30 percent. Specifically, they analyzed 52 interviews with national program leaders, state STAAR directors, improvement advisers, hospital participants, post-acute care providers, members of professional associations and health-care policy leaders.

The team found that STAAR leaders, advisers and participants agreed that fostering collaborative relationships among providers across care settings is key to reducing preventable readmissions. The researchers also learned that more open and frequent communication helped participants in the initiative acquire a realistic understanding of each other's roles and identify practical opportunities to improve care.

However, Mittler and colleagues also found that developing these relationships presents a significant challenge since genuinely collaborative relationships are not naturally occurring in most communities. They found the second major obstacle to success was a lack of evidence regarding the effectiveness of various interventions for reducing readmissions, especially for care outside the hospital. Finally, they found that widespread success was hampered by the limited infrastructure or experience needed to implement rapid-cycle quality improvement techniques among some health care providers.

"Even the most dedicated and forward-thinking participants made it clear that there is no quick fix," said Mittler. "We learned that efforts to reduce hospital readmissions on a large scale will need to focus explicitly on promoting real collaboration across care settings. This means that policies need to consider the economic incentives for coordinating care and how to help cultivate productive human relationships to improve quality across settings."


'/>"/>

Contact: Sara LaJeunesse
SDL13@psu.edu
814-863-4325
Penn State
Source:Eurekalert

Related medicine news :

1. A better tool to diagnose tuberculosis
2. Job injuries among youth prompt calls for better safety standards
3. Students focus on creating a better cervical collar
4. Out-of-hand tree nut consumption associated with better diet quality in children and adults
5. Kidney cancer patients do better when whole kidney is not removed, U-M study shows
6. Kidney Cancer Patients Fare Better With Tumor Removal Only
7. New Psoriasis Drugs Not Much Better Than Standard Therapy, Study Finds
8. Hispanics Seem to Have Better Odds of Lung Cancer Survival
9. Which ads are winners? Your brain knows better than you do
10. Better health in adulthood starts with early prevention in childhood
11. MR enterography is as good or better than standard imaging exams for pediatric Crohns patients
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:10/13/2017)... ... 13, 2017 , ... The Visiting Nurse Association (VNA) of Somerset Hills is ... vendors and unique items from across the nation, this holiday-themed event will raise funds ... by the VNA. The boutique will be open Saturday, November 4 (10:00 a.m. ...
(Date:10/13/2017)... ... ... Yisrayl Hawkins, Pastor and Overseer at The House of Yahweh, has released ... understood books in the Holy Scriptures, Revelation. The Book of Revelation paints a picture ... Many have tossed it off as mere rubbish, but Yisrayl Hawkins says that is ...
(Date:10/13/2017)... ... October 13, 2017 , ... “The Journey: From the Mountains ... possible to save lost souls in the Philippines. “The Journey: From the Mountains to ... dedicated teacher of the Bible. She has taught all ages and currently teaches a ...
(Date:10/12/2017)... ... October 12, 2017 , ... CitiDent and ... apnea using cutting-edge Oventus O2Vent technology. As many as 18 million Americans ... frequent cessation in breathing. Oral appliances can offer significant relief to about 75 ...
(Date:10/12/2017)... ... ... IsoComforter, Inc. ( https://isocomforter.com ), one of the Nation’s premier ... of the shoulder pad. The shoulder pad provides optimal support and full contact ... using cold therapy. By utilizing ice and water that is circulated from an insulated ...
Breaking Medicine News(10 mins):
(Date:10/10/2017)... 2017   West Pharmaceutical Services, Inc. (NYSE: ... drug administration, today shared the results of a study ... the intradermal administration of polio vaccines. The study results ... May 2017 by Dr. Ondrej Mach , Clinical ... Organization (WHO), and recently published in the journal ...
(Date:10/5/2017)... 5, 2017  In response to the nationwide ... Maxillofacial Surgeons (AAOMS) released prescribing recommendations that urge ... used as a first-line therapy to manage a ... Recognizing the value and importance ... "Opioid Prescribing: Acute and Postoperative Pain Management" stresses ...
(Date:10/4/2017)...  According to the Centers for Disease Control and Prevention (CDC), ... Urgent Care is helping communities across Massachusetts , ... offering no-cost* flu shots through the end of the month. ... regulations. ... a flu shot is by the end of October, according to the ...
Breaking Medicine Technology: