Navigation Links
Discharge Plan Cuts Hospital Readmissions, Patient Costs
Date:2/4/2009

But medication problems persisted in spite of program, study finds

WEDNESDAY, Feb. 4 (HealthDay News) -- Patients who receive detailed after-hospital care instructions are 30 percent less likely to readmitted to the hospital or to visit the emergency department than uninformed patients who've recently been discharged, according to a U.S. study.

It also found that patients who are fully informed about their after-hospital care -- such as how to take their medications and when to make follow-up appointments -- have an average of $412 less in total costs (actual hospitalization costs and estimated outpatient costs) than patients without complete information.

The study examined the effectiveness of the Re-Engineered Hospital Discharge Program (RED), a multi-faceted program to educate patients about their post-hospital care plans. The program was developed by a team at Boston University Medical Center's Department of Family Medicine.

RED includes specially trained nurses who, using a personalized instruction booklet, help patients arrange follow-up appointments, confirm medication routines, and understand their diagnoses. In addition, a pharmacist contacted patients between two and four days after hospital discharge to reinforce the medication plan and answer any questions.

Thirty days after their release from hospitals, the 370 patients in the RED program had 30 percent fewer subsequent emergency visits and hospital readmissions than the 368 patients who weren't in the program. The study also found that 94 percent of patients in the RED group left the hospital with a follow-up appointment with their primary-care physician (compared to 35 percent for patients not in the program), and 91 percent had their discharge information sent to their primary-care physician within 24 hours of leaving the hospital.

But the RED program didn't prevent medication problems from occurring. The study found that 65 percent of RED program patients who completed the medication review with the pharmacist had at least one problem with their drugs. In half of those cases, the pharmacist needed to contact the patient's doctor or take other corrective action.

The study, funded by the U.S. Agency for Healthcare Research and Quality (AHRQ), was published in the Feb. 3 issue of the Annals of Internal Medicine.

Currently, about 20 percent of patients have a complication or adverse event after they're discharged from hospital. Often, this is due to a lack of knowledge about their follow-up care.

"Because a hospital stay can be a confusing and stressful time for patients, it's important that clinicians make sure patients are prepared to leave the hospital understanding the information they need to recover at home. This study shows us that, with some planning, hospitals can better prepare their patients to avoid complications and reduce unnecessary and costly readmissions," AHRQ Director Dr. Carolyn M. Clancy, said in an agency news release.

More information

The U.S. Agency for Healthcare Research and Quality has more about patient safety after hospital discharge.



-- Robert Preidt



SOURCE: U.S. Agency for Healthcare Research and Quality, news release, Feb. 2, 2009


'/>"/>
Copyright©2009 ScoutNews,LLC.
All rights reserved  

Related medicine news :

1. Sheffield Teaching Hospitals NHS Foundation Trust delivers same day patient discharge via BigHand Digital Dictation
2. Florida Physicians Press Sen. Martinez to Support Reform of Medicare Bidding Program after Hospital Discharge Problems Emerge
3. Raleigh in National Study, Shows Survival to Hospital Discharge After Cardiac Arrest Doubles With Improved CPR and Impedance Threshold Device
4. Cypress Creek in National Study, Shows Survival To Hospital Discharge After Cardiac Arrest Doubles with Improved CPR and Impedance Threshold Device
5. New study doubles survival to hospital discharge after cardiac arrest
6. Anoka County in National Study, Shows Survival to Hospital Discharge After Cardiac Arrest Doubles with Improved CPR and Impedance Threshold Device
7. Study Released at AHA Shows Survival to Hospital Discharge After Cardiac Arrest Doubles With Improved CPR and Impedance Threshold Device
8. Vocantas CallAssure provides hospitals with automated solution for post-discharge patient follow-up
9. American Heart Association Surgical Supplement Journal Report: Appropriate Hospital Discharge System Can Prevent Future Cardiac Events
10. Hiawatha Community Hospital Brings Medication Safety to the Bedside With IntelliDOT Barcode Point-of-Care System
11. Midbrook Installs New Cart Washer for Central Processing in Local Hospital
Post Your Comments:
*Name:
*Comment:
*Email:
Related Image:
Discharge Plan Cuts Hospital Readmissions, Patient Costs
(Date:2/26/2017)... ... February 26, 2017 , ... ... lab became the world’s first to be ISO/IEC 17025:2005 INAB accredited for Der ... , ISO/IEC 17025:2005 is the globally recognised standard that sets out requirements for ...
(Date:2/26/2017)... , ... February 26, 2017 , ... ... wholesale distribution in North America, today announced it would be offering some it’s ... which prides itself on crafting quality and unique baby clothing/feeding products, will team ...
(Date:2/26/2017)... ... February 26, 2017 , ... ... standard in staffing, scheduling, and reporting for healthcare organizations. This comprehensive and ... the entire staffing process. StaffBridge technology improves staffing efficiency, maximizes resource allocation, ...
(Date:2/26/2017)... Florida (PRWEB) , ... February 26, 2017 , ... ... (PD) patients after receiving cognitive rehabilitation, according to a study released today at ... known that cognitive rehabilitation programs are proven to be effective in improving cognitive ...
(Date:2/25/2017)... ... 25, 2017 , ... FCPX users now have the ability to sharpen a ... ProSharpen Color users have total control over sharpening amount, sharpening radius, threshold, horizontal sharpening, ... spectrum tools users can visually see the color range effected with ease all within ...
Breaking Medicine News(10 mins):
(Date:2/27/2017)... , Israel and TAMPA, Fla. , ... an emerging medical device company focused on developing ... procedures, applauds the members of the FDA,s Circulatory ... for their acknowledgement of the need for cerebral ... "The statements shared by this FDA ...
(Date:2/27/2017)... 2017 Now in its seventh year, ... are most successful at developing and commercialising innovation. ... The Index can ... molecule to two different companies in early phase, which would ... objective analysis of each company,s performance between 2011 and 2016, the 2017 ...
(Date:2/27/2017)... Period October – December 2016 ... to SEK -16.4 (-6.4) million Result after tax amounted to ... after dilution Cash flow from operating activities amounted to SEK ... Period full ... Operating result amounted to SEK -39.5 (-29.5) million ...
Breaking Medicine Technology: