Navigation Links
Rush University Medical Center studies program to help older adults transition from hospital to home
Date:7/28/2009

In light of health care reform measures, Rush University Medical Center has launched a study of its program to help older adults transition from hospital to home.

The goal of the study is to determine whether the program, first implemented two years ago, succeeds in reducing readmissions within 30 days for seniors. If it does, it could serve as a model for hospitals across the country that are seeking ways to lower their rates of readmission.

On average, one in five Medicare beneficiaries who are discharged from a hospital re-enter the hospital within a month. Reducing the rate of hospital readmissions to improve quality and achieve savings are key components of President Obama's health care reform agenda. Hospital readmissions cost Medicare an estimated $12 billion dollars annually.

"Patients who have been enrolled in our enhanced discharge planning program over the last two years are extremely pleased with the service," said Robyn Golden, LCSW, director of the older adult programs at Rush. "But beyond patient satisfaction, we now need to formally evaluate the program in a randomized, controlled study to determine whether our modelusing social workers rather than nursesnot only reduces readmissions, but also reduces emergency room visits, avoids nursing home placements, and improves quality of life."

The program targets seniors 65 years of age and older who are discharged to their homes and have multiple prescribed medications, plus other risk factors.

Within 48 hours of discharge from the hospital, the patient receives a call from a Rush social worker, whose responsibility is to ensure full implementation of the discharge plan, assist with coordinating community resources and followup appointments, and intervene around any issues that might arise once the patient is back in the community. Those issues may range from transportation to meals and in-home care.

Over the two years of the Rush program, the social workers involved have found several common themes in post-discharge care. Patients reported difficulty getting around after discharge, particularly if their illness affected their mobility. Patients also reported difficulty scheduling medical appointments and getting to their physicians' offices, and delays in home health care services. Caregivers were often overwhelmed.

In other programs to help patients transition from hospital to home, nurses coordinate the after-hospital care, but Golden believes that social workers are ideally trained for the role.

According to Golden, research has shown that 40 to 50 percent of hospital readmissions are linked to social problems and lack of community services issues that social workers are trained to address.

"Social workers possess extensive knowledge of community resources, expertise in navigating complex social systems, experience using a framework of practice that focuses on the person in the environment, and training in case management and care coordination," Golden said. "Social workers are also able to use psychosocial assessment skills to explore family dynamics or resources that may affect the success of the discharge plan."

In its efforts to find new ways to help patients transition from hospital to home, Rush is also participating in Project BOOST (Better Outcomes for Older Adults through Safe Transition), a national project involving 30 hospitals to redesign the discharge process. Rush is the only hospital in Illinois included in the project. Like Rush's enhanced discharge planning program, Project BOOST, sponsored by the Society of Hospital Medicine, is aimed at reducing readmissions.


'/>"/>

Contact: Sharon Butler
Sharon_Butler@rush.edu
312-942-7816
Rush University Medical Center
Source:Eurekalert

Related medicine news :

1. University of the Rockies Introduces Military Tuition Grant
2. Empire BlueCross BlueShield and Stony Brook University Hospital Reach New Multi-year Agreement
3. University of Michigan Health System Experts Available to Comment on Health Care Reform Efforts
4. American Laser Centers Announces Launch of ALC University
5. Case Western Reserve University receives $3.7M NIH grant to study autonomic nervous system link to painful bladder syndrome
6. University HealthSystem Consortium Recognized as a Company That Cares for Sixth Year in a Row
7. Clarian Health/Indiana University School of Medicine Specialty Programs Ranked Among Best in Nation
8. Social support buffers adolescent depression after terrorist attacks: Ben-Gurion University
9. Temple University Health System to Improve Supply Chain with Broadlane
10. Queens University study aims at early diagnosis for ADHD and Parkinsons disease
11. Americans Wary of Health Legislation: University of Texas/Zogby Poll to be Released on July 15 -- National Press Club to Host "NEWSMAKER" Media Briefing
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:8/18/2017)... (PRWEB) , ... August 18, 2017 , ... Yisrayl Hawkins, Pastor and Overseer at The ... says will lift the veil on false teachings pertaining to the mother of the Savior ... teach, you see a far different picture of the role of this historical woman. ...
(Date:8/18/2017)... ... 2017 , ... “Our Mountains to Climb: A Journey of Love and Faith ... together through the faith they shared to overcome struggles in life. “Our Mountains to ... author, Barbara J. Corcoran, a retired teacher and happily married since 1999; the author’s ...
(Date:8/18/2017)... ... August 18, 2017 , ... “Depressed: Super Heroes of the ... to reflect upon the stories and the relevance these tales may have on the ... Jessica Linhart, a former special education teacher, Jessica spends much of her time enjoying ...
(Date:8/18/2017)... , ... August 18, 2017 , ... “Steve the Snake”: ... “Steve the Snake” is the creation of published author, Harold Flash Haskins Jr., a ... a Department of Defense police officer. , “I write moral-based short stories for children ...
(Date:8/17/2017)... ... August 17, 2017 , ... ... announces that it will feature the National Council for Therapeutic Recreation Certification (NCTRC), ... information. , Established in 1981, NCTRC is a non-profit, international organization dedicated to ...
Breaking Medicine News(10 mins):
(Date:7/27/2017)... July 27, 2017  West Pharmaceutical Services, Inc. (NYSE: ... for the second-quarter 2017 and updated financial guidance for ... Second-Quarter 2017 Highlights Reported net sales ... the prior-year quarter. Net sales at constant currency (organic) ... EPS was $0.51, compared to $0.60 in the prior-year ...
(Date:7/26/2017)... 2017  Radium Medical Aesthetics, a leading medical aesthetic clinic in ... by effectively addressing several skin conditions from the inside. ... and more fragile. The skin becomes more transparent due to the ... harmful UV rays from the sun contributes to aging skin, causing ... ...
(Date:7/26/2017)... The Galien Foundation announced today the 2017 11 ... Award Nominees. Counted among the global health innovation industry,s most ... technology product achievement that improves the human condition. ... be U.S. Food and Drug Administration (FDA) approved for market ... impact human health. Sales data are not considered by the ...
Breaking Medicine Technology: