Navigation Links
Transitional Care May Cut Hospital Readmission Rates
Date:7/25/2011

MONDAY, July 25 (HealthDay News) -- Older patients who complete transitional care programs after being discharged from the hospital are much less likely to be readmitted to the hospital, two new studies show.

These interventions could also reduce health-care costs, according to an editorial accompanying the studies published in the July 25 issue of the Archives of Internal Medicine.

"In the United States, 30-day all-cause readmission rates for patients 65 years or older generally range from 20 percent to 25 percent, depending on clinical condition and geographic region, indicating much room for improvement," the authors noted. "Interventions addressing patient- and systems-level factors show promise for reducing hospital readmissions."

In conducting the first study, researchers evaluated the success and effectiveness of 30-day interventions to help 257 older patients transition to health-care services outside the hospital. A coach completed the interventions, which included a hospital visit, a home visit and two follow-up telephone calls with the patients.

The researchers found that patients who participated in the intervention had a 12.8 percent hospital readmission rate. In contrast, those who did not participate had a significantly higher 20 percent rate of readmission, according to a journal news release.

"The Care Transitions Intervention appears to be effective in this real-world implementation," Rachel Voss, of Quality Partners or Rhode Island, and colleagues reported. "This finding underscores the opportunity to improve health outcomes beginning at the time of discharge in open health-care settings."

In a separate study, Dr. Brett Stauffer, of the Institute for Health Care Research and Improvement at Baylor Health Care System in Dallas, and colleagues evaluated a transitional care program led by advanced practice nurses for 56 patients aged 65 and older with heart failure. The program included an intervention before the patients were discharged from the hospital and at least eight house calls per patient after they left the hospital.

Stauffer's team found that hospital readmission rates were 48 percent lower among patients who completed the transitional care program than those who did not. The intervention, the researchers noted, had little effect on how long the patients were hospitalized or their 60-day direct health-care costs.

"Preliminary results suggest that transitional care programs reduce 30-day readmission rates for patients with heart failure," the authors wrote. "This underscores the potential of the intervention to be effective in a real-world setting, but payment reform may be required for the intervention to be financially sustainable by hospitals."

In an editorial accompanying the study, Dr. Mitchell H. Katz, of the Los Angeles County Department of Health Services, concluded, "Decreasing hospital readmissions offers the hope of improving care while simultaneously reducing health-care costs."

More information

The American Geriatrics Society Foundation for Health in Aging provides more information on transitional care.

-- Mary Elizabeth Dallas

SOURCE: JAMA/Archives, news release, July 25, 2011


'/>"/>
Copyright©2010 ScoutNews,LLC.
All rights reserved  

Related medicine news :

1. The private sale of drugs in public hospitals
2. Minnesota Department of Health Report: Nearly 6,000 Hospitalizations for COPD in 2007
3. Bariatricfurnishings.com Launches Unique Eco-friendly Seating for Health Care, Hospitality, Assisted Living Centers, and Home Use at Competitive Prices
4. Scott & White Memorial Hospital uses device to revolutionize treatment of traumatic aortic injury
5. Most pandemic plans in Ontario hospitals have not been tested: Queens University study
6. American Heart Association Comment on Hospitalization of President Bill Clinton
7. Allegheny General Hospital Study Demonstrates Safety and Potential Efficacy of Oral Allergy Treatment
8. SHARECOR Partners With Quantros, Inc. to Facilitate Core Measures and Regulatory Reporting in Louisiana Hospitals
9. Kaiser Foundation Health Plan and Hospitals Report Fourth Quarter and Fiscal Year 2009 Financial Results
10. Father Channels His Grief into Advocacy, Promotes Simple Actions to Make Hospitals Safer for Children
11. Catholic Health East and BayCare Health System Pledge $200,000 to Rebuild Hospital in Port-Au-Prince
Post Your Comments:
*Name:
*Comment:
*Email:
Related Image:
Transitional Care May Cut Hospital Readmission Rates 
(Date:6/26/2016)... ... June 26, 2016 , ... Brent Kasmer, a legally blind and certified personal trainer is helping ... fitness app. The fitness app plans to fix the two major problems leading the fitness ... size fits all type program , They don’t eliminate all the reasons people ...
(Date:6/25/2016)... (PRWEB) , ... June 25, 2016 , ... "With 30 ... their specific project," said Christina Austin - CEO of Pixel Film Studios. , ... and all within Final Cut Pro X . Simply select a ProHand generator ...
(Date:6/25/2016)... ... ... Conventional wisdom preaches the benefits of moderation, whether it’s a matter of indulgence ... high can result in disappointment, perhaps even self-loathing. However, those who set the bar ... from PsychTests.com reveals that behind the tendency to set low expectations is ...
(Date:6/24/2016)... (PRWEB) , ... June 24, 2016 , ... ... Conference and Scientific Sessions in Dallas that it will receive two significant new ... the grants came as PHA marked its 25th anniversary by recognizing patients, medical ...
(Date:6/24/2016)... ... , ... People across the U.S. are sharpening their pencils and honing their ... in which patients and their families pay tribute to a genetic counselor by nominating ... of Genetic Counselors (NSGC) Annual Education Conference (AEC) this September. , In April, ...
Breaking Medicine News(10 mins):
(Date:6/23/2016)... INDIANAPOLIS , June 23, 2016 Roche ... received 510(k) clearance for its Elecsys BRAHMS PCT (procalcitonin) ... severe sepsis or septic shock. With this clearance, Roche ... provide a fully integrated solution for sepsis risk assessment ... associated with bacterial infection and PCT levels in blood ...
(Date:6/23/2016)... VIEW, Calif. , June 23, 2016 ... a.m. CST on Thursday, July 7, 2016 , , , ... kayla.belcher@frost.com ) , , , , EXPERT PANELISTS:  , ... Nitin Naik; Senior Industry Analyst, Christi Bird; Senior Industry Analyst, Divyaa ... The global pharmaceutical industry is witnessing an ...
(Date:6/23/2016)... 23, 2016 The vast majority of dialysis ... facility.  Treatments are usually 3 times a week, with ... including travel time, equipment preparation and wait time.  This ... grueling for patients who are elderly and frail.  Many ... and rehabilitation centers for some duration of time. ...
Breaking Medicine Technology: