Reducing Hospital Readmission Rates

ADMISSION RATES CAN BE REDUCED – based on a systematic review of the literature – through the following systems-based strategies and interventions:

IMPROVE TRANSITIONS OF CARE
By enhancing assessment of:

      1. Quality of care
      2. Accurate medical reconciliation
      3. Effective communication of clinical prognosis and of discharge
      4. Post-discharge support
      5. Proactive end-of-life care planning

REDESIGN THE DISCHARGE PROCESS
Through:

      1. Patient centered approaches
      2. Simple discharge process
      3. Clear instructions on risks, symptoms, and complications
      4. Usage of IT to communicate key discharge information

3 ENHANCE FOLLOW-UP CARE STRATEGIES
Through:

    1. Increasing frequency of follow-up activities
    2. Increasing primary care access
    3. Usage of high-risk screening tools
    4. Timely and accurate transfer of key patient information between providers
    5. Healthcare worker visits and phone-based follow-ups after discharge

For more information Contact: Bita Kash ( bakash@sph.tamhsc.edu )

Citation: Wan, H., Zhang, L., Witz, S., Musselman, K. J., Yi, F., Mullen, C. J., Martinez, D. A. (2016). A literature review of preventable hospital readmission: Preceding the Readmissions Reduction Act. IIE Transactions on Healthcare Systems Engineering, 6(4), 193-211. doi:10.1080/19488300.2016.1226210