Optimizing transitions of care to reduce rehospitalizations.
نویسندگان
چکیده
Transitions of care-when patients move from one health care facility to another or back home-that are poorly executed result in adverse effects for patients. Fortunately, programs can be implemented that enhance collaboration across care settings and improve outcomes including reducing hospital readmission rates.
منابع مشابه
Care management's challenges and opportunities to reduce the rapid rehospitalization of frail community-dwelling older adults.
Community-based frail older adults, burdened with complex medical and social needs, are at great risk for preventable rapid rehospitalizations. Although federal and state regulations are in place to address the care transitions between the hospital and nursing home, no such guidelines exist for the much larger population of community-dwelling frail older adults. Few studies have looked at inter...
متن کاملAssociation between quality improvement for care transitions in communities and rehospitalizations among Medicare beneficiaries.
IMPORTANCE Medicare beneficiaries experience errors during transitions among care settings, yielding harms that include unnecessary rehospitalizations. OBJECTIVE To evaluate whether implementation of improved care transitions for patients with Medicare fee-for-service (FFS) insurance is associated with reduced rehospitalizations and hospitalizations in geographic communities. DESIGN, SETTIN...
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Medicare's more than 420 accountable care organizations (ACOs) provide care for a considerable percentage of the elderly in the United States. One goal of ACOs is to improve care coordination and thereby decrease rates of rehospitalization. We examined whether ACO-affiliated hospitals were more effective than other hospitals in reducing rehospitalizations from skilled nursing facilities. We fou...
متن کاملOptimizing care transitions: the role of the community pharmacist
Transitions of care (TOC) refer to the movement of patients across institutions, among providers, between different levels of care, and to and from home. Medication errors that occur during TOC have the potential to result in medical complications that are serious for the patient and costly to the health care system. Positive outcomes have been demonstrated when pharmacists are involved in prov...
متن کاملScaling up: bringing the transitional care model into the mainstream.
Elderly, chronically ill people experience frequent changes in health status that require transitions among health care providers and settings. This issue brief describes two projects that identified the essential elements of effective care management interventions for this population and the facilitators of translating one such intervention, the Transitional Care Model (TCM), into mainstream p...
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ورودعنوان ژورنال:
- Cleveland Clinic journal of medicine
دوره 81 5 شماره
صفحات -
تاریخ انتشار 2014