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Author: Vilaylack Sydara
Publisher:
ISBN:
Category :
Languages : en
Pages :
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Book Description
Discharge phone call is a new approach that many hospitals are utilizing to ensure a patient's safe transition home. A study showed that 65 percent of patients said, during hospitalization, no one discussed about managing their care at home (Clark et al., 2005). Hospital reimbursements are based on performance measures for patient satisfaction, as well as 30-day readmission rates, hospitals are seeking alternatives to improve the patient experience and prevent readmissions (D'Amore et al., 2011). Discharge phone call provides an opportunity for the patient to ask questions, while allowing healthcare providers to assess the patient's understanding of the discharge instructions. We piloted the discharge phone call on the surgical unit. The targeted population were those anticipating to be discharge home with a urinary catheter. Nurses were provided with two inservices and a discharge checklist to review key teaching points for patients going home with urinary catheter/ leg bag. Over 50 percent of nurses attended the inservices. A poster board was created highlighting 10 easy steps to follow when teaching patients anticipating discharge with a catheter. Follow up phone calls were made within 48hrs after discharge to ensure quality teaching and that all concerns were answered. Post inservices, nurses were more comfortable and confident with educating and discharging patient with a urinary catheter. During the piloted period, results from the discharge phone calls showed that patients did not have any signs and symptoms of infection but instead other concerns were found and addressed on a as needed basis. Discharge phone call is still new and needs further research
Author: Vilaylack Sydara
Publisher:
ISBN:
Category :
Languages : en
Pages :
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Book Description
Discharge phone call is a new approach that many hospitals are utilizing to ensure a patient's safe transition home. A study showed that 65 percent of patients said, during hospitalization, no one discussed about managing their care at home (Clark et al., 2005). Hospital reimbursements are based on performance measures for patient satisfaction, as well as 30-day readmission rates, hospitals are seeking alternatives to improve the patient experience and prevent readmissions (D'Amore et al., 2011). Discharge phone call provides an opportunity for the patient to ask questions, while allowing healthcare providers to assess the patient's understanding of the discharge instructions. We piloted the discharge phone call on the surgical unit. The targeted population were those anticipating to be discharge home with a urinary catheter. Nurses were provided with two inservices and a discharge checklist to review key teaching points for patients going home with urinary catheter/ leg bag. Over 50 percent of nurses attended the inservices. A poster board was created highlighting 10 easy steps to follow when teaching patients anticipating discharge with a catheter. Follow up phone calls were made within 48hrs after discharge to ensure quality teaching and that all concerns were answered. Post inservices, nurses were more comfortable and confident with educating and discharging patient with a urinary catheter. During the piloted period, results from the discharge phone calls showed that patients did not have any signs and symptoms of infection but instead other concerns were found and addressed on a as needed basis. Discharge phone call is still new and needs further research
Author: Kerm Henriksen
Publisher:
ISBN:
Category : Medical
Languages : en
Pages : 526
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Book Description
v. 1. Research findings -- v. 2. Concepts and methodology -- v. 3. Implementation issues -- v. 4. Programs, tools and products.
Author: Katherine L. Hand
Publisher:
ISBN:
Category :
Languages : en
Pages : 0
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Book Description
"Readmission after hospitalization occurs frequently and is a concern for healthcare systems. Adults with chronic illness frequently have the highest readmission rates, often related to adverse events, medication errors, or worsening symptoms. A systematic review of literature related to readmission was conducted. An evidenced-based practice project was implemented to reduce readmission rates within 30 days after hospitalization. The intervention was a telephone call within 24-72 hours after discharge by a nurse practitioner using a prepared script. The purpose of the call was focused upon assessment of patient understanding of medication dosage, side effects, symptoms of worsening conditions, and scheduling of follow-up appointments. The results demonstrated that telephone intervention by a nurse practitioner has the potential to reduce readmission rate for hospitalized adults. Involvement of an advanced practice nurse to contact the patient by telephone during the transition to home after dismissal from the hospital, results in improved management of the condition after discharge. Reconceptualization of the discharge process as a transition period will bridge the gap in healthcare until the follow-up appointment. Telephone contact will individualize health care to meet the needs of the client. Early recognition of new or worsening symptoms will result in practitioner management of the condition, with decreased need for readmission. Keywords: readmission, adverse events, discharge, discharge planning, care transition. ." -- Abstract
Author: Laura Lowe
Publisher:
ISBN:
Category : Hospitals
Languages : en
Pages : 0
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Book Description
The information gathered through post-hospital discharge calls can serve as a catalyst for systematic changes in how care is delivered and communicated. Nearly 1 out of 8 patients discharged from a hospital report new or worse symptoms within 2-3 days after going home. Yet despite feeling worse, these patients are only minimally more likely to make follow-up appointments to address their new healthcare concerns. Readmission reduction is largely a new frontier, launched by changes in heathcare reimbursement incentives. Healthcare organizations are looking for sensible, targeted, and measureable approaches to manage the problem of readmissions. Readmissions are a demonstratable problem. Nearly 1 in every 5 Medicare patients admitted to a hospital in a year is readmitted within 30 days. By 90 days, the rate increases to 1 in 3. The cost to Medicare of these readmissions alone was $18 billion in 2007. Health promotion and illness prevention are integral components of the newest approaches to healthcare delivery. Many readmissions are related to medication safety events and readmissions are costly to patients and 3rd party payers. With reimbursement now being tied to patient outcomes, reducing readmissions will be significant to this organization's net operating income. The Johns Hopkins Nursing Evidence-Based Practice Model (JHNEBP) was used for this project process. Dorothea E Orem's Self-Care Deficit Nursing Theory offers the explanation that both internal and external conditions arising from or associated with health states of individuals can bring about action limitation of individuals to engage in care of self. Readmissions from pre-implementation of discharge follow-up phone calls were compared to post implementation of the calls. For the intermediate outcome, there would be a desired downward trend of readmissions. Post-visit phone calls improve clinical outcomes, increase patient satisfaction, and decrease costly and unnecessary return visits to the emergency department as well as readmissions to hospitals.
Author: Barbara Starfield
Publisher: Oxford University Press, USA
ISBN:
Category : Medical
Languages : en
Pages : 284
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Book Description
This comprehensive work provides a lucid examination of the difficult problems that arise with the implementation of effective primary care. The book has four purposes: to help practitioners of primary care understand what they do and why; to provide a basis for the training of primary care practitioners; to stimulate research that will provide a more substantive basis for improvements in primary care; and to help policy makers understand the difficulties and challenges of primary care and its importance. In addition to discussing systems of primary care and alternative ways of evaluating them, the author addresses important issues such as practitioner-patient communication, information systems and medical records, referral processes, personnel, managed care, financing, quality assessment and community orientation. This unique volume provides a clear and valuable assessment of the basic concepts, issues and challenges in this increasingly important field.
Author: Institute of Medicine
Publisher: National Academies Press
ISBN: 0309133939
Category : Medical
Languages : en
Pages : 374
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Book Description
As our nation enters a new era of medical science that offers the real prospect of personalized health care, we will be confronted by an increasingly complex array of health care options and decisions. The Learning Healthcare System considers how health care is structured to develop and to apply evidence-from health profession training and infrastructure development to advances in research methodology, patient engagement, payment schemes, and measurement-and highlights opportunities for the creation of a sustainable learning health care system that gets the right care to people when they need it and then captures the results for improvement. This book will be of primary interest to hospital and insurance industry administrators, health care providers, those who train and educate health workers, researchers, and policymakers. The Learning Healthcare System is the first in a series that will focus on issues important to improving the development and application of evidence in health care decision making. The Roundtable on Evidence-Based Medicine serves as a neutral venue for cooperative work among key stakeholders on several dimensions: to help transform the availability and use of the best evidence for the collaborative health care choices of each patient and provider; to drive the process of discovery as a natural outgrowth of patient care; and, ultimately, to ensure innovation, quality, safety, and value in health care.
Author: Johna Honea
Publisher:
ISBN:
Category : Evidence-based nursing
Languages : en
Pages : 0
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Book Description
Evidence-based research indicates there is significant evidence to support the positive impact of providing telephonic nursing follow-up interventions to patients post-discharge to reduce hospital readmission rates. Telephonic nursing support has become an intervention with potential to reduce hospital readmissions within the first 30 days of discharge. Physician communication, detailed discharge planning, patient education including demonstration and written instructions, along with follow-up care ultimately generate improved patient outcomes. These studies support the positive impact of telephonic nursing interventions for patients who are admitted to the hospital, a minimum 24 hours, and receiving follow-up telephonic nursing communication result in fewer readmissions within 30 days of discharge. This paper examines the impact on hospital readmission rates for patients who receive nursing telephonic follow-up interventions compared to those who do not.
Author: Danielle Nay Richins
Publisher:
ISBN:
Category : Hospitals
Languages : en
Pages : 0
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Book Description
Preventable readmissions can occur due to a lack of patient education, preparation, and support and can be costly to hospitals and patients. Evidence indicates the follow-up phone calls and using transition coaches can reduce unnecessary readmissions and improve patient outcomes. The early identification of patient-specific needs and learning barriers can support quality patient care and reduce the likelihood of readmission. Additionally, including the caregiver throughout the discharge process is essential for preparing patients to self-manage diseases at home. This project aims to reduce readmission rates through optimal patient education, discharge planning, and support through the transition from hospital to home. This project will include educational resources for nurses stepping into the transition coach role, a readmission risk health needs assessment, and additional templates for identifying the required transitional care services. These resources will prepare nurses to support patients through discharge to decrease unnecessary readmissions and associated costs.
Author: Ronnie Ann Rosenthal
Publisher: Springer Science & Business Media
ISBN: 1441969993
Category : Medical
Languages : en
Pages : 1364
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Book Description
"In the preface to this impressive and well-produced book, the editors state that their aim is not to describe a new surgical specialty, since most surgeons will soon need to be "geriatric surgeons," but to assemble a comprehensive account that will allow "all providers of healthcare to the elderly to understand the issues involved in choosing surgery as a treatment option for their patients." This is a useful book that deserves to do well. I hope that the editors and their publisher will have the stamina to make this the first of several editions, as it is clear that updated information about surgery in the elderly will be required to keep pace with this important field." NEJM Book Review
Author: Institute of Medicine
Publisher: National Academies Press
ISBN: 0309307414
Category : Medical
Languages : en
Pages : 108
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Book Description
The Roundtable on Health Literacy brings together leaders from academia, industry, government, foundations, and associations and representatives of patient and consumer interests who work to improve health literacy. To achieve its mission, the roundtable discusses challenges facing health literacy practice and research and identifies approaches to promote health literacy through mechanisms and partnerships in both the public and private sectors. To explore the aspects of health literacy that impact the ability of patients to understand and follow discharge instructions and to learn from examples of how discharge instructions can be written to improve patient understanding of-and hence compliance with-discharge instructions, the Roundtable on Health Literacy held a public workshop. The workshop featured presentations and discussions that examined the implications of health literacy for discharge instructions for both ambulatory and inpatient facilities. Facilitating Patient Understanding of Discharge Instructions summarizes the presentations and discussions of the workshop. This report gives an overview of the impact of discharge instructions on outcomes, and discusses the specifics of inpatient discharge summaries and outpatient after-visit summaries. The report also contains case studies illustrating different approaches to improving discharge instructions.
