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Here's another reason to emphasize influenza vaccination in long-term care: Last year, vaccination prevented an estimated 44,000 flu-related hospitalizations among older people, according to the Centers for Disease Control and Prevention.
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As attention focuses on preventing readmissions, hospitals must improve their internal processes and forge relationships with post-acute providers.
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Duke Raleigh Hospital participates in a community-wide collaborative of hospitals and post-acute providers but also has developed close relationships with individual skilled nursing facilities.
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As we have discussed in prior months, hospitals that are participating in the Medicare and Medicaid programs meaning that they receive reimbursement from Medicare and/or Medicaid are required to participate in Medicare's "Conditions of Participation" (CoP).
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Case managers and social workers have to look for creative solutions as hospitals struggle with finding a safe discharge for uninsured, undocumented, and homeless patients.
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Florida Hospital East Orlando has developed a transitional care program for uninsured patients to coordinate their healthcare needs as they move from the hospital to home.
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By making personalized recorded discharge information and educational videos available to patients by telephone or computer, Cullman (AL) Regional Hospital has reduced 30-day readmissions by 15% and increased scores on the discharge section of the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) by 63%
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A predictable, yet perhaps unwanted, change went into effect on Oct. 1, 2013.
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Tampa General Hospital has created a fund that case managers can use to pay for post-discharge services for unfunded patients when there is no other option.
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Patients at Medical City Dallas Hospital who are likely to have discharge challenges are assigned a dedicated social worker who spends time with patients and family members and starts to identify resources early in the stay.
