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Just eight months after Sycamore Medical Center emergency department in Miamisburg, OH, launched a Lean project to improve patient flow in the emergency department, the percentage of patients who left without being seen dropped dramatically and the departments patient satisfaction scores rose to the 90th percentile.
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Recognizing that the inpatient staff can do only so much during a three-to-five-day hospital stay, the heart failure readmission reduction team at the University of California San Francisco Medical Center collaborates with post-acute providers and outpatient treatment centers to develop ways to improve transitions between levels of care and ensure that patients receive the same education on managing their conditions regardless of where they are receiving care.
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After the University of California San Francisco Medical Center began a heart failure readmission reduction program at its 559-bed main hospital, 30-day readmission rates for heart failure patients dropped 46%, from 24% in 2009 to 13% in 2011 and 11% in 2012.
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A program at the University of Michigan Health System in which physicians and nurse practitioners visit patients after their transfer to a skilled nursing facility has smoothed transitions and reduced the average length of stay of older patients from 10.6 days to eight days.
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Beginning Oct. 1, 2012, more than 2,000 hospitals serving Medicare patients began losing reimbursement under the Centers for Medicare & Medicaid Services (CMS) readmission reduction program, which penalizes hospitals experiencing excess 30-day readmissions for heart failure, acute myocardial infarction, and pneumonia. The average penalty is about $125,000.
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Bassett Medical Centers readmission reduction project has resulted in a reduction of up to 70% among highest-risk patients.
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After a program to reduce readmissions showed positive results but not a clear downward trend in readmissions, Capital District Physicians Health Plan (CDPHP) is trying another tactic.
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After a program to reduce readmissions showed positive results but not a clear downward trend in readmissions, Capital District Physicians Health Plan (CDPHP) is trying another tactic.
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A program that provides at least one home visit for members who qualify for case management has helped Blue Cross Blue Shield of Arizona Advantage drop its all-cause readmission rate for all ages to 13%.
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You know that you are going to get dinged for any unplanned readmissions related to a patient's original hospitalization. You have probably felt the heat about that for some time and have worked on how to make sure no one bounces back unless it's part of the plan.
