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The protocol review discussion will benefit greatly from the questions and input of IRB community members. But this resource too often is underdeveloped as the scientific experts on a board dominate discussions.
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A recent study details strategies for improving community-based participatory research (CBPR) partnerships by training local leaders in research practices and human subjects research protection.
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Patients are at highest risk for readmissions during the first week after discharge, Donna Zazworsky, RN, MS, CCM, FAAN, points out.
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After St. Luke's Hospital in Cedar Rapids, IA, launched a cross-continuum heart failure program, the rate of readmissions for heart failure patients dropped from nearly 30% to just 17%.
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By developing and following a comprehensive plan to improve care and transition to the community for patients with chronic obstructive pulmonary disease (COPD), UPMC St. Margaret Hospital has reduced the readmission rate by 16% for patients with a primary diagnosis of COPD and by 27% for patients with pneumonia and a secondary diagnosis of COPD.
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The Current Procedural Terminology (CPT) code changes in place in the 2008 Physician Fee Schedule improve the ability of physicians and other providers to document their telephone evaluations and management services, but they don't go far enough, according to the Case Management Society of America (CMSA).
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Lack of the right technology to automate time-consuming, error-prone processes can put patient access departments at a big disadvantage.
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"A number of exciting collection technologies have evolved over the last few years.
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The best way to prevent hospital readmissions is to make sure patients are better managed and receive the care they need after they leave the hospital, states Donna Zazworsky, RN, MS, CCM, FAAN, vice president of community health and continuum care for Carondelet Health Network in Tucson, AZ.
