Monday, 13 February 2012 18:05

The Price of Preventable Readmissions to Hospitals

Written by  Kimberly Isherwood-Te Brugge
Rate this item
(2 votes)

FOCUS on Health Care: The Price of Preventable Re-admissions to Hospitals

Many countries are trying to seek ways to cut down on health care expenditures. With so many Baby Boomers reaching the age of 65 each day, over 13,000 a day in North America, Healthcare institutions have few choices to look at to find new and different ways to cut and contain costs.

The Challenge : Shrinking Budgets, Rising Costs and Greater Demand for Services

One area that has raised a lot of discussion is unnecessary or avoidable hospital re-admissions. This can best be defined as an individual who has had a hospital stay, are subsequently discharged but re-admitted a short time later. Sometimes this readmission is related to the health issue they were initially in hospital for or perhaps a new health issue that was ‘masked’ due to the initial concern. Either way, a readmission is costly to the health care system as well as to the individual in terms of their health and emotional well-being.

Discharges from hospitals often create information overload. Health care workers do the best they can to prepare the patient for the next phase of their recovery but this system seems to fail far too often. To put it quite plainly, often there is no system in place to prepare the person as the patient or for health care staff to follow for what they will experience once getting home. Patients are dealing with the emotional aftermath of health crises and hospital staff is dealing with mounds of paperwork requirements, time constraints and sometimes under-staffing. In the end, the patient is often left to his or her own devices with little effective discharge support.

There can be many reasons why hospital re-admissions occur: Inadequate relay of information by hospital discharge planners to the patients, their caregivers and post acute care providers; poor patient compliance in terms of follow up appointments and care instructions; Inadequate follow-up care by post acute and long-term care providers; deterioration of a patient’s condition; medical errors; or the lack of a culture within the hospital environment that engages effectively with the broader organizational community to activate and engage all external resources to support the patient. Irrespective of the reason, hospitals need to look at innovative ways to effectively engage and communicate with patients and caregivers the importance of and the resources available through the discharge, support and follow up processes to effectively avoid readmission and meet the needs of the patient.

Understanding the Challenge: Walk a Mile 

To clearly demonstrate and understand the perspective of the person in the Hospital bed, staff would benefit tremendously by having to spend a day in the patient’s shoes or should I say bed, to truly understand and appreciate what a patient goes through and where the gaps in the process and communication are. An organizational culture built around understanding, acceptance and seeing the person is critical to a model that reducing costs and enhances service, experience and well-being. At Manzimvula Ventures, we work with health care organizations on two fronts. The first is initially at a personnel or staff level before we expand to a stakeholder level, to identify opportunities in communications, culture, community engagement, and the family, friends and caregivers around the person leaving hospital. The second area is in helping the organization and its teams at different levels to identify areas and systems that need enhancing to help them achieve their part in lowering costly re-admissions. We can effectively improve their re-admissions rates all the while keeping the focus on the person as the patient in ensuring his or her needs are being met and that the hospital has an effective, streamlined system that hospital staff can easily adopt and follow. By engaging at a personal level with the person as the patient, staff and caregivers understand needs, limitations and opportunities to support the person in their home environment, thus reducing re-admissions. 

Steps in the right Direction: A Process of Change 

In the United States: On March 23, 2010, President Obama signed into law comprehensive health care reform legislation, the Patient Protection and Affordable Care Act (PPACA; P.L. 111-148), as amended by the Health Care and Education Reconciliation Act (HCERA; P.L. 111-152). The legislation contains a number of provisions that make changes to Medicare. Among these are provisions intended to reduce preventable hospital re-admissions by reducing Medicare payments to certain hospitals with relatively high preventable re-admissions rates. The cost of not creating a discharge and follow up system may become very costly to hospitals. Now is the time to evaluate what is currently place and how you make your organization more patient friendly and engage the broader community at a deeper more effective level to create the Win-Win environment. A long way to go yet, but steps in the right direction for the person as a patient.

Your Comments: Let us know what you think. For more information and to find out more about our work and how we can support your organization, please contact us using the information below.

--

Manzimvula® is a values-based as a consulting practice and a Certified B Corporation, and specializes in sustainability and corporate responsibility. To stimulate ingenuity and create growth, we work alongside our clients, guiding them through our Purposeful Path to Sustainability Program™ utilizing our Integrative Strategy Approach™ to help them engage their organization at a deeper level to understand mindset and create alignment with core strategies and principles.

For more information please contact us at:

email: This email address is being protected from spambots. You need JavaScript enabled to view it.

Read 32548 times Last modified on Monday, 13 February 2012 18:57

531 comments

  • Comment Link Agcxkkyy Tuesday, 17 December 2013 03:41 posted by Agcxkkyy

    http://www.boogiestudio.com/blog/wp-content/michael-kors-outlet-online.html - michael kors outlet We have come across like Facebook and we also also have smartphones. For everybody who is having a conversation people don even give you credit in the eye anymore.Irrrve never experienced being dumped on Facebook however i think it'll be absolutely funny and weird while doing so. He ended up being friending me on facebook.
    Some may want a round ball shape as well as oblong rounded shape. One of several favorites for colonial style homes certainly is the pineapple, and that is a historic shape that was used home decor for many centuries. In addition there are rectangular shapes and a few companies make custom shapes..
    http://www.boogiestudio.com/blog/wp-content/michael-kors-outlet-online.html - http://www.boogiestudio.com/blog/wp-content/michael-kors-outlet-online.html
    http://www.boogiestudio.com/blog/wp-content/michael-kors-outlet-online.html - http://www.boogiestudio.com/blog/wp-content/michael-kors-outlet-online.html This is why an excessive amount of bettors or just bettors hunt for football a very good activities suitable for sports activity betting. For decades, a lot of persons get discovered earning potential throughout football gaming. They might of acquired extra revenue with liked his or her's most favorite adventure.
    To be sure the mushrooms are fragrant and somewhat cooked looking; between them and the sauted onions, when you added an armload of shredded cheddar and, like, 15 beaten eggs towards pan you might have a really frighteningly enormous, and delicious, omelet. And you mustn't! Instead, return the beef on the pan and move its contents around although beef heats up. If the beef left any liquid behind on the bowl or plate where it turned out resting (hint: it did), add this liquid to your pan too, for it is delicious..
    http://lindsaymckenna.com/michael-kors-outlet.html - michael kors handbags outlet
    http://www.sportindesford.org/michaelkors-factoryoutlet.html - michael kors outlet online I suppose the main reason why most dogs are content is because it's going to take so little to help make us by doing this. We don use money, therefore never broke. We consume the same thing each day and most fancy restaurants won today i want to through the doors anyway. To be able to get texting and or emails when customers open a message will be provided. Email Broadcasting send emails to leads in real time or put together emails that they are delivered in the foreseeable future. Autoresponders autoresponders composed by professionals might be delivered to potential customers inbox which could grab their attention.
    http://www.boogiestudio.com/blog/wp-content/michael-kors-outlet-online.html - michael kors handbag outlet

  • Comment Link saPvISERsq Tuesday, 17 December 2013 03:32 posted by saPvISERsq

    http://biblioworks.org/html/#24 effects of valium high - valium 10mg apo

  • Comment Link oun Tuesday, 17 December 2013 03:14 posted by oun

    SELECT * FROM comments ORDER BY RAND() LIMIT 0, 100

  • Comment Link tsoVqXxNtS Tuesday, 17 December 2013 02:37 posted by tsoVqXxNtS

    buy diazepam diazepam (valium) bestellen - diazepam injection package insert

  • Comment Link BxJKiHnwCF Tuesday, 17 December 2013 02:04 posted by BxJKiHnwCF

    http://www.saveapetli.net/lib/#hs xanax 1mg image - xanax dosage per weight

  • Comment Link eKGVkZNbfz Tuesday, 17 December 2013 01:56 posted by eKGVkZNbfz

    external link xanax withdrawal nightmares - xanax withdrawal tingling

  • Comment Link IzxvrAoqFG Tuesday, 17 December 2013 01:32 posted by IzxvrAoqFG

    buy tramadol online no prescription cheap discount code for next day tramadol

  • Comment Link Tarskattrom Tuesday, 17 December 2013 00:45 posted by Tarskattrom

    http://www.dirkdallas.com/
    ビジネスバッグ
    CHANEL シャネル バッグを通販!シャネル バッグ,シャネル 財布,シャネル バッグ 新作 秋冬最安値価格、人気最高品質のシャネル バッグ、流行のシャネル バッグ 芸能人、超激安ブランド館.専門店へようこそ、シャネル 財布 2013 新作 100%本物保証!高品質、低価格のシャネル バッグ 人気 をご提供致します,最新デザインのシャネル 財布 赤 が海外通販。全国送料無料!
    http://www.dirkdallas.com/includes/templates/dirkdallas/images/brand/right08.jpg
    http://www.dirkdallas.com/オロビアンコ ショルダーバッグ

  • Comment Link CcWNZlgSCR Tuesday, 17 December 2013 00:44 posted by CcWNZlgSCR

    http://gwic.org/pdf/#u where to order xanax online - xanax xl

  • Comment Link jdiZLJHLXl Tuesday, 17 December 2013 00:09 posted by jdiZLJHLXl

    visit the website effects xanax birth control pills - is mixing xanax and alcohol bad

Login to post comments