Featured Research

from universities, journals, and other organizations

Reducing revolving door hospital re-admissions

Date:
June 1, 2011
Source:
University of Pennsylvania School of Nursing
Summary:
Currently, one in five elderly patients discharged from a hospital is readmitted within a month. Seeking to address the human and substantial financial burden of revolving door hospital re-admissions, the Affordable Care Act proposes a number of initiatives to improve care and health outcomes and reduce costs for the growing population of chronically ill people in the US. While transitional care is a central theme in these provisions, there is little information available to guide those responsible for implementing these important opportunities.

Currently, one in five elderly patients discharged from a hospital is readmitted within a month. Seeking to address the human and substantial financial burden of revolving door hospital readmissions, the Affordable Care Act proposes a number of initiatives to improve care and health outcomes and reduce costs for the growing population of chronically ill people in the U.S. While transitional care is a central theme in these provisions, there is little information available to guide those responsible for implementing these important opportunities.

To bridge the gap, researchers at the University of Pennsylvania School of Nursing reviewed existing programs in order to determine what works, for whom and for how long. They discovered "a robust body of evidence" that transitional care can improve health outcomes and reduce hospital readmissions. Their paper published in the current edition of Health Affairs, the major public policy journal, highlights a range of solutions to reduce avoidable hospitalizations and health care costs.

Specifically, their review shows that, among the common elements of successful transitional care programs, is the use of nurses, often master's prepared, who work with patients, family caregivers and health teams to prevent medical errors and assure continuity of care as patients navigate a very fragmented care system. "All nine interventions that showed any positive impact on readmissions relied on nurses as the clinical leader of manager care," wrote lead author Mary Naylor, Ph.D, R.N., a professor at the University of Pennsylvania School of Nursing.

Transitional care, short-term services that bridge gaps between hospital and home, focuses on identifying and addressing patients' and family caregivers' goals as well as needs for education and support, such as access to community services, to prevent poor outcomes. "We have identified a number of strategies that result in short term benefits and a few that effectively reduce all-cause hospital readmissions through six or 12 months," Naylor said.

"The good news is that available evidence provides those responsible for implementing community-based care transitions programs, accountable care organizations and other innovative delivery and payment models with a strong foundation upon which to build these programs and achieve better care and better outcomes while reducing costs" Naylor said. "If we capitalize on what we know, the real beneficiaries will be those living with complex chronic conditions and their family caregivers."

Mary Naylor and colleagues Linda Aiken, Ellen Kurtzman, Danielle Olds and Karen Hirschman published their findings in the April issue of Health Affairs. Their paper is based on Penn Nursing research sponsored by The Robert Wood Johnson Foundation's Initiative on the Future of Nursing at the Institute of Medicine.


Story Source:

The above story is based on materials provided by University of Pennsylvania School of Nursing. Note: Materials may be edited for content and length.


Cite This Page:

University of Pennsylvania School of Nursing. "Reducing revolving door hospital re-admissions." ScienceDaily. ScienceDaily, 1 June 2011. <www.sciencedaily.com/releases/2011/06/110601111414.htm>.
University of Pennsylvania School of Nursing. (2011, June 1). Reducing revolving door hospital re-admissions. ScienceDaily. Retrieved August 20, 2014 from www.sciencedaily.com/releases/2011/06/110601111414.htm
University of Pennsylvania School of Nursing. "Reducing revolving door hospital re-admissions." ScienceDaily. www.sciencedaily.com/releases/2011/06/110601111414.htm (accessed August 20, 2014).

Share This




More Health & Medicine News

Wednesday, August 20, 2014

Featured Research

from universities, journals, and other organizations


Featured Videos

from AP, Reuters, AFP, and other news services

Raw: World's Oldest Man Lives in Japan

Raw: World's Oldest Man Lives in Japan

AP (Aug. 20, 2014) A 111-year-old Japanese was certified as the world's oldest man by Guinness World Records on Wednesday. Sakari Momoi, a native of Fukushima in northern Japan, was given a certificate at a hospital in Tokyo. (Aug. 20) Video provided by AP
Powered by NewsLook.com
Ebola-Hit Sierra Leone's Freetown a City on Edge

Ebola-Hit Sierra Leone's Freetown a City on Edge

AFP (Aug. 19, 2014) Residents of Sierra Leone's capital voice their fears as the Ebola virus sweeps through west Africa. Duration: 00:56 Video provided by AFP
Powered by NewsLook.com
101-Year-Old Working Man Has All The Advice You Need

101-Year-Old Working Man Has All The Advice You Need

Newsy (Aug. 19, 2014) Herman Goldman has worked at the same lighting store for almost 75 years. Find out his secrets to a happy, productive life. Video provided by Newsy
Powered by NewsLook.com
Researcher Testing on-Field Concussion Scanners

Researcher Testing on-Field Concussion Scanners

AP (Aug. 19, 2014) Four Texas high school football programs are trying out an experimental system designed to diagnose concussions on the field. The technology is in response to growing concern over head trauma in America's most watched sport. (Aug. 19) Video provided by AP
Powered by NewsLook.com

Search ScienceDaily

Number of stories in archives: 140,361

Find with keyword(s):
Enter a keyword or phrase to search ScienceDaily for related topics and research stories.

Save/Print:
Share:

Breaking News:
from the past week

In Other News

... from NewsDaily.com

Science News

Health News

Environment News

Technology News



Save/Print:
Share:

Free Subscriptions


Get the latest science news with ScienceDaily's free email newsletters, updated daily and weekly. Or view hourly updated newsfeeds in your RSS reader:

Get Social & Mobile


Keep up to date with the latest news from ScienceDaily via social networks and mobile apps:

Have Feedback?


Tell us what you think of ScienceDaily -- we welcome both positive and negative comments. Have any problems using the site? Questions?
Mobile: iPhone Android Web
Follow: Facebook Twitter Google+
Subscribe: RSS Feeds Email Newsletters
Latest Headlines Health & Medicine Mind & Brain Space & Time Matter & Energy Computers & Math Plants & Animals Earth & Climate Fossils & Ruins