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 July 22, 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 July 22, 2014).

Share This




More Health & Medicine News

Tuesday, July 22, 2014

Featured Research

from universities, journals, and other organizations


Featured Videos

from AP, Reuters, AFP, and other news services

Gilead's $1000-a-Pill Drug Could Cure Hep C in HIV-Positive People

Gilead's $1000-a-Pill Drug Could Cure Hep C in HIV-Positive People

TheStreet (July 21, 2014) New research shows Gilead Science's drug Sovaldi helps in curing hepatitis C in those who suffer from HIV. In a medical study, the combination of Gilead's Hep C drug with anti-viral drug Ribavirin cured 76% of HIV-positive patients suffering from the most common hepatitis C strain. Hepatitis C and related complications have been a top cause of death in HIV-positive patients. Typical medication used to treat the disease, including interferon proteins, tended to react badly with HIV drugs. However, Sovaldi's %1,000-a-pill price tag could limit the number of patients able to access the treatment. TheStreet's Keris Lahiff reports from New York. Video provided by TheStreet
Powered by NewsLook.com
$23.6 Billion Awarded To Widow In Smoking Lawsuit

$23.6 Billion Awarded To Widow In Smoking Lawsuit

Newsy (July 20, 2014) Cynthia Robinson claims R.J. Reynolds Tobacco Company hid the health and addiction risks of its products, leading to the death of her husband in 1996. Video provided by Newsy
Powered by NewsLook.com
Tooth Plaque Provides Insight Into Diets Of Ancient People

Tooth Plaque Provides Insight Into Diets Of Ancient People

Newsy (July 19, 2014) Research on plaque from ancient teeth shows that our prehistoric ancestor's had a detailed understanding of plants long before developing agriculture. Video provided by Newsy
Powered by NewsLook.com
Contaminated Water Kills 3 Babies in South African Town

Contaminated Water Kills 3 Babies in South African Town

AFP (July 18, 2014) Contaminated water in South Africa's northwestern town of Bloemhof kills three babies and hospitalises over 500 people. The incident highlights growing fears over water safety in South Africa. Duration: 02:22 Video provided by AFP
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