Category Archives: Hospital Readmissions

EDs Seeing More Patients with Complex, Chronic Conditions, Mental Illness; Fewer Injuries

The rate of emergency department (ED) visits in California for non-injuries has risen while the rate of visits for injuries has dropped, according to a new study led by UC San Francisco that documents the increasing amount of care provided … finish reading EDs Seeing More Patients with Complex, Chronic Conditions, Mental Illness; Fewer Injuries

Posted in Alternative Healthcare Coverage, Avoidable Hospitalization, Behavioral Health, Disease Management, Emergency Room, Hospital Readmissions, Hospital Safety, Hospital Services, Reducing Healthcare Costs | Tagged , , , | Leave a comment

Mental Health Disorders Complicate Standards for Readmissions

Co-existing psychiatric illness should be considered in assessing hospital readmissions for three common medical conditions used by Medicare and Medicaid to penalize hospitals with “excessive” readmission rates: heart failure, acute myocardial infarction (AMI) and pneumonia, according to a new collaborative … finish reading Mental Health Disorders Complicate Standards for Readmissions

Posted in affordable care act, Alternative Healthcare Coverage, Avoidable Hospitalization, Behavioral Health, Cardiac Care, Care Coordination, Hospital Readmissions, Improving Community Care, Improving Patient Care, Reducing Healthcare Costs | Tagged , , , , , , | Leave a comment

Cigna Collaborative Care Reduced Avoidable ER Visits by 16 Percent

Cigna’s second-year results from a collaborative care initiative with Granite Healthcare Network (GHN) reveals significant progress in improved health and affordability, and decreased avoidable emergency room (ER) visits by 16 percent, according to Cigna officials. Cigna Collaborative Care, a partnership … finish reading Cigna Collaborative Care Reduced Avoidable ER Visits by 16 Percent

Posted in Accountable Care Organizations, affordable care act, Care Coordination, Case Managers, Case Managers and the Patient Experience, Diabetes, Disease Management, Elderly Care, electronic health records (EHRs), Emergency Room, Hospital Readmissions, Reducing Healthcare Costs | Tagged , , , , | Leave a comment

Colorado Hospital Engagement Network Reduces Healthcare Costs by $15 Million, Avoidable Readmissions by 11 Percent

Colorado hospitals and health systems participating in a three-year quality improvement project led by the Colorado Hospital Association (CHA) prevented 2,800 patient harms, 1,250 of which were avoidable readmissions, for an estimated cost savings of $14.8 million, according to the … finish reading Colorado Hospital Engagement Network Reduces Healthcare Costs by $15 Million, Avoidable Readmissions by 11 Percent

Posted in affordable care act, Alternative Healthcare Coverage, Avoidable Hospitalization, Bundled Payments, Care Coordination, Clinical Integration, Disease Management, Hospital Readmissions, Hospital Safety, Hospital Services, Hospital Training, Improving Patient Care | Tagged , , , , | Leave a comment

Pilot Prevents Unnecessary Hospitalizations by Optimizing Transfers of Nursing Facility Residents

Designed to prevent unnecessary hospitalizations of nursing facility patients, a new study focuses on how to optimize transfers of these patients between facilities and acute-care institutions by improving care and communication, according to research from Indiana University (IU) and Regenstrief … finish reading Pilot Prevents Unnecessary Hospitalizations by Optimizing Transfers of Nursing Facility Residents

Posted in Avoidable Hospitalization, Care Coordination, Care Transitions, Case Managers, Case Managers and the Patient Experience, Disease Management, Elderly Care, Hospital Readmissions, Hospital Services, Hospital Training, Improving Patient Care | Tagged , , , | Leave a comment

5 Embedded Case Management Strategies for 30-Day Readmissions Success

Looking to ward off Medicare 30-day readmissions penalties, Caldwell Memorial Hospital managed to decrease rehospitalizations from over 19 percent to less than 10 percent, a metric that catapaulted their hospital’s readmission ranking into the top five nationwide, says Melanie Fox … finish reading 5 Embedded Case Management Strategies for 30-Day Readmissions Success

Posted in Care Coordination, Case Managers, Embedded Case Manager, Hospital Readmissions | Tagged , , , | Leave a comment

Enhanced Medical Home for High-Risk Children Dramatically Reduces Hospital Costs, Illnesses

High-risk children suffering from chronic diseases who received comprehensive care at a special clinic at The University of Texas Health Science Center at Houston (UTHealth) experienced dramatic reductions in both serious illnesses and hospital costs, according to a study recently … finish reading Enhanced Medical Home for High-Risk Children Dramatically Reduces Hospital Costs, Illnesses

Posted in Avoidable Hospitalization, Case Managers, Disease Management, Emergency Room, Healthcare Costs, Hospital Readmissions, Improving Patient Care, Intensive Care Unit, Medicaid, Medical Home, Patient Satisfaction, Patient-Centered Medical Home, Primary Care | Tagged , , , , , , , | Leave a comment

Medicaid Medical Home Cuts 30-Day Readmissions, Healthcare Costs, Increases Follow-Up Visits

Since its implementation in 2012, a medical home for Medicaid patients showed a 130.4 percent increase in timely patient follow-up visits, a 25 percent decrease in 30-day hospital readmissions, and a decrease in the overall cost of care for each … finish reading Medicaid Medical Home Cuts 30-Day Readmissions, Healthcare Costs, Increases Follow-Up Visits

Posted in Avoidable Hospitalization, Care Coordination, Care Transitions, Comprehensive Primary Care Programs, Healthcare Costs, Healthcare IT, Hospital Readmissions | Tagged , , | Leave a comment

Over One-Third of Hospitalization Costs in Low-Income Communities Associated with Behavioral Health

Poverty, behavioral health issues, and poor ambulatory care contributed to more than a third of hospitalization costs in 13 low-income N.J. communities, amounting to $880 million in annual inpatient costs, according to a new Rutgers study. Mental health disorders and … finish reading Over One-Third of Hospitalization Costs in Low-Income Communities Associated with Behavioral Health

Posted in affordable care act, Avoidable Hospitalization, Behavioral Health, Healthcare Costs, Hospital Readmissions | Tagged , , , | Leave a comment

Focus on Preventable Readmissions Could Save Hospitals Financial Penalties

Reporting of hospital readmission rates should be based exclusively on preventable or potentially preventable readmissions, so that hospitals are not unfairly penalized, according to researchers from the Perelman School of Medicine at the University of Pennsylvania and Vanderbilt University. Preventable … finish reading Focus on Preventable Readmissions Could Save Hospitals Financial Penalties

Posted in Hospital Readmissions, Hospital Services | Tagged , , , , | 1 Comment