Reducing Hospital Admissions

Ryan PlesherZenny PageLaura Plyler Meghan PriceRosemary Ogaga

NURS 375

http://www.youtube.com/watch?v=TS6vjYgKp4Y&feature=em-share_video_user

-CMS soon will penalize hospitals that see too many patients return within a month.

-Now is the time to create strategies to avoid readmissions.

-Informatics can, and potentially will, play a large role in solutions and transitions.

Why is this Currently an Important Topic?

-Search: Reducing Hospital Readmissions with the Use of Informatics

-Strengths-No Fees-User Friendly-Fast-Access to thousands of websites and scholarly

journals-Weaknesses

-Too many sources-Reliability and Validity

-Weaknesses outweigh the strengths

-Strengths-Metasearch engine-Best, most relevant, combined

results from others such as Google, Yahoo, Ask etc.

-Capabilities and techniques of all the major search engines to make a super engine!

-Time saver!-Fast-Refines results with “Are you

looking for” feature-Weaknesses

-Can sometimes have irrelevant results

-Not good for specific searches

-Strengths

-Searching options-Factual information

-Weaknesses

-Access-Readability

Search Results?

EBSCO Host

-Search: Reducing Hospital Re-admissions -427 Results in 0.11 seconds-Clinical Trials-clinicaltrials.gov-National Institute of Nursing Research:

www.ninr.nih.gov-Who?

-Hospitals-Individuals conducting personalresearch

-Links to Social Media

National Institutes of Healthwww.NIH.gov

-Home healthcare-Cost efficient-Prevent readmissions

-Transition from hospital to home-Comfort-Independence

http://www.loopbackllc.com/Readmission.aspx

-Why should hospitals be concerned about

readmission?-The Centers for Medicare and

Medicaid Services (CMS) is targeting hospital readmissions for cost reductions.

-One in five Medicare patients is readmitted to the hospital within 30 days of discharge, costing billions of dollars.

-CMS will begin imposing financial penalties for excessive readmissions for Heart Failure, Acute Myocardial Infarction and Pneumonia beginning in October, 2012.

-Hospitals in the bottom quartile on readmissions will suffer penalties in the hundreds of thousands, if not millions, of dollars.

Loopback Analytical

-Focuses on reducing readmissions within 30 days of discharge through patient teaching.

-Uses an interactive program to help patients—”Louise”-Louise helps make care

plans-Teaches about

components of patient care, their medications, etc

-Louise is tailored uniquely for each individual patient

-Is based on 12 reinforcing components, which have been proven to reduce rehospitalization.

Project RED: Re-Engineered Discharge

-Who can use it?-Hospitals-Individual Patients-Home Health Organizations-Training and educating of clinical staff-Used as trial right now but soon will be distributed to different hospitals to be evaluated and tested.

-Healthcare provider that promotes care through the use of technology

-Benefits-Remote patient

monitoring-Cost efficient-Quality-Prevent rehospitalizationWho?

-Patients that have been recentlyadmitted and may have a possible future of further hospitalization.

Telemedicine

-List serv sign up:http://www.hospitalmedicine.org/AM/Template.cfm?Section=Home&Template=/BOOST/boost.html

-What is BOOST?-Objectives-Nursing Application

Project BOOST

-http://apps.facebook.com/my-polls/view/oyipyhga-Poll on Facebook-Facebook is a social utility

that connects people with friends and others who work, study and live around them. People use Facebook to keep up with friends, upload an unlimited number of photos, post links and videos, and learn more about the people they meet.

-One has to ensure that there is private security when using Facebook

-Quality control -Improving care and teaching

techniques -Staying up to date on current

training -Improving scope of practice

during patient stay-Focus on the discharge

process--teaching, communication, etc

-Using current programs and organizations to transition from hospital to home and promote healthy lifestyles. Thus monitors and aids in disease prevention.

Current Best Practices, Processes and Methods

-Using real time and dashboards for improved communication -Using Listservs to be involved in current information-Websites and search engines to research topic specific articles, magazines, newspapers, etc.

-Using search engines to stay up to date on CMS and the Hospital Readmissions Reduction Program.

-Improving the discharge process with enhanced patient education. -Using post-hospital programs like RED, Amedisys,

Loopback Analytical, etc.-Acknowledge and discuss barriers of the discharge process

and enhanced self care.-Ex: patient not having a family doctor; not owning a car to

be able to go to follow up appointments -Encourage family/support interaction in post-hospital care-Discuss health maintenance and disease management and

preventative measures

Nursing Implications

6 ways to prevent hospital readmissions. (2011). Patient Education Management, 18(6), 71-72. About dogpile. (2011). Retrieved from http://www.dogpile.com/info.dogpl/support/aboutus Amedisys. (n.d.). Retrieved October 25, 2012, from http://www.amedisys.com/ Americantelemed.org. (2011). Retrieved from http://www.americantelemed.org/i4a/pages/index.cfm?

pageid=3331 Ebsco host. (n.d.). Retrieved October 22, 2012,

from http://ezproxy.queens.edu:2457/ehost/search/basic?sid=17ed6c83- 7679-4215-b063-ebd9a7317596@sessionmgr15&vid=7&hid=2

Facebook. (2012). Retrieved October 25, 2012, from http://facebook.com Google. (n.d.). Retrieved October 25, 2012, from www.google.com Hebda, T., & Czar, P. (2012). Handbook of Informatics for Nurses & Healthcare Professionals (5th ed.).

Saddle River, NJ: Pearson. Hospital, nurses team up to prevent readmissions. (2012). Hospital Case Management, 20(9), 140-141 Look beyond your hospital walls to prevent readmissions. (2012). Hospital Case Management, 20(9), 129-

131. Loopback Analytics. (2012). Retrieved October 20, 2012, from http://www.loopbackllc.com Martin, J. (2007-2012). Project red: Re-engineered discharge. Retrieved from

http://www.bu.edu/fammed/projectred/index.html National Institute of Health. (n.d.). Retrieved October 23, 2012, from www.nih.edu Reducing Hospital Readmission. (2012). Retreived October 20, 2012, from http://www.youtube.com Society of hospital medicine. (n.d.). Retrieved October 26, 2012, f

rom http://www.hospitalmedicine.org/AM/Template.cfm?Section=Home&Template=/BOOST/boost.html

Works cited