Annual Review of Medicine· 2013Q1· Review
Reducing Hospital Readmission Rates: Current Strategies and Future Directions
- 593citations
- Q1SCImago
- 2013year
Short summary
Multicomponent interventions, especially those with enhanced communication and medication safety, significantly reduce hospital readmissions for patients discharged home or to post-acute care facilities.
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Key points
- Multicomponent interventions are more effective than single-component ones in reducing readmissions.
- Key intervention components include patient needs assessment, medication reconciliation, education, and follow-up.
- For patients discharged to post-acute care, enhanced communication and medication safety are crucial.
- Risk-stratification methods can identify patients most likely to be readmitted.
AI-generated from the title and abstract; the full text is not read.
Abstract
New financial penalties for institutions with high readmission rates have intensified efforts to reduce rehospitalization. Several interventions that involve multiple components (e.g., patient needs assessment, medication reconciliation, patient education, arranging timely outpatient appointments, and providing telephone follow-up) have successfully reduced readmission rates for patients discharged to home. The effect of interventions on readmission rates is related to the number of components implemented; single-component interventions are unlikely to reduce readmissions significantly. For patients discharged to postacute care facilities, multicomponent interventions have reduced readmissions through enhanced communication, medication safety, advanced care planning, and enhanced training to manage medical conditions that commonly precipitate readmission. To help hospitals direct resources and services to patients with greater likelihood of readmission, risk-stratification methods are available. Future work should better define the roles of home-based services, information technology, mental health care, caregiver support, community partnerships, and new transitional care personnel.
The authors' abstract, as published at the source. Annual Review of Medicine, 2013 · DOI ↗
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Field: Emergency Medicine
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