http://www.youtube.com/wat ch?v=TS6vjYgKp4Y&feat ure=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.
-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
-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 personal research-Links to Social Media
-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.
-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-Who can use it? -Louise is tailored uniquely for -Hospitals each individual patient -Individual Patients -Is based on 12 reinforcing -Home Health Organizations components, which have been -Training and educating of clinical staff proven to reduce rehospitalization.-Used as trial right now but soon will be distributed to different hospitals tobe evaluated and tested.
-Healthcare provider that promotes care through the use of technology-Benefits -Remote patient monitoring -Cost efficient -Quality -Prevent rehospitalization Who? -Patients that have been recently admitted and may have a possible future of further hospitalization.
-List serv sign up: http://www.hospitalmedicine.org/AM/Template.cfm?Sectio n=Home&Template=/BOOST/boost.html-What is BOOST?-Objectives-Nursing Application
-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-Using reallifestyles. dashboards for and healthy time and Thus monitors improved communication aids in disease prevention.-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
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