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Updated: May 16, 2026

Assessment of Dependence in Activities of Daily Living Among Older Patients in an Acute Care Unit

Assessment of Dependence in Activities of Daily Living Among Older Patients in an Acute Care Unit

Published on: September 30, 2020

Preventing readmissions through comprehensive discharge planning.

Tabitha Hunter¹, James Rex Nelson, Jackie Birmingham

¹Iasis Healthcare Corporation in Arizona, USA.

Professional Case Management

|December 18, 2012

Summary

This summary is machine-generated.

Case managers can reduce hospital readmissions by refining discharge planning. Assessing patients by prior care level and collaborating with community providers are key strategies for improving patient safety and outcomes.

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Last Updated: May 16, 2026

Assessment of Dependence in Activities of Daily Living Among Older Patients in an Acute Care Unit

Assessment of Dependence in Activities of Daily Living Among Older Patients in an Acute Care Unit

Published on: September 30, 2020

Area of Science:

Healthcare Management
Patient Safety
Quality Improvement

Background:

Discharge planning by case managers significantly impacts patient safety and outcomes.
Hospital readmissions are a major concern for reimbursement and accreditation.
The Centers for Medicare & Medicaid Services (CMS) is focusing on discharge planning compliance related to patient safety.

Purpose of the Study:

To recommend improvements in case management practices for effective discharge planning.
To influence patient readmission rates through enhanced case management strategies.

Main Methods:

Hospital-based case managers responsible for discharge planning.
Analysis of patient readmission factors through direct patient interaction.
Assessment of patients based on their prior level of care.

Main Results:

Case managers can identify readmission drivers by interacting with readmitted patients.
Adjusting discharge planning to include prior level of care assessment is crucial.
Pharmacist involvement in discharge planning, especially for avoidable readmissions, is recommended.

Conclusions:

Comprehensive discharge planning is essential for controlling preventable readmissions.
Collaboration with community-based providers is vital for managing readmissions.
Hospitals should track readmission data and self-assess compliance for quality improvement.