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Related Concept Videos

Methods Of Healthcare Delivery System01:26

Methods Of Healthcare Delivery System

At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is limited...
Hospitals-I01:28

Hospitals-I

Hospitals offer medical and surgical care to the sick and injured, along with accommodation while they recover. At the same time, they also provide outpatient, emergency, psychiatric, and rehabilitation services to meet various community needs. In addition to providing medical care, hospitals also act as hubs for medical research and training. Hospitals use clinical procedures and evidence-based practice standards to deliver patient care. To deliver safe and efficient care, a nurse must stay up...
Hospitals-II00:59

Hospitals-II

Hospitals provide inpatient and outpatient services. Inpatient services provide care to patients that stay in the hospital for an extended period, ranging from days to months. Examples of inpatient services include intensive care units, hospital wards, or surgeries. Outpatient services provide care to patients who come to a hospital for a diagnostic or treatment but do not stay overnight —for example, diagnostic tests, surgical procedures, or health education.
Nurses that work in hospitals have...
Healthcare Associated Infections II: Preventive Measures01:22

Healthcare Associated Infections II: Preventive Measures

Essential infection prevention measures are based on the knowledge of the infection chain, the modes of transmission in healthcare settings, and the use of the best practices in all healthcare settings. Compulsory public reporting of healthcare-associated infection rates is needed to allow individuals and the community to make informed choices regarding selecting a healthcare facility.
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
Discharge Summary Forms01:31

Discharge Summary Forms

The discharge summary is crucial as it enables a smooth transition from a healthcare facility to a patient's home or another care setting. This critical document facilitates seamless continuity of care, ensuring patients receive the necessary support and attention.
Here's a detailed look at the key components and guidelines for preparing a discharge summary:
Documentation in Long-Term and Home Healthcare Setting01:29

Documentation in Long-Term and Home Healthcare Setting

Documentation in long-term care facilities and home healthcare settings is crucial for ensuring continuous, coordinated, and comprehensive care for patients. Each setting has its specific documentation processes and tools:
Long-Term Care Facilities

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Reducing excess hospital readmissions: Does destination matter?

Min Chen1

  • 1Florida International University, Miami, FL, USA. min.chen2@fiu.edu.

International Journal of Health Economics and Management
|September 27, 2017
PubMed
Summary

The Affordable Care Act (ACA) reduced hospital readmissions, primarily by decreasing returns to the original hospital. This suggests improvements in care quality and strategic patient placement contributed to lower readmission rates.

Keywords:
Index hospitalMedicareQuality of careThirty-day readmissions

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Area of Science:

  • Health Services Research
  • Health Policy
  • Quality Improvement

Background:

  • Reducing hospital readmissions is a key policy goal for lowering healthcare costs and enhancing patient care quality.
  • The Affordable Care Act (ACA) introduced financial penalties for hospitals with high readmission rates.

Purpose of the Study:

  • To evaluate the effectiveness of the ACA in reducing hospital readmissions in Florida from 2006 to 2014.
  • To analyze changes in readmission rates for targeted versus non-targeted conditions and examine readmission destinations.

Main Methods:

  • Longitudinal analysis of patient-level hospital admission and readmission data in Florida (2006-2014).
  • Comparison of readmission trends in ACA-targeted conditions versus non-targeted conditions.
  • Analysis of readmission destinations and associated patient outcomes, including hospital stay duration.

Main Results:

  • A significant decrease in hospital readmissions was observed following the implementation of the ACA.
  • The reduction in readmissions was predominantly driven by fewer patients returning to their original (index) hospital.
  • Patients readmitted to non-index hospitals experienced longer hospital stays compared to those readmitted to index hospitals.

Conclusions:

  • The ACA appears to have been effective in reducing overall hospital readmissions.
  • Quality improvements and strategic patient management (e.g., directing readmissions to the index hospital) likely contributed to the observed decline.
  • Differences in outcomes based on readmission destination highlight the importance of care coordination and post-discharge management.