Hospitals -- After care Hospitals -- Outpatient services
Increased scrutiny over the spiraling costs of health care and inefficiencies within the health care system has focused attention on readmissions to acute care that occurs within 30-days of discharge. The Centers for Medicare and Medicaid Services (CMS) have identified these early readmissions as an indicator of poor quality care. With one-fifth of Medicare beneficiaries who will experience early readmissions, it is imperative that a patient centered approach be implemented that will decrease functional dependence and increase quality of life in this vulnerable population (“The Partnership for Patients,” 2012; Toscan, Mairs, Hinton, & Stolee, 2012). Unplanned and often unnecessary readmissions affect 2.6 million seniors per year at a cost of more than $26 billion (Axon & Williams, 2011; Bhalla & Kalkut, 2010; D’Amore, Murry, Powers, & Johnson, 2011; Hasan et al., 2009; Horwitz et al., 2011). Research by Anderson, Helms, Hanson, & DeVilder (1999) found that a breakdown in communication during the transition process was the most common factor in the occurrence of early readmissions and a significant source of poor patient outcomes (Steffens et al., 2009). A reduction in readmissions can be achieved through improved discharge planning, an improved process of communication between providers and through a nurse-driven program designed to transition patients more effectively.
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Title
TRANSITIONAL CARE: A NURSE-DRIVEN PROGRAM TO IMPROVE PATIENT OUTCOMES
Creators
Mary A. Bates
Contributors
Ginny Guido (Advisor)
Awarding Institution
Washington State University
Academic Unit
Research Projects, College of Nursing
Theses and Dissertations
Master of Nursing (MN), Washington State University
Publisher
Washington State University; Spokane, Washington
Identifiers
99900590725501842
Copyright
http://creativecommons.org/licenses/by-nc-sa/3.0/us; Creative Commons Attribution-NonCommercial-ShareAlike 3.0 United States (CC BY-NC-SA 3.0 US)