Abstract 49: Building a Bridge From Hospital to Home Reduces Readmissions After Ischemic Stroke
| Autor: | Craig R Sellers, Ann M Leonhardt-Caprio |
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| Rok vydání: | 2021 |
| Předmět: | |
| Zdroj: | Stroke. 52 |
| ISSN: | 1524-4628 0039-2499 |
| DOI: | 10.1161/str.52.suppl_1.49 |
| Popis: | Background: Readmission within 30 days after hospitalization due to ischemic stroke (IS) is associated with increased healthcare costs and higher risk of death and disability. Efforts to decrease hospital readmissions following IS may improve quality and cost of care. Methods: A multi-component improvement intervention to bridge the transition from hospital to home through increased certified home health agency (CHHA) referrals, post-discharge telephone calls, and enhanced communication with outpatient providers was developed. The project was implemented in July, 2019, and evaluated for six months following initiation. The primary outcome measure was same-hospital, 30-day readmission rate in the project-specific population of IS patients discharged to home from a stroke unit, and the overall IS population during the six-month baseline period compared to the six-month intervention period. Statistical significance was determined using chi square analysis ( p ) and clinical significance with Cohen’s alpha ( d >1.0). Results: Following implementation, a decrease in month to month variation in readmission rates (Figure 1) and a statistically and clinically significant decrease in 30-day, all-cause, same-hospital readmission rates from 7.389% to 2.791% (62.23% decrease, p = .010, d = 1.43) in the project population and from 6.557% to 2.995% (54.32% decrease, p = .031, d = 1.61) in the overall IS population, was seen. Improvement was seen in all process measures, with a statistically significant increase in CHHA referrals from 44% to 56% (28% increase, p =.04). Conclusions: Implementation of an evidence-based, bundled improvement intervention, which contributed to a significant increase in CHHA referrals for IS patients discharged to home, was associated with a meaningful decrease in readmission rates. |
| Databáze: | OpenAIRE |
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