STAAR: improving the reliability of care coordination and reducing hospital readmissions in an academic medical centre
| Autor: | Lee Ann Tata, Jocelyn Carter, Kathryn T. Hall, Jessica Smith, Jane Murray, Jacqueline Collins, Joanne Doyle Petrongolo, Laura S. Carr |
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| Rok vydání: | 2015 |
| Předmět: |
medicine.medical_specialty
business.industry Reverse Innovations Pharmacist Psychological intervention Pharmacy General Medicine Coaching Multidisciplinary approach Intervention (counseling) Emergency medicine medicine Nursing Interventions Classification Transitional care business Diagnostics Delivery |
| Zdroj: | BMJ Innovations |
| ISSN: | 2055-642X 2055-8074 |
| DOI: | 10.1136/bmjinnov-2015-000048 |
| Popis: | Setting Massachusetts General Hospital embarked on a 4-year project to reduce readmissions in a high volume general medicine unit (November 2009 to September 2013). Objective To reduce 30-day readmissions to 10% through improved care coordination. Design As a before–after study, a total of 7586 patients admitted to the medicine unit during the intervention period included 2620 inpatients meeting high risk for readmission criteria. Of those, 2620 patients received nursing interventions and 539 patients received pharmacy interventions. Intervention The introduction of a Discharge Nurse (D/C RN) for patient/family coaching and a Transitional Care Pharmacist (TC PharmD) for predischarge medication reconciliation and postdischarge patient phone calls. Other interventions included modifications to multidisciplinary care rounds and electronic medication reconciliation. Main outcome measure All-cause 30-day readmission rates. Results Readmission rates decreased by 30% (21% preintervention to 14.5% postintervention) (p |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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