Implementation of a skilled nursing facility readmission review process

Autor: Mallika L Mendu, Emily Fay, Constantinos I Michaelidis, Michele C Chu, Jasdeep Sahota, Lauren Hauser, Aimee Smith, Mary Ann Huether, John Dobija, Mark Yurkofsky, Charles T Pu, Kathryn Britton
Jazyk: angličtina
Rok vydání: 2018
Předmět:
Zdroj: BMJ Open Quality, Vol 7, Iss 3 (2018)
Druh dokumentu: article
ISSN: 2399-6641
DOI: 10.1136/bmjoq-2017-000245
Popis: 30-day readmissions for patients at skilled nursing facilities (SNF) are common and preventable. We implemented a readmission review process for patients readmitted from two SNFs, involving an electronic review tool and monthly conferences. The electronic review tool captures information related to preventability and factors contributing to readmission. The study included 128 patients, readmitted within 30 days from 1 October 2015 through 1 May 2017, at a tertiary care academic medical centre in Boston, MA, and two partnering SNFs. There was a discrepancy in preventability rating between SNF and hospital reviewers, with 79.7% of cases rated not preventable by the SNF, and 58.6% by the hospital. There was moderate positive correlation between the hospital’s and SNFs’ preventability ratings (rs=0.652, p
Databáze: Directory of Open Access Journals