Ending Hospital Readmissions

Ending Hospital Readmissions

A Blueprint for SNFs

eBook - 2011
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Hcpro Inc
Ending Hospital Readmissions: A Blueprint for SNFs delivers several practical strategies your facility can employ to combat unchecked resident readmissions. In it you willl find essential tools to combat this problem, including enhanced resident assessment and documentation policies, provider partnerships that improve transitions of care, staff education tools, and methods to achieve resident and staff involvement.

Ending Hospital Readmissions: A Blueprint for SNFs


Avoid the pitfalls that cost SNFs billions each year in preventable rehospitalizations

An informed and proactive nursing home staff is a vital weapon in the struggle to keep residents from being readmitted to the hospital.Ending Hospital Readmissions: A Blueprint for SNFs delivers several practical strategies your facility can employ to combat this problem, such as enhanced resident assessment and documentation policies, provider partnerships that improve transitions of care, staff education tools, and methods to achieve resident and staff involvement. This book will show you the true financial consequences of unchecked resident readmission and provide you with the tools to do something about it!

The information in this book will help you develop a plan to:

  • Ensure smooth care transitions through resident education and effective communication with staff and other care providers
  • Reduce costs associated with rehospitalizations
  • Prevent the incidence of hospital readmissions resulting from avoidable complications, medication problems, and adverse events
  • Encourage the resident and family to participate in the transition to ensure satisfaction with quality of care
  • Maintain or improve the resident's quality of life
Table of Contents

Chapter 1: Introduction—Why Are Hospital Readmissions a Problem?
  • Medicare and Senior Healthcare
  • Rehospitalization
  • Implications of Rehospitalizations
  • Rehospitalization and Revenue
  • The Patient Protection and Affordable Care Act
  • Transitional Care
  • The Bottom Line
  • Why Should I Care?
  • Where to Begin
Chapter 2: Identifying the Origins and Causes of Problematic Transitions
  • Interfacility Communication
  • Long-Term Care Facility Concerns
  • Physician Concerns
  • Schedule Drug Issues
  • Emergency Department Concerns
  • Patient and Caregiver Concerns
  • Surprising Information
Chapter 3: Reasons for Inappropriate Hospitalization and Rehospitalization
  • Most Common Causes of Inappropriate Rehospitalization
  • Financial Incentives
  • Early Discharge
  • The Weekend Exodus
  • Medical Diagnoses and Conditions That May Predispose Residents to Acute Changes in Condition
  • New Onset Problems Suggesting an Impending Change in Condition
Chapter 4: Risk Factors
  • Identifying Risk Factors
  • The Polypharmacy Problem
  • Medication Reconciliation
  • The Patient Self-Determination Act
  • Hospice Care
Chapter 5: Medicare Part A Basics
  • The Medicare Program
  • Observational Hospital Admissions
  • Medicare Paperwork in the Hospital
  • Inpatient Medicare Coverage and the SNF
  • Medicare Level of Care and the Long-Term Care Facility
  • Important Reimbursement Issues
  • Trend Setting
  • Documentation
Chapter 6: Strategies to Avoid Rehospitalization for Caregivers
  • Avoidable Readmissions to the Hospital
  • Strategies for Reducing Avoidable Readmissions
  • Standard of Care for Monitoring Residents With Acute Illness or Infection
  • Initial Assessment and Documentation Guidelines for Conditions for Which Monitoring Is Required
  • Specific Responsibilities
  • 24-Hour Change of Condition
  • Change of Condition Communication
Chapter 7: Strategies to Avoid Rehospitalization for Managers
  • Managerial Information for Reducing Acute Care
  • Transfers
  • Facility Admissions and Readmissions
  • Commitment
  • Establishing or Modifying a Facilitywide Program
  • Philosophy of Care
  • Director of Nursing
  • Managing Potential Barriers to Success
Chapter 8: Ensuring a Sm

Publisher: Danvers, MA : HCPro, Ă2011
ISBN: 9781615691333
1615691332
9781601468208
1601468202
Characteristics: 1 online resource (xiii, 288 pages) : illustrations
Additional Contributors: HCPro (Firm)

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