Reducing avoidable readmission — patients returning to the hospital within 30 days following discharge — has become a growing concern for hospitals. In a new study in the American Journal of Medical Quality, researchers led by Dr. Bita Kash, professor in the health policy and management department at the Texas A&M School of Public Health and director of the Center for Outcomes Research at Houston Methodist Research Institute, reviewed 4,886 published studies between Jan. 2006 and Jan. 2017 of hospital readmission reduction interventions. The team then analyzed the impact of various strategies on readmission rates, evaluating their implementation at two leading hospitals, Houston Methodist & the University of Texas MD Anderson Cancer Center. By analyzing these strategies and comparing them with results from published studies, researchers intended to better understand what interventions are most effective in avoiding hospital readmissions and how best to implement them. They also surveyed employees at both hospitals to find which readmission reduction interventions were most commonly used.
After comparing the survey results with findings from the review of literature, Kash and colleagues found that the most commonly reported interventions at the two hospitals agreed with those noted in the literature (collaboration, education, telephone follow-up, medication intervention, follow-up appointment, discharge planning).
There were some variations between the hospitals in how interventions are implemented likely related to available resources and how they are used at different institutions.Tags: Friday Letter Submission