Understanding and Improving Discharge: A Critical Factor in Reducing Potential For Readmission Christy Rakoczy
January 28th, 2013 | 0
Introduction. Recent studies have shown that the discharge process can be very difficult. The challenges of the complex process can easily lead to errors that lead to unnecessary re-hospitalization. Preventing these both improves the patient’s outlook and prevents care facilities from receiving penalties associated with excessive readmissions. This report takes a look at the discharge process and some of the data gathered over the last several years as a means of understanding and improving discharge.
The importance of effective discharge planning. Studies from the Agency for Healthcare Research and Quality demonstrated that there were more than 39 million discharges in the United States in 1996. Unplanned re-hospitalizations cost a whopping 17 and a half billion dollars, accounting for nearly a fifth of Medicare’s hospital payments between 2003 and 2004. The end result, according to the Centers for Medicare and Medicaid Services’ Readmissions Reduction Program, is that in 2012, about two out of every three facilities received some sort of penalty for excessive readmissions.Continue Reading
January 15th, 2013 | 2
Anti-psychotic medications are being abused in record numbers in nursing home settings as care providers dose patients to make them more docile and to make their behavior easier to control. This is an egregious form of senior abuse and a serious public health problem. In February 2012, the American Health Care Association announced a three-year plan for nursing homes and assisted living communities to improve their care, including reducing the use of off-label uses of antipsychotic medications. Anyone interacting with senior patients, from hospital discharge planners to nursing home administrators, needs to be aware of the measures being taken.
Progress on this issue is just one important trend in senior care. Consider both the anti-psychotic drugs issue as well as some other key trends that are important to senior care providers.Continue Reading
January 11th, 2013 | 0
Traditionally nursing home care was the only option for long-term senior care. It was not until the mid-1980s that different assisted living communities started to emerge in the United States. These communities were thought to be a shift from the institutional setting that were strict with regulations and gave patients and families few options of choice. These assisted living variations can offer very desirable features and have shown great patient satisfaction.
There are many factors to consider when deciding on your future living arrangements which can make the decision difficult. Below is information on many different senior living options to assist in your choice of which option is right for you.Continue Reading
January 10th, 2013 | 0
Working with behavioral problems among elderly patients can be exhausting. Inexperienced caregivers sometimes respond poorly to such behavior, which can, in some cases, lead to verbal or even physical abuse. Placement of these individuals is another matter all together – because they are so difficult to deal with, it is extremely difficult for discharge planners and social workers to find facilities that are able and willing to provide them the special care that they need. Here are some practical tips we’ve found make the process of working with seniors with behavioral problems a bit easier.Continue Reading
January 9th, 2013 | 0
The nation’s hospitals are now officially on notice that the federal government is looking closely at the kind of care they give—so closely that Medicare will be giving them a financial bonus or a penalty depending on the job they do. At the end of the year, Medicare announced that some 1,500 hospitals received bonuses while about 1,400 got payment reductions. For hospitals treating a lot of Medicare patients, that can mean big bucks for the bottom line, either way.
In the hope of spurring better care—and maybe reducing costs—the Affordable Care Act requires Medicare to judge the quality of care they deliver using measures of care for mostly heart and pneumonia patients, ratings of patient experience, and tracking if patients are readmitted after 30 days. Health experts regard these costly readmissions as preventable failures that occurred somewhere in the chain of care.Continue Reading
January 3rd, 2013 | 0
Here’s the understatement of the New Year: Medicare can be frustratingly complex for patients and discharge planners alike. Nevertheless, it is critical for social workers and discharge planners to be in the know about the aspects of Medicare that directly affect their patients and care facilities. We have compiled a list that, although not exhaustive, highlights some crucial information that discharge planners should be aware of.Continue Reading
We do not endorse or guarantee the completeness, accuracy or reliability of any answers, messages, blog posts or other material posted in the Community, and we do not endorse any opinions they express.