期刊
NEUROHOSPITALIST
卷 5, 期 1, 页码 35-42出版社
SAGE PUBLICATIONS LTD
DOI: 10.1177/1941874414540683
关键词
transitional care; readmissions; adverse events; patient; quality of health care; stroke; penalties; hospitalists; Centers for Medicare and Medicaid Services
资金
- Agency for Healthcare Research and Quality (AHRQ), US Department of Health and Human Services [HHSA-290-2007-10062I]
Hospitals are challenged with reevaluating their hospital's transitional care practices, to reduce 30-day readmission rates, prevent adverse events, and ensure a safe transition of patients from hospital to home. Despite the increasing attention to transitional care, there are few published studies that have shown significant reductions in readmission rates, particularly for patients with stroke and other neurologic diagnoses. Successful hospital-initiated transitional care programs include a bridging strategy with both predischarge and postdischarge interventions and dedicated transitions provider involved at multiple points in time. Although multicomponent strategies including patient engagement, use of a dedicated transition provider, and facilitation of communication with outpatient providers require time and resources, there is evidence that neurohospitalists can implement a transitional care program with the aim of improving patient safety across the continuum of care.
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