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Hospitals stand to lose more reimbursement.
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Make sure record is complete
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Faced with denials for short stays and pressure to get patients out of the emergency department, Massachusetts General Hospital established an emergency department observation unit for patients whose stays are likely to be 24 hours or less.
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Program cuts admissions, ED visits
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Checklists and clear protocols for clinical care have been highly successful in infection prevention and other fields.
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At Western Maryland Regional Medical Center, having nurse transitionists act as a liaison between the hospital and nursing facilities has reduced the readmission rate from participating facilities from 30% to 18%.
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As penalties for excess readmissions rise and more diagnoses are included in the program, case managers can play a major role in helping their hospitals avoid penalties.
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Historically, clinicians have always done for the patient and not with the patient, a practice that has to change in order to ensure a safe discharge and prevent readmissions.
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In a study by the Bronx Collaborative, patients who received two or more interventions by a dedicated care transition manager had a 17.6% readmission rate compared to a rate of 26.3% for patients who received the current standard of care.
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Most adults retain only 20% of what they are told, and if their only education is right before discharge, they dont learn much. People are being readmitted because they dont understand the importance of a follow-up appointment or how they should take their medication,
