Essay on Predicting Hospital Readmission Risk

Predicting hospital readmission risk is of great significance when identifying which patients would benefit most from the care readmission program and interventions. Furthermore, predicting readmission is important since it can be used to determine the readmission rates for the benefit of the hospital comparison. The major current readmission risk prediction model is designed mostly for the clinical and comparative purposes. In some clinical settings, the hospital readmission model is useful and acts as the efforts for improving the performance and reducing the external factors that may affect the implementation of a 30 days Hospital Readmission Project(Honea, 2014). The factors that may affect the implementation of a 30 day Hospital Readmission Project include the:

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Post discharge environmental and socioeconomic factors. Research shows that the SES and PDE factors associate with the early readmission. The PDE and SES are important because they enhance the post charge and pre-discharge interventions for averting the early readmission program. The interventions in the readmission project may include the patient activation, the health services and also the comprehensive discharge planning. The PDE may act as a source of care and thus requiring the help from the usual source of care. With regards to the post-discharge environmental and socioeconomic aspects, the factors that affect the implementation of a 30 days readmission program include the marital status, the source of care, living alone and also a lack of self-management skills (Sebastian, & Hicks, 2014). Furthermore, it might include having an unmet functional need and also lacking helpers with daily activities which address the daily living of an individual. This factor may impact the implementation of a 30 days hospital readmission project especially regarding the quality of health care services that will be provided to the patients. Ideally, it determines the intervention programs that will be adopted for the provision of quality healthcare.

Cost and resources of the hospital organization for the project implementation. In a hospital setting, the resources are very important for the provision of quality healthcare. Determining the cost of acquiring the hospital resources is important because it provides a significant avenue towards the provision of hospital healthcare services. In fact, each hospital should be in the position to develop the baseline hospital implementation project plan. However, the baseline implementation plan should be approved by the hospitals board of management. This is significant because it enables the stakeholders to easily understand and locate the relationship between the sections of the project plan. Research shows that the cost and resources of the hospital organization for the project implementation may impact the implementation of a 30 days implementation plan by affecting the number of doctors in the hospital setting(Harvey & Hamilton, 2014). It also affects the reviewing and dispensation of the medication orders by the administration of medicines by the nurses. It also affects the dose calculations and the clinical decision support by the nurses and expert medics. Thus, through the understanding of the cost and resources, the best practice information is readily available for describing and improving the linkages in the clinical information systems(Honea, 2014). Furthermore, it is known that costs and resources in the hospital are important for improving the efficiency regarding the medication management process. It includes the reduction of the time required for the location of the paper and also a supply of the non-imprest medicines.

Comprehensive discharge planning. It is known that the comprehensive discharge planning by the advanced practice nurses has shown a reduction in readmissions of patients who are elderly and thus a more intensive follow-up of elders who are hospitalized may be discharged through a program that is poorly researched. Research shows that a comprehensive discharge planning process has been one of the five important areas for the reduction of the avoidable readmissions. Thus hospitals working on the 30 days implementation of the readmission plan should focus on ensuring that all the needs of the patients are included in the discharge plan. However, there should be input from the patients and the family members of the patients. The interventions that can be introduced include the written, visual and other follow-up programs. Poorly coordinated comprehensive discharge plan negatively affects the post-discharge testing programs during the implementation of a 30 days implantation readmission project(Sebastian, & Hicks, 2014). Thus, the readmission program may be affected by the health literacy of the stakeholders. Therefore, it is important for the healthcare care experts to provide linguistically and culturally inclusive programs to bring all the people on board.

The care transition intervention: communication among the hospital providers, patients and receiving providers at the time hospital discharge. The transition of care involves the instances in which the patient moves from a healthcare setting to another. Thus, the care of a patient whose have a chronic illness may be admitted to an inpatient, long-term care, and outpatient programs(Harvey & Hamilton, 2014). Furthermore, the communications may affect the implementation of a 30 days readmission project when all the stakeholders do not have a common communication language. Thus, they tend to differ in ideas and the program implementation is thus negatively affected.

High medication cost and poor patient literacy. Quality healthcare outcomes majorly depend on the situation when the patient adheres to the recommended treatment regimens. Therefore, patient nonadherence may be pervasive to wellbeing and health of the nation. The high cost of acquiring medication has been viewed as a hindrance to the high-quality delivery of patient care and implementation of a 30 days readmission project(Harvey & Hamilton, 2014). Furthermore, when the majority of the patients are illiterate, they tend to affect the implementation of a 30 days implementation project.

References

Harvey, S., & Hamilton, N. (2014). Impact of a nurse led transitional care program on readmission rates within the first 30 days post discharge of an acute care facility.

Honea, J. (2014). Reducing hospital readmissions through telephonic nursing interventions.

Sebastian, M., & Hicks, S. (2014). How to prevent readmission rates: Significance of heart failure reduction program.