title: Program cuts 30-day readmit rate to 10.6%.
abstract: A readmission reduction program that begins while patients are in the hospital has cut the 30-day readmission rate by 37% at St. Rose Hospital in Hayward, CA. Patient advocates visit patients with diagnoses that put them at risk for readmission on Day 1 and conduct an assessment to determine discharge needs. Advocates collaborate with discharge planners, line up any services needed after discharge, and follow up after discharge and after physician visits. When patients are readmitted, the team drills down to determine the cause and recommends process changes.
mesh_terms: D002140:California; D006764:Hospitals, Community; D006801:Humans; D019982:Organizational Case Studies; D010359:Patient Readmission / Q000706:statistics & numerical data / Q000639:trends*; D011785:Quality Assurance, Health Care / Q000379:methods*; D058996:Quality Improvement / Q000458:organization & administration