title: Effect of enhanced psychosocial assessment on readmissions of patients with chronic obstructive pulmonary disease.
abstract: In 2015, the Patient Protection and Affordable Care Act of 2010 will mandate reduced Medicare reimbursements for hospitals with Chronic Obstructive Pulmonary Disease (COPD) readmissions that are higher than expected. Several studies identified social issues as a concern and possible contributor to readmissions. This study calculated readmission rates for patients with COPD following an enhanced psychosocial assessment. With 26 participants serving as their own historical controls, a paired t-test of the mean of admissions 90 days prior to the assessment and 90 days postassessment was conducted. The study group had a significantly lower number of readmissions in the 90 days postintervention.
authors.affiliation: a Department of Medical Social Services , UnityPoint Health-St. Luke's Hospital , Cedar Rapids , Iowa , USA.
authors.forename: Jennifer M
authors.initials: JM
authors.lastname: Owens
authors.forename: Renee A
authors.initials: RA
authors.lastname: Garbe
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D003266:Continuity of Patient Care / Q000458:organization & administration*; D005260:Female; D006801:Humans; D008297:Male; D008603:Mental Health; D008875:Middle Aged; D010347:Patient Care Planning; D010353:Patient Education as Topic / Q000458:organization & administration*; D010359:Patient Readmission; D011594:Psychometrics; D029424:Pulmonary Disease, Chronic Obstructive / Q000523:psychology*; D012189:Retrospective Studies; D012307:Risk Factors; D012947:Social Work / Q000458:organization & administration*; D013689:Telephone; D014481:United States
keywords: COPD; hospital; psychosocial assessment; readmissions