title: Self-reflection as a Tool to Increase Hospitalist Participation in Readmission Quality Improvement.
abstract: Reducing 30-day readmissions is a national priority. Although multipronged programs have been shown to reduce readmissions, the role of the individual hospitalist physician in reducing readmissions is not clear.
  
  
  
  We evaluated the effect of physicians' self-review of their own readmission cases on the 30-day readmission rate.
  
  
  
  Over a 1-year period, hospitalists were sent their individual readmission rates and cases on a weekly basis. They reviewed their cases and completed a data abstraction tool. In addition, a facilitator led small group discussion about common causes of readmission and ways to prevent such readmissions.
  
  
  
  Our preintervention readmission rate was 16.16% and postintervention was 14.99% (P = .76). Among hospitalists on duty, nearly all participated in scheduled facilitated discussions. Self-review was completed in 67% of the cases.
  
  
  
  A facilitated reflective practice intervention increased hospitalist participation and awareness in the mission to reduce readmissions and this intervention resulted in a nonsignificant trend in readmission reduction.
authors.affiliation: Division of General Internal Medicine, Medical College of Wisconsin, Milwaukee (Drs Rana, Thapa, Nagpal, Segon, Fletcher, and Lamb); and Division of General Internal Medicine, University of California, Riverside (Dr Saini).
authors.forename: Vipulkumar
authors.initials: V
authors.lastname: Rana
authors.forename: Bipin
authors.initials: B
authors.lastname: Thapa
authors.forename: Sumanta Chaudhuri
authors.initials: SC
authors.lastname: Saini
authors.forename: Pooja
authors.initials: P
authors.lastname: Nagpal
authors.forename: Ankur
authors.initials: A
authors.lastname: Segon
authors.forename: Kathlyn
authors.initials: K
authors.lastname: Fletcher
authors.forename: Geoffrey
authors.initials: G
authors.lastname: Lamb
mesh_terms: D000046:Academic Medical Centers; D005260:Female; D020445:Hospitalists / Q000592:standards*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010359:Patient Readmission / Q000592:standards*; D058996:Quality Improvement / Q000458:organization & administration*; D012720:Severity of Illness Index; D012959:Socioeconomic Factors; D014481:United States