Search results for "Postdischarge Care"
Heart failure questionnaire a month after discharge identifies high-risk MI patients
Patients who reported very poor to fair health on the Kansas City Cardiomyopathy Questionnaire a month after hospitalization for a myocardial infarction (MI) had significantly higher risk of mortality than those reporting better health, with predictive symptoms including leg swelling.
https://acphospitalist.acponline.org/archives/2024/01/17/heart-failure-questionnaire-a-month-after-discharge-identifies-high-risk-mi-patients.htm
17 Jan 2024
ED visits after discharge to SNF cost Medicare $24 million in 2019
Sixteen percent of Medicare patients who were discharged to a skilled nursing facility (SNF) came back to the ED within two weeks, and a quarter of those visits resulted in discharge back to the SNF the same day.
https://acphospitalist.acponline.org/archives/2023/11/01/ed-visits-after-discharge-to-snf-cost-medicare-24-million-in-2019.htm
1 Nov 2023
Disparities seen in postdischarge care for Medicaid beneficiaries
A study in Alabama found that 58% of Medicaid beneficiaries with diabetes and heart failure did not receive guideline-recommended care after hospitalization. Risk of inadequate follow-up was particularly high among patients who were Black or Hispanic.
https://acphospitalist.acponline.org/archives/2023/06/14/free/disparities-seen-in-postdischarge-care-for-medicaid-beneficiaries.htm
14 Jun 2023
Telerehab, unsupervised home training both effective for COPD patients
A small international randomized trial found that the incidence of hospitalizations and ED visits was lower in patients with chronic obstructive pulmonary disease (COPD) assigned to a telerehabilitation group or unsupervised training group than among controls.
https://acphospitalist.acponline.org/archives/2022/12/21/telerehab-unsupervised-home-training-both-effective-for-copd-patients.htm
21 Dec 2022
Transitional interventions cost-effective for elderly heart failure patients, model shows
A model of recently hospitalized 75-year-old heart failure patients found that disease management clinics, nurse home visits, and nurse case management were all more cost-effective than standard care, with the home visits offering the greatest value.
https://acphospitalist.acponline.org/weekly/archives/2020/01/29/3.htm
29 Jan 2020
Use of observation, ED in place of readmission not responsible for heart failure mortality
A new analysis of the Hospital Readmissions Reduction Program (HRRP) found that increases in postdischarge heart failure mortality started before the program and could be attributed to patients who did not seek acute care in the 30 days after discharge.
https://acphospitalist.acponline.org/weekly/archives/2020/01/29/2.htm
29 Jan 2020
Cognitive biases affect decisions about whether to go to a SNF after discharge
Clinicians tended to frame skilled nursing facility (SNF) care in terms of “safety” and “rehab” while more often emphasizing the risks of other postacute care options, interviews found.
https://acphospitalist.acponline.org/weekly/archives/2019/08/28/3.htm
28 Aug 2019
Readmissions higher with discharge to home care versus SNF, but overall costs lower
Postdischarge mortality rates and improvements in functional status were similar whether Medicare beneficiaries were discharged home with home health care or to a skilled nursing facility (SNF), according to a retrospective analysis.
https://acphospitalist.acponline.org/weekly/archives/2019/03/20/1.htm
20 Mar 2019
Cardiovascular risks significantly elevated for a month after a sepsis hospitalization
Younger sepsis patients, in particular, had higher risk of myocardial infarction or stroke than similar patients who had been hospitalized for other conditions.
https://acphospitalist.acponline.org/weekly/archives/2018/09/19/4.htm
19 Sep 2018
LTAC use varies more by region and hospital than by patient-level factors
The study found 29 patient-level, three hospital-level, and five region-level independent predictors of transfer to a long-term acute care hospital (LTAC). After adjustment for case mix, differences between patients explained only 52.1% of the variation in LTAC use.
https://acphospitalist.acponline.org/weekly/archives/2018/02/14/1.htm
14 Feb 2018
Postdischarge facilities best target for reducing bundled spending, studies find
Researchers found that postdischarge care was responsible for 44% of the average total cost of studied Medicare hospitalization bundles, compared to 53% from inpatient spending and 3% from preadmission spending.
https://acphospitalist.acponline.org/weekly/archives/2015/12/09/2.htm
9 Dec 2015