Potentially avoidable hospitalisations in Australia: Causes for hospitalisations and primary health care interventions – Primary Health Care Research & Information Service – July 2012

Posted on September 4, 2012. Filed under: Primary Hlth Care | Tags: , |

Potentially avoidable hospitalisations in Australia: Causes for hospitalisations and primary health care interventions – Primary Health Care Research & Information Service – July 2012

Katterl R, Anikeeva O, Butler C, Brown L, Smith B, Bywood P. (2012). Potentially avoidable hospitalisations in Australia: Causes for hospitalisations and primary health care interventions.  PHC RIS Policy Issue Review. Adelaide: Primary Health Care Research & Information Service.

ISBN 978-0-9808191-9-9

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All-Cause Readmission to Acute Care and Return to the Emergency Department – Canadian Institute for Health Information – 14 June 2012

Posted on June 18, 2012. Filed under: Clin Governance / Risk Mgmt / Quality, Emergency Medicine | Tags: , , , |

All-Cause Readmission to Acute Care and Return to the Emergency Department – Canadian Institute for Health Information – 14 June 2012

“One in 12 patients readmitted to Canadian hospitals within 30 days
Study examines who is returning and why

June 14, 2012—Soon after their discharge from hospital, more than 180,000 Canadians were readmitted to acute care in 2010, reveals a study from the Canadian Institute for Health Information (CIHI). In those jurisdictions where detailed emergency department (ED) data was available—Alberta, Ontario and Yukon—nearly 1 in 10 acute care patients returned to the ED within seven days of hospital discharge. The study, All-Cause Readmission to Acute Care and Return to the Emergency Department, included more than 2.1 million hospitalizations across the country. It looked at surgical, medical, pediatric and obstetric patients to better understand who returned to acute care after discharge and for what clinical reason.

“Better understanding of the factors influencing readmission rates is an important step for improving the quality of care for Canadians,” says Jeremy Veillard, Vice President of Research and Analysis at CIHI. “Although readmissions cannot always be avoided, research suggests that in many cases they may be prevented.”

Reasons for readmission varied by patient group”

… continues

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Preventing emergency readmissions to hospital. A scoping review – RAND – 2012

Posted on February 3, 2012. Filed under: Emergency Medicine, Patient Journey, Patient Safety | Tags: , , |

Preventing emergency readmissions to hospital. A scoping review – RAND – 2012

by Ellen Nolte, Martin Roland, Susan Guthrie, Laura Brereton

“The report reviews the evidence and potential for use of ’emergency readmissions within 28 days of discharge from hospital’ as an indicator within the NHS Outcomes Framework. It draws on a rapid review of systematic reviews, complemented by a synopsis of work in four countries designed to better understand current patterns of readmissions and the interpretation of observed patterns. Reviewed studies suggest that between 5 percent and 59 percent of readmissions may be avoidable. Studies are highly heterogeneous, but based on the evidence reviewed, about 15 percent up to 20 percent may be considered reasonable although previous authors have advised against producing a benchmark figure for the percentage of readmissions that can be avoided. The majority of published studies focus on clinical factors associated with readmission. Studies are needed of NHS organisational factors which are associated with readmission or might be altered to prevent readmission.

The introduction of new performance indicators always has the potential to produce gaming. Observers from the USA cite experience which suggests hospitals might increase income by admitting less serious cases, thus simultaneously increasing their income and reducing their rate of readmission. There is also the possibility that there may be some shift in coding of admissions between ’emergency’ and ‘elective’ depending on the incentives. If hospitals are performance managed on the basis of readmission rates, it would be reasonable to expect that some behaviour of this type would occur.”

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Time trends and geographical variation in re-admissions for asthma in Australia – AIHW – 7 March 2011

Posted on March 24, 2011. Filed under: Respiratory Medicine | Tags: , , |

Time trends and geographical variation in re-admissions for asthma in Australia – AIHW – 7 March 2011

“Re-admissions for asthma can be considered an indicator of health system performance in relation to the management of patients with asthma. This bulletin examines the overall rate of re-admissions for asthmas in Australian and investigates time trends in re-admissions for asthmas as well as differences according to age, sex, socioeconomic status and remoteness of residence.”

ISBN 978-1-74249-123-3

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WhyNottheBest.org Readmission Case Study Series – Commonwealth Fund – 16 February 2011

Posted on February 17, 2011. Filed under: Aged Care / Geriatrics, Chronic Disease Mgmt, Clin Governance / Risk Mgmt / Quality, Health Systems Improvement | Tags: , |

WhyNottheBest.org Readmission Case Study Series

“Overview
Nearly one of five elderly patients who are discharged from the hospital in the United States is rehospitalized within 30 days. Evidence suggests that many of these readmissions are avoidable, caused by complications or infections from the initial hospital stay, poorly managed transitions to post-acute care, or recurrence or exacerbation of symptoms of their chronic diseases. In addition to taking a physical and emotional toll on patients and their families, avoidable readmissions are extremely costly.

Reducing readmissions has become a priority among health care providers, health plans, government, and other stakeholders. Readmission rates for three clinical areas—heart failure, heart attack, and pneumonia—are collected and publicly reported by the Centers for Medicare and Medicaid Services and other organizations. The risk-adjusted readmission rates show significant variation across hospitals, indicating that some hospitals are more successful than others at addressing the causes of readmissions. This case study is part of a series that highlights best practices among hospitals.

This case studies series was created for  WhyNotTheBest.org . The goal of WhyNotTheBest.org is to foster health care quality improvement by promoting transparency and public reporting, and by providing tools and case studies of top performers to aid organizations in their own improvement efforts.”

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