"Readmission" occurs when patients who have had a recent stay in the hospital go back into a hospital again. Patients may have been readmitted back to the same hospital or to a different hospital or acute care facility. They may have been readmitted for the same condition as their recent hospital stay, or for a different reason. Often referred to as "rehospitalization."
- Across the state hospitals are uniting with community-based organizations to form tight, integrated clusters of care with the goal of reducing hospital readmissions. Focusing on high-risk Medicare patients recently discharged from hospitals, and funded through Section 3026 of the Affordable Care Act, these Community-based Care Transition Programs (CCTPs) are successfully cutting avoidable readm...» Full Article
Beth Israel Deaconess Medical Center Wins $4.9 Million Grant for Program to Improve Patient Outcomes Within 30-Day Window of DischargeOne of only 26 national Center for Medicare and Medicaid Innovations Grants Beth Israel Deaconess Medical Center will receive $4.9 million from the highly competitive first round of Center for Medicare and Medicaid Innovation Grants, to launch a Post-Acute Care Transitions (PACT) program designed to improve patient outcomes and prevent avoidable cost in the high-risk 30-day period following acu...» Full ArticleBeth Israel Deaconess Medical Center will collaborate in two additional federal innovation awards announced last week: one with Dartmouth-Hitchcock Medical Center as part of the High Value Healthcare Collaborative (HVHC) and one with Mayo Clinic. These awards were announced as part of the second and final round of Innovation Grants awarded by the federal Center for Medicare and Medicaid Innovat...» Full ArticleA program at the Norwell VNA and Hospice that targets patients with Heart Failure (HF) has proven successful in reducing hospital admissions and readmission. The Norwell model relies on two foundational elements: (1) a strong clinical commitment to chronic care management using a wide-ranging team of providers and the patient, and (2) early intervention using telehealth technology. All of No...» Full ArticleThe results are in from Partners HealthCare's Medicare demonstration project that was conducted at Massachusetts General Hospital (MGH).In August, 2006, the Centers for Medicare and Medicaid (CMS) funded the MGH and the hospital's physician organization to launch the Care Management Program at MGH, one of six demonstration projects nationwide. During the three-year demonstration, the MGH develop...» Full ArticleIn 2011, MetroWest HomeCare & Hospice, in partnership with MetroWest Medical Center, initiated a strategic and evidence based effort to reduce their emergent care visits and acute care hospitalization rates. The effort was initiated with the formation in November 2011 of MetroWest's Re-Admission Intervention Strategy Council (RISC). The RISC includes representatives from management, nursi...» Full ArticleA variety of different measures all point to one inescapable fact: readmissions of Medicare patients at Massachusetts hospitals are steadily decreasing, according to a new MHA analysis. Statistics over the past decade show that Massachusetts hospitals, as well as hospitals nationwide, over the past decade at first had incremental improvements in readmissions before experiencing a significant dr...» Full ArticleThe percentage of patients admitted to a hospital with a mental health condition - either as a primary or a secondary diagnosis - is rising and often these patients experience delirium, alcohol withdrawal and suicide harm (DASH), which put them at an increased risk for higher-than-average readmission rates. In a new report in the July 2015 edition of The Joint Commission Journal on Quality and ...» Full ArticleCambridge Health Alliance (CHA) and Hallmark Health, in collaboration with Somerville Cambridge Elder Services and Mystic Valley Elder Services, are among the top performers in an innovative national pilot program to reduce hospital readmission rates. The four organizations, known collectively as the Mystic Valley Community-Based Organization, joined 71 other community-based organizations (CBOs...» Full Article