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Hospital Readmission Rate
Thirty-day readmission has become a commonly used indicator for physicians and
hospital services’ quality of care. It has also become a focus of clinicians, hospital
administrators, and policymakers on data showing that readmission is often because of
worsening conditions. Moreover, research suggests that the quality of patient education and
post-discharge care impacts readmission rates. However, debates suggest the suitability of
readmission as a quality metric may vary by hospitalization condition (Dasenbrock et al.,
2017). Controversy exists about the appropriateness of using readmission as an indicator of the
quality of care. Readmission rates have been considered a hospital quality measure and have
been shown to reflect dimensions of quality of patient care, however, a study shows
readmission did not predict and was not a valid indicator of the quality of care (Dasenbrock et
al., 2017).
I have witnessed some incidences of readmission in the hospital mostly related to
reinfection and or recurrence of the same symptoms or conditions. Observing the mechanism
of readmission is relative to the quality of care and maintaining wellness among patients during
admission which is the responsibility of both healthcare practitioners and hospital
administration (Wang et al., 2021).
Usually, the common cause is related to health education, especially on the discharge
instruction of care, which should be provided by the doctor and the nurse and need to reinforce
by the hospital that is efficient practice and effective delivery in every patient cared for. Patients
discharge to the hospital with some misinformation, misunderstanding of the condition and
treatment, and most of all no information on how to be well to prevent the recurrence or
worsening of the condition (Wang et al., 2021).
Surgical site infections are common causes of hospital readmission. A better
understanding of causative factors for readmission may help improve patient counseling and
identify high-risk subjects to prevent readmission. Surgical site infections increase morbidity,
mortality, length of hospital stay, readmission, and healthcare costs. Moreover, factors that
increase the risk for surgical site infection include age, ASA score, obesity, diabetes, smoking,
radiation therapy, psoriasis, chronic skin conditions, and the use of instrumentation. These
identified predictors of surgical site infection can improve the identification of high-risk
patients and provide strategies for prevention that may decrease the readmission rate (Wang et
al., 2021).
Improving the Quality of Hospital Care to Lower Readmission Rates
Since the NEJM study suggests that readmission rates are influenced by hospital quality
independently of patient-centered factors, it only makes sense for hospitals to consider
assessing the organizational factors that may be contributing to lower-quality outcomes
(Walker, 2017). Fortunately, there are several key touch points in which it may be possible for
your hospital to improve the quality of patient care both during and after the hospital visit.
Look for a robust, highly configurable software solution, such as Patient Bond, that will enable
you to automate many of the key activities that foster improved patient care, including:
Post-Discharge Communications: These enable you to create and send a series
of customized instructional communications via text or email to assist patients during their
recovery transition. Communications can include click-and-submit surveys that offer recoveryrelated questions, as well as links to additional information and relevant educational resources
(Walker, 2017).
Automated Appointment Reminders: These can help hospitals alleviate one of
the most notorious consumers of administrative hours by automating the appointment reminder
process. This can help hospitals reduce lost revenue due to missed appointments, along with
providing patients with more efficient, personalized care (Walker, 2017).
Medication Adherence Solutions: A study published by the National Institutes of
Health named low medication adherence as a key risk factor in predicting 30-day hospital
readmissions. Hospitals that use Patient Bond can send automated follow-up communications
to remind patients to refill their prescription medications, along with providing ongoing
educational content regarding how to manage their health condition in light of their medication
regimen. This high-touch solution can strengthen medication adherence through personalized
communications that always arrive right on schedule (Walker, 2017).
Ongoing Wellness Education: Carry your patient care beyond the walls of your
facility by providing ongoing wellness education and health management resources. Through
Patient Bond’s automated platform, for example, hospitals can send relevant educational
content to patients to help them enhance their well-being through informed management of
their health condition. In addition, Patient Bond can send scheduled communications to remind
patients to follow through with pertinent check-ups and preventive screenings (Walker, 2017).
Using Psychographics to Help Reduce Hospital Readmissions
By segmenting people based on key psychological factors such as attitudes, lifestyles,
values, beliefs, and personalities, you can truly treat your patients as individuals by tailoring
your communications to fit their respective psychographic profiles. When a patient recognizes
that you’re “speaking their language,” it increases the likelihood of a positive response. That’s
why the Patient Bond platform uses a proprietary psychographic segmentation model to
provide highly personalized care for patients and motivate behavior change (Walker, 2017).
It’s clear that patient engagement platforms can play a key role in reducing hospital
readmissions by improving the quality and efficiency of patient care (Walker, 2017).
Experts in improving transitions of care—which, it is hoped, would ameliorate the
problems that lead to readmissions—emphasize the importance of teamwork across disciplines,
specialties, and care settings; dialogue and collaboration between providers; and the formation
of community coalitions and integrated systems of care (Dasenbrock et al., 2017).
The individual in the hospital is responsible for working with the hospital team to
ensure that the patient understands the post-discharge plan of care, that medications are
reconciled, and that there is a system for transmitting information to the patient and the care
can be outsourced to the social worker, however, the hospital should monitor the wellness of
the patient continuously. Thus, readmission after 3 days is the responsibility of the hospital to
take care of rather than the patient itself (Walker, 2017).
How Data Visualization Is improving the Healthcare Industry
Data visualization is transforming the way medicine is used. It is now used in the
field of medicine to inform patients about diseases. It also allows complex medical research
results to be shared with the general public in a simplified way (DiploDoc, 2021).
“Most of the time, unless you’re a highly trained data analyst, a visualization is the best
way to make the data understandable to the end user.” (DiploDoc, 2021).
How Data Visualization Is improving the Healthcare Industry
Data viz allows the health industry to make sense of vast amounts of data for better
patient care
Optimize patient care: The other use of data viz in healthcare is to put data in the
hands of hospital staff at all levels, from board executives to clinicians, to make decisions based
on real-time data. The objectives are to improve the quality of care and patient management
while optimizing costs. The indicators observed are time spent in the emergency department,
the average length of hospital stays, hospital readmissions, and mortality rates (DiploDoc,
2021).
Waiting time in the Emergency Department: When emergency department
capacity is exceeded, patients wait hours before seeing a doctor and even longer before being
transferred to a department. Overcrowded emergency departments contribute to poor patient
care and frustration for patients and families. The Emergency Department Throughput
Analysis dashboard allows us to follow the median time spent in the Emergency Department
(hours) and its daily evolution. To see the proportion of patients admitted to the hospital and
those discharged. The monitoring of these indicators will help optimize the management of
patients in the Emergency Department (DiploDoc, 2021).
The average length of hospitalization: The average length of stay in a hospital is
often considered an indicator of the efficiency of care. It can also reveal inefficiencies in
hospital processes. Due to poor coordination between different services, people have to stay in
the hospital while waiting for routine care (DiploDoc, 2021).
Hospital readmissions: Hospital readmissions are a major problem for health
systems in developed countries. Up to 20% of patients will be readmitted to the hospital within
30 days of discharge (up to 30% when looking at 90-day readmissions). This has an impact not
only on patient safety and comfort but also financially, as it is estimated that hospital
readmissions cost approximately $26 billion per year in the United States (DiploDoc, 2021).
The Readmission Analysis dashboard enables the monitoring of the readmission rate as
well as its evolution over time. It is also interesting to follow the distribution of this readmission
rate by diagnosis made as well as by patient demographics (gender, race, language spoken)
(DiploDoc, 2021).
Hospital mortality rates: The development of mortality indicators allows healthcare
institutions to self-evaluate, compare and improve their practices. It should also ultimately
provide each citizen with reliable, understandable, and useful information on the quality and
safety of care in hospitals and clinics. However, a high mortality rate does not necessarily mean
poor quality of care, some deaths are not avoidable, and the seriousness of the condition of the
patients treated and the complexity of the procedures performed vary greatly from one
institution to another. Generally, The Mortality Rate is observed according to diagnosis. It is
also relevant to monitor the evolution of this rate according to demographic data (DiploDoc,
2021).
References
Dasenbrock, H. H., Angriman, F., Smith, T. R., Gormley, W. B., Frerichs, K. U.,
Aziz-Sultan, M. A., & Du, R. (2017). Readmission after Aneurysmal Subarachnoid
Hemorrhage. Stroke, 48(9), 2383–2390. https://doi.org/10.1161/strokeaha.117.016702
DiploDoc. (2021, May 5). How data visualization is revolutionizing the practice of
healthcare? Medium. https://diplodoc.medium.com/how-data-visualization-isrevolutionizing-the-practice-of-healthcare-bed88b14a1c9
Walker. (2017). How Hospital Quality Drives Readmission Rates.
https://www.patientbond.com/blog/how-hospital-quality-drives-readmission-rates
Wang, H., Wang, L., Sun, Z., Jiang, S., & Li, W. (2021). Unplanned Hospital
Readmission After Surgical Treatment for thoracic spinal stenosis: Incidence and causative
factors. BMC Musculoskeletal Disorders, 22(1). https://doi.org/10.1186/s12891-02103975-6
These post replies need to be substantial and constructive in nature. They should add to the content
of the post and evaluate/analyze that post answer. including one scholarly peer-reviewed reference.
Minimum 100 words.
Goal no. 3 Good Health and Well-being
In September 2015, the United Nations General Assembly adopted the 2030
Agenda for sustainable development which included 17 sustainable development
goals. The goal was to end poverty, protect the planet, and ensure that by 2030 all
people enjoy peace and prosperity. Additionally, the 17 SDGs are integrated and
recognize that action in one area will affect outcomes in others, and that
development must balance social, economic, and environmental sustainability.
Sustainable development goal number three aspires to ensure health and
well-being for all, including a bold commitment to end the epidemics of AIDS,
tuberculosis, malaria, and other communicable diseases by 2030 (Hák, Janoušková,
& Moldan, 2016). In addition, it is purposed to achieve universal health coverage,
and provide access to safe and effective medicines and vaccines for all. Achieving
universal health care is an important objective for all countries to attain equitable and
sustainable health outcomes and improve the well-being of individuals and
communities.
Improving health systems is one way of promoting progress toward universal
health care. A functioning health system will be beneficial in restoring the health of a
given person and a vulnerable population. Several groups are considered vulnerable
populations who experience greater risk factors, worse access to care, and
increased morbidity and mortality compared with the general population. The
vulnerable population includes; the chronically ill and disabled, low-income and/or
homeless individuals, certain geographical communities, the LGBTQ population, and
the very young and very old population (Pettigrew, De Maeseneer, Anderson,
Essuman, Kidd, & Haines, 2015).
Health care funding is one of the most effective policies that can benefit
vulnerable populations in achieving health care. These groups of the vulnerable
population have intense healthcare needs and represent 5% of the population which
accounts for 50% of all health spending (Acharya, 2013). Moreover, this high-need,
high-cost patients have multiple, serious chronic conditions that make it difficult to
perform daily activities.
Reference
Acharya, S. S. (2013). Universal health care: Pathways from access to utilization
among
vulnerable populations. Indian Journal of Public Health, 57(4), 242.
Hák, T., Janoušková, S., & Moldan, B. (2016). Sustainable Development Goals: A
need for
relevant indicators. Ecological indicators, 60, 565-573.
Pettigrew, L. M., De Maeseneer, J., Anderson, M. I. P., Essuman, A., Kidd, M. R., &
Haines, A. (2015). Primary health care and the Sustainable Development
Goals. The
Lancet, 386(10009), 2119- 2121.
These post replies need to be substantial and constructive in nature. They should add to the content
of the post and evaluate/analyze that post answer. including one scholarly peer-reviewed reference.
Minimum 100 words.
Goal no. 3 Good Health and Well-being
In September 2015, the United Nations General Assembly adopted the 2030
Agenda for sustainable development which included 17 sustainable development
goals. The goal was to end poverty, protect the planet, and ensure that by 2030 all
people enjoy peace and prosperity. Additionally, the 17 SDGs are integrated and
recognize that action in one area will affect outcomes in others, and that
development must balance social, economic, and environmental sustainability.
Sustainable development goal number three aspires to ensure health and
well-being for all, including a bold commitment to end the epidemics of AIDS,
tuberculosis, malaria, and other communicable diseases by 2030 (Hák, Janoušková,
& Moldan, 2016). In addition, it is purposed to achieve universal health coverage,
and provide access to safe and effective medicines and vaccines for all. Achieving
universal health care is an important objective for all countries to attain equitable and
sustainable health outcomes and improve the well-being of individuals and
communities.
Improving health systems is one way of promoting progress toward universal
health care. A functioning health system will be beneficial in restoring the health of a
given person and a vulnerable population. Several groups are considered vulnerable
populations who experience greater risk factors, worse access to care, and
increased morbidity and mortality compared with the general population. The
vulnerable population includes; the chronically ill and disabled, low-income and/or
homeless individuals, certain geographical communities, the LGBTQ population, and
the very young and very old population (Pettigrew, De Maeseneer, Anderson,
Essuman, Kidd, & Haines, 2015).
Health care funding is one of the most effective policies that can benefit
vulnerable populations in achieving health care. These groups of the vulnerable
population have intense healthcare needs and represent 5% of the population which
accounts for 50% of all health spending (Acharya, 2013). Moreover, this high-need,
high-cost patients have multiple, serious chronic conditions that make it difficult to
perform daily activities.
Reference
Acharya, S. S. (2013). Universal health care: Pathways from access to utilization
among
vulnerable populations. Indian Journal of Public Health, 57(4), 242.
Hák, T., Janoušková, S., & Moldan, B. (2016). Sustainable Development Goals: A
need for
relevant indicators. Ecological indicators, 60, 565-573.
Pettigrew, L. M., De Maeseneer, J., Anderson, M. I. P., Essuman, A., Kidd, M. R., &
Haines, A. (2015). Primary health care and the Sustainable Development
Goals. The
Lancet, 386(10009), 2119- 2121.
These post replies need to be substantial and constructive in nature. They should add to the content
of the post and evaluate/analyze that post answer. including one scholarly peer-reviewed reference.
Minimum 100 words.
Planning a Quality Improvement Project and Reducing Hospital Readmission
Patients admitted the first time are at risk of being admitted again, and the
readmission cost is high (Baky, V et al. 2018). For instance, in Saudi Arabia, the history
shows that within one month, 10-24% of older adults were readmitted, and 21-51% of elderly
are readmitted yearly. Patients with chronic diseases like heart failure are more likely to be
readmitted. Since the implementation of the Hospital Readmission Reduction Program,
monthly readmission has declined among old patients, including those with NHIF (p. 13).
Discussion on the Importance of Reducing Hospital Readmission
Reducing hospital resubmission is an effective policy in inpatient and outpatient care
that gives chances to all kinds of patients to access health care costs, improve quality, and
increase patient satisfaction.
Reducing hospital resubmission improves the Saudi Arabian people by linking
payment to a quality healthcare organization. CMS incentivizes healthcare facilities to
increase care coordination efforts and communication to involve caregivers in post-discharge
planning.
Explaining How Health Care Quality Improvement Science can be Used to
Guide Reducing Hospital Readmission Rates
The causes of higher resubmission rates are poor patient safety, poor customer
service, small bed capacity, poor organization management, etcetera. Quality improvement is
effective in the healthcare system because it increases practice performance metrics. Quality
improvement plays a part in radiology services by increasing the facility’s efficiency,
analyzing data well, showing performance data, implementing change and development
through learning, and optimizing patient welfare and outcome.
Example of Quality Improvement Project Conducted in the Emergency Room
Setting that will Improve Hospital Readmission Rates
The practice of quality improvement project PQI effectively maintains certification
and quality improvement in radiology. The PQI strengthens the global health priorities
uniquely placed to reorient care delivery systems in integrated people-centered health
facilities to achieve universal healthcare coverage. The project deals with the connections
between microbial resistance and contentious issues of the fitness of migrants.
Discussing the Terms Needed to Initiate, Implement, and Successfully Execute
PQI Project
According to Pratt K. J. et al. (2020), the PQI project is described to have used several
methodologies for initiating and executing data in a reproducible and easy manner. The PQI
project in the interventional radiology division has improved patients’ health care. Through
the strategies of quality improvement, Defining, Measure Analyze, improving, and Control
DMAIC, Interventional radiology materials have been increased to reduce center wait time,
and center infection rates have been reduced by 2%
Discussing the Purpose and Intended Outcome of Quality Initiative and how it
will Improve Care Across the Organization
Through the provisional care involvements, Ahmed, M. I. B. 2019) illustrates it would
be costly in specific places. Therefore, healthcare facilities are expected to determine their
new performance, the financial penalty, the resources at hand, and the new resources they can
allocate to the readmission reduction effort in light of safety and quality initiatives.
References
Baky, V., Moran, D., Warwick, T., George, A., Williams, T., McWilliams, E., & Marine,
J. E. (2018). Obtaining a follow-up appointment before discharge protects against
readmission for patients with acute coronary syndrome and heart failure: A quality
improvement project. International Journal of Cardiology, 257, 12-15.
Ahmed, M. I. B. (2019). Virtual Clinic: A CDSS Assisted Telemedicine
Framework. In Telemedicine Technologies (pp. 227-238). Academic Press.
Pratt, K. J., Hernandez, B., Blancato, R., Blankenship, J., & Mitchell, K. (2020).
Impact of an interdisciplinary malnutrition quality improvement project at a large
metropolitan hospital. BMJ open quality, 9(1), e000735.

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