Avoiding Readmissions—Support Systems Required After Discharge to Continue Rapid Recovery?

Abstract Increasing participation in alternative payment models such as episode-of-care has become a driving force to improve outcomes while decreasing cost. Reducing the hospital length of stay and discharging patients to home have been shown to decrease readmissions, thereby achieving these goals....

Full description

Saved in:
Bibliographic Details
Published in:The Journal of arthroplasty 2015-04, Vol.30 (4), p.527-530
Main Authors: Edwards, Paul K., MD, Levine, Matthew, MD, Cullinan, Kevin, MHA, Newbern, Gordon, MD, Barnes, C. Lowry, MD
Format: Article
Language:English
Subjects:
Arthroplasty, Replacement
Critical Pathways - standards
Female
Humans
Joint Diseases - surgery
length of stay
Male
Middle Aged
Orthopedics
Patient Care Management
Patient Care Team - standards
Patient Readmission - economics
Perioperative Care - standards
preoperative education
rapid recovery
readmission
Retrospective Studies
total joint arthroplasty
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Abstract Increasing participation in alternative payment models such as episode-of-care has become a driving force to improve outcomes while decreasing cost. Reducing the hospital length of stay and discharging patients to home have been shown to decrease readmissions, thereby achieving these goals. The purpose of this study was to determine if utilization of a patient management support system, TAVHealth™ in our clinical pathway would reduce our readmission rates during the episode-of-care. We retrospectively reviewed 1874 total joint arthroplasties, 1281 TJAs in the pre-TAVHealth™ group (2009–2012) and 593 TJRs in the post TAVHealth™ group (2013–2014). Despite a low length of stay (1.2 days) there was a significant reduction in readmissions from 205 (16.0%) to 54 (9.2%) with incorporation of this patient management support system into our clinical pathway.
ISSN:0883-5403
1532-8406
DOI:10.1016/j.arth.2014.12.029