Policy Options to Improve Discharge Planning and Reduce Rehospitalization

Frail older patients and their families are generally unprepared for the flurry of activity that occurs during a hospitalization and for how quickly they must decide where to go at discharge. The biggest challenge patients and families face as they decide their discharge destination is to establish...

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Bibliographic Details
Published in:JAMA : the journal of the American Medical Association 2011-01, Vol.305 (3), p.302-303
Main Authors: Mor, Vincent, Besdine, Richard W
Format: Article
Language:English
Subjects:
Aftercare - economics
Aftercare - standards
Aged
Centers for Medicare and Medicaid Services (U.S.)
Decision Making
Discharge
Evidence-based medicine
Families & family life
Frail Elderly
Health Policy
Hospice Care
Hospitalization
Humans
Long-Term Care - organization & administration
Managed Competition
Medical prognosis
Medicare - economics
Older people
Patient Discharge
Patient Readmission
Rehabilitation
Reimbursement Mechanisms
United States
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Description
Summary:Frail older patients and their families are generally unprepared for the flurry of activity that occurs during a hospitalization and for how quickly they must decide where to go at discharge. The biggest challenge patients and families face as they decide their discharge destination is to establish realistic goals of care in the absence of coherent information about their prognosis and options. Policy changes in payment for acute and postacute care and their sequelae are widely recognized as contributing to the rising rates of rehospitalization and the increased frequency of transitions among health care settings and teams, particularly during the past decade. Here, Mor and Besdine examine some evidence-based interventions to improve discharge planning and reduce rehospitalization.
ISSN:0098-7484
1538-3598
DOI:10.1001/jama.2010.2006