Podcasts about hospital readmissions

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We explore the pressing issue of hospital readmissions and their significant impact on health outcomes and financial strain within the health care system. Our guest, health care executive Ahzam Afzal, shares insights into the strategies and challenges of reducing readmission rates, including the role of data-driven care, cohesive communication, and effective care coordination. We delve into how staffing shortages affect the implementation of new CMS programs and discuss practical solutions for supporting patients post-discharge to promote better outcomes. Ahzam Afzal is a health care executive. He discusses the KevinMD article, "Effective strategies to reduce hospital readmissions amidst staffing shortages." Our presenting sponsor is DAX Copilot by Microsoft. Do you spend more time on administrative tasks like clinical documentation than you do with patients? You're not alone. Clinicians report spending up to two hours on administrative tasks for each hour of patient care. Microsoft is committed to helping clinicians restore the balance with DAX Copilot, an AI-powered, voice-enabled solution that automates clinical documentation and workflows. 70 percent of physicians who use DAX Copilot say it improves their work-life balance while reducing feelings of burnout and fatigue. Patients love it too! 93 percent of patients say their physician is more personable and conversational, and 75 percent of physicians say it improves patient experiences. Help restore your work-life balance with DAX Copilot, your AI assistant for automated clinical documentation and workflows. VISIT SPONSOR → https://aka.ms/kevinmd SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast RECOMMENDED BY KEVINMD → https://www.kevinmd.com/recommended GET CME FOR THIS EPISODE → https://www.kevinmd.com/cme I'm partnering with Learner+ to offer clinicians access to an AI-powered reflective portfolio that rewards CME/CE credits from meaningful reflections. Find out more: https://www.kevinmd.com/learnerplus

In this 'Best of 2024' episode, Dr. Ahzam Afzal & Matt Nieukirk discuss combating hospital readmissions to improve health system & patient outcomes. 

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Among the older adult population, there is a complex landscape of high-risk factors that can contribute to hospital readmissions. Listen to this podcast to explore strategies for securing support systems, particularly for individuals navigating five types of risk factors: memory issues, frequent falls, living alone, managing multiple chronic conditions, and multiple medications. Learn how to identify, address, and mitigate these high-risk factors to foster an environment that reduces the likelihood of hospital readmissions.

In this episode, Dr. Ahzam Afzal, Co-founder/CEO of Puzzle Healthcare, & Matt Nieukirk, Dir. of Skilled Nursing Practice at OSF, discuss combating hospital readmissions to improve health system & patient outcomes. 

Listen in as Brian Lobley, the innovative CEO of Tango, joins me to unravel the complexities of post-acute care and its crucial role in patient recovery and healthcare economics. Brian shares his  journey from his Philadelphia roots to reshaping healthcare through technology (with a passionate nod to Philly sports teams along the way). We explore Tango's mission to revolutionize home-based care for seniors, especially within the Medicare Advantage space, and how this aligns with the growing preference for patients to recuperate in the comfort of their own homes, potentially reducing costly hospital readmissions.As the conversation unfolds, we examine the transformative potential of redirecting resources from financially strained hospitals to more community-centric and home-based healthcare services. We dissect the intricate balance between the need for accessible critical beds and the service demands of diverse patient demographics, encompassing Medicare Advantage, commercial insurance, Medicaid, and dual eligibles. I highlight the vital role of patient and caregiver engagement in the realm of home health, and Brian sheds light on the importance of effective communication and robust support throughout the continuum of care. Host David E. Williams is president of healthcare strategy consulting firm Health Business Group. Produced by Dafna Williams.

Michelle Cone and Laura Coyle of HomeWell Care Services address why home care plays a crucial role in reducing hospital readmissions, how they're prioritizing this at HomeWell, and what they would suggest as the first step to improving outcomes. 

No one wants to be readmitted to the hospital. Not the patients and not the nurses and doctors who take care of them. Despite those wishes, approximately one in five patients are readmitted to the hospital within 30 days of discharge. What are the steps hospitals need to take to reduce this number effectively? In this episode, David Berger, CEO of University Hospital at SUNY Downstate Medical Center, first shares why a hospital should work to reduce readmissions and how University Hospital has engaged the support of the community to help them achieve this goal. On this episode, you'll hear: [00:41] David's path to CEO [04:09] Leading causes of hospital readmission [08:48] Measuring program success [12:34] Engaging the community in meaningful ways [16:15] Thinking outside the box

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Someone who has a thorough understanding about the connection between post-acute care and readmissions is Chip Grant, MD, Founder & CEO at Watershed Health. As a doctor specializing in interventional cardiology, Dr. Grant experienced an inordinate number of readmissions and became literally obsessed with the issue of readmissions. He recognized the need to better connect post-acute care to the hospitals and health systems, and subsequently created Watershed Health to solve for this challenge. Specifically, he recognized that post-acute care facilities and the hospitals lacked the ability to share patient data effectively and in a timely way, which was essential to ensuring quality patient care and follow-up, ultimately contributing to significantly reduced hospital readmissions. In a recent interview, Dr. Grant shared his insights on reducing hospital readmissions. Crucial to the process was using technology to facilitate targeted and timely communications between post-acute facilities and hospitals. Watershed Health in partnership with Secure Exchange Solutions (SES), leverages the SES DirectTrust™ accredited HISP to enhance their healthcare provider network offerings. SES Direct, which enables Direct Secure Messaging, gives Watershed customers a simple and secure way to connect with their hospital network. In addition, Watershed uses SES Notify to equip hospital customers to meet the CMS Conditions of Participation (CoP) for ADT e-Notifications. SES Notify monitors hospital ADT feeds and delivers automated notifications to healthcare stakeholders. SES Notify also streamlines provider alerting by identifying the provider's Direct address via NPI matching to deliver the patient event notifications directly into their workflow. Learn more about Watershed Health: https://watershedhealth.com/ Learn more about Secure Exchange Solutions: https://www.secureexsolutions.com/

V. Seenu Reddy, MD, MBA, FACS, FACC will describe the clinical and economic burden of surgical site complications and surgical site infections, examine the role of closed incision negative pressure wound therapy (ciNPT) for incision management to reduce the incidence of surgical site infections, surgical site complications, hospital readmissions and post-op follow-up appointments, and demonstrate ciNPT efficacy via case and outcome reviews; share best practices and technique tips to manage the surgical site and enhance post-operative recovery. To view program information/faculty disclosures and claim your CE credit after the session, visit centerforhealingsolutions.com/podcasts.

Eric Rock is the Founder and CEO of Vivify Health and a pioneer in the application of remote patient monitoring, consumer electronics, and biometric devices combined with virtual visits to connect patients and providers outside the hospital setting. Eric explains, "Fortunately, Vivify, from our beginning days, created a solution that encompassed a connected tablet with a very unique and simple experience that spoke to the patient and connected to the provider. It made it incredibly simple regardless of your age. With an average age of 77 across our customer base, where that product was applied to, we knew this market well. And many were entering the market saying, "Okay, well, I can just give them an app to download." Well, that's a very quick failure in that population." "So, understanding the complexities of distributing devices to patients that we're all responsible for and even getting those devices returned in most cases is a big part of the services and value that Vivify brings to the table. So it is a very simple solution for seniors with all of that backend technology support logistics, and an incredible experience for the provider as well. It's simple for everybody involved as it would be for an in-person visit, while at the same time we manage all of that technology headache. And we've done that very well for over a decade." @VivifyHealth @ericlrock #DigitalHealth #telehealth #telemedicine #remotepatientmonitoring #RPM #VirtualHealthcare VivifyHealth.com Download the transcript here

Eric Rock is the Founder and CEO of Vivify Health and a pioneer in the application of remote patient monitoring, consumer electronics, and biometric devices combined with virtual visits to connect patients and providers outside the hospital setting. Eric explains, "Fortunately, Vivify, from our beginning days, created a solution that encompassed a connected tablet with a very unique and simple experience that spoke to the patient and connected to the provider. It made it incredibly simple regardless of your age. With an average age of 77 across our customer base, where that product was applied to, we knew this market well. And many were entering the market saying, "Okay, well, I can just give them an app to download." Well, that's a very quick failure in that population." "So, understanding the complexities of distributing devices to patients that we're all responsible for and even getting those devices returned in most cases is a big part of the services and value that Vivify brings to the table. So it is a very simple solution for seniors with all of that backend technology support logistics, and an incredible experience for the provider as well. It's simple for everybody involved as it would be for an in-person visit, while at the same time we manage all of that technology headache. And we've done that very well for over a decade." @VivifyHealth @ericlrock #DigitalHealth #telehealth #telemedicine #remotepatientmonitoring #RPM #VirtualHealthcare VivifyHealth.com Listen to the podcast here

Lee Kirksey, MD will recognize the clinical and economic burden of surgical site complications and surgical site infections; explore current challenges wound care practitioners face in the midst of a pandemic; examine strategies on how to keep patients out of the hospital; explore the role of closed incision negative pressure wound therapy (ciNPWT) for incision and surrounding soft tissue management to help reduce the risk of surgical site complications, hospital readmissions & post-op follow-up appointments; and examine the efficacy, best practice use and techniques to manage the surgical site and enhance post-operative recovery using ciNPT via case studies and clinical outcomes. To view program information/faculty disclosures and claim your CE credit after the session, visit centerforhealingsolutions.com/podcasts.

Every week, The American Journal of Managed Care® recaps the top managed care news of the week. This week, the top managed care news included states facing COVID-19 spikes reporting health coverage losses; new COVID-19 data protocol raises concerns; and experts discuss key steps to reduce racial inequities in cancer care. Learn more about the stories in this podcast: States Facing COVID-19 Spikes Report Greatest Health Insurance Coverage Losses: https://www.ajmc.com/focus-of-the-week/states-facing-covid19-spikes-report-greatest-health-insurance-coverage-losses New COVID-19 Hospital Data Protocol Raises Concerns: https://www.ajmc.com/newsroom/new-covid19-hospital-data-protocol-raises-concerns Key Steps to Reduce Racial Cancer Disparities Include Supporting Minority Scientists, Diversifying Medical Schools and Clinical Trials: https://www.ajmc.com/interviews/key-steps-to-reduce-racial-cancer-disparities-include-supporting-minority-scientists-diversifying-medical-schools-and-clinical-trials PrEP Use Has Changed Following Implementation of Social Distancing Measures: https://www.ajmc.com/focus-of-the-week/prep-use-has-changed-following-implementation-of-social-distancing-measures Roche Invests in Blueprint Medicines, Maker of RET Inhibitor Pralsetinib: https://www.ajmc.com/newsroom/roche-invests-in-blueprint-medicines-maker-of-ret-inhibitor-pralsetinib Impact of a Pharmacy-Based Transitional Care Program on Hospital Readmissions: https://www.ajmc.com/journals/issue/2017/2017-vol23-n3/impact-of-a-pharmacy-based-transitional-care-program-on-hospital-readmissions

In this podcast, Editor-in-Chief Jeanette Hasse, PhD, RD, FADA, CNSC, interviews Denise Konrad and Mandy L. Corrigan, authors of the article "Treating Dehydration at Home Avoids Healthcare Costs Associated With Emergency Department Visits and Hospital Readmissions for Adult Patients Receiving Home Parenteral Support" published in the June 2017 issue of NCP. https://doi.org/10.1177/0884533616673347

My first thought after I read this article was that I need to share it with our hospital’s CEO. This is exactly the kind of article that I want our administrators and leaders to be reading. My second thought was that every OT needs a copy of this article to display on their desk like an inspirational poster :-)It’s that huge.This is the largest (and most important, in my opinion) study we’ve examined so far in the Club. The authors analyzed data from 1,194,251 Medicare patients, and they found that OT was the only category of spending where higher investment led to lower readmission rates across three different diagnoses: heart failure, pneumonia, and acute myocardial infarction.To join the conversation on this article, sign-in or sign-up for the OT Potential Club at otpotential.com!Rogers, A. T., Bai, G., Lavin, R. A., & Anderson, G. F. (2016). Higher Hospital Spending on Occupational Therapy Is Associated With Lower Readmission Rates. Medical Care Research and Review, 74(6), 668–686. doi: 10.1177/1077558716666981Support the show (https://otpotential.com/ot-potential-club)

Commentary by Dr. Valentin Fuster

In episode 23, we learned from a national leading innovator in the field of newborn medicine and his passion for breaking down the barriers that exist between the Neonatal Intensive Care Unit and the newborn’s home. Dr. Ross Sommers is the Founder and CEO of Firstday Healthcare, a company offering a suite of digital healthcare solutions that are empowering parents of NICU graduates with innovative models of home healthcare, leading to fewer emergency room visits and hospital readmissions. During our time together, Dr. Sommers shared his experience of becoming an Ivy League trained Neonatologist and witnessing first-hand the lack of the continuum of care for his patients between the hospital setting and care at home. While listening to any of our episodes, please share feedback and ideas for our guest via our guest feedback form link and nominate other passionate pioneers for a future episode via our guest nomination form link. Also, please take a moment to subscribe to the podcast so you will automatically receive episode updates in your podcast player. I am excited for you to get to know Dr. Sommers and hear his passion for delivering better health outcomes for our smallest and newest community members. It was evident during our discussion that Dr. Sommers and his team are well on their way in reimagining how our healthcare system engages with NICU graduates. It is my hope you and your community will reach out to help further empower Firstday Healthcare while on their pioneering journey! While listening to any of our episodes, please make sure to join our online community at passionatepioneers.com in order to share feedback and ideas with our guests and to interact with the global community. Lastly- please subscribe to the podcast so you will automatically receive episode updates in your podcast player. Simply search Passionate Pioneers with Mike Biselli in iTunes or Spotify, or wherever you listen to your podcasts. Support this podcast

Every year, millions of older Americans are readmitted to the hospital, costing Medicare (and tax payers) billions of dollars. And yet 76 percent of those hospital readmissions are avoidable. The key is knowing how to prevent them. In this episode, Jon Prial talks with Wes Little, the business line manager at Kinnser, a software company in the home healthcare space that is using its massive data set to help solve the problem. You'll hear about: -Why hospital readmissions are a problem and what's being done about it (0:42) -How Kinnser helps in the home healthcare space(3:49) -The type of data Kinnser used to help solve the hospital readmission problem (5:15) -Maintaining patients' healthcare data privacy (6:06) -What Kinnser's data reveals about predictors of hospital readmission (7:06) -How clinical managers can benefit from these insights (12:14) -Results from early adopters of Kinnser's RiskPoint product (16:17)

In this week’s episode of Let’s Talk Integration, Stephanie Pozzebon will be discussing the challenge faced by hospitals of increasing readmission rates, how interoperability can be used to reduce readmissions, and as a result, reduce the significant associated costs. Highlight’s from this week’s episode:  Statistics around the costs associated with unnecessary hospital readmissions and how […]

Hello and welcome to the ASCO Journal of Oncology Practice podcast. This is Dr. Nate Pennell, medical oncologist at the Cleveland Clinic and consultant editor for the JOP. Potentially avoidable hospital readmissions are a major target for reducing costs in the health care system. However, for cancer patients, the issue goes way beyond cost. Many of our advanced cancer patients have a limited lifespan. And every unnecessary day they spend in the hospital is one less day they spend at home with their loved ones. The reasons behind cancer patient readmissions may differ from other types of patients. And so broad efforts to reduce hospital readmissions may not apply quite as well to this population unless we understand the specific reasons behind readmissions for our vulnerable population. Today we're going to be talking about this topic with Dr. Patrick Conner Johnson, hematology oncology fellow at the Dana Farber Cancer Institute Massachusetts General Hospital fellowship program about his and his co-authors' new study titled "Potentially avoidable hospital readmissions in patients with advanced cancer," which was published in the May 2019 JOP. Welcome, Conner, and thank you for joining me today. Nate, it's truly an honor to be on the podcast. I appreciate your time and [INAUDIBLE]. So first of all, can you give us a little bit of background on why hospital readmissions are a topic that people are talking about? How big of a problem is this and what's the scope of the issue? To start with, just hospital admissions period are a major topic within cancer care and all of medicine. If you go back to the health care cost and utilization project report since 2009, more than 4.5 million cancer related hospitalizations amongst adults. So that's hospitalizations. Some percentage of these are potentially avoidable both in the general medicine literature and in the oncology literature. and both from a cost and value standpoint and from quality of cancer patients' lives, I think these are important issues to think about in terms of addressing. And then when we looked, particularly in our study, we focused on readmissions by which we define having a panel of patients who already had admission once and then looking at subsequent admissions after that. There is a fair amount of literature out there looking at causes of hospital readmissions as a target for improving value based care. What do you think is different about cancer patients that makes this something we need to study uniquely in them? I think, in general, amongst a variety of different subspecialties, there's an importance in focusing on targeting each individual population to understand the nuances of that population, whether that's a literature on COPD or heart failure. And oncology in particular is still a wealth of drugs with a wealth of potential consequences and with a sub-population within oncology of advanced cancer patients who have defined limited lifespans. There's a whole host of factors and different unique circumstances that could potentially affect their readmission profile a little bit different than other general medicine populations. And I think the greater understanding we have of each subset of patients within a number of disciplines is probably going to target our interventions to be more likely to be successful. And I think that makes perfect sense. One of the other things you mentioned in the background section of your paper is that many of the studies looking at potentially avoidable readmissions have not incorporated patient reported outcomes. And why do you think that would be an important thing to include in the study? I think looking across oncology care, the study by Dr. Schrag and Dr. [? Basch ?] and colleagues comes to mind. There's been an increasing interest in incorporating patient reported outcomes in order to better pair these with our other outcomes. And I think that our hope with this was to gain a greater understanding of what kinds of symptoms and other things patients report and trying to identify if there is any correlation with admissions. And the same thing's being done across a number of different facets of oncology care. Yeah. I'm not sure people outside of oncology understand that there's a significant percentage of our inpatients are admitted for symptom control specifically as opposed to general medicine problems like pneumonia or blood clots. And so definitely in that case being able to assess their symptom burden makes perfect sense when you're trying to do the kind of study that you're doing. So speaking of your study, can you walk us through the design? How did you put this together? So this was a longitudinal cohort study of consecutive patients that were admitted to the hospital. And patients were enrolled. And as part of their enrollment, their symptoms were assessed at the time of their enrollment. So this was a one time symptom assessment within two to five days of their hospitalization when they completed a symptom burden questionnaire essentially. We took available data that we had. And we had two coders go back, review the medical record with a focus on the discharge summary to try and understand the reason for hospital admission. And then we had a peer review system to try and identify which readmissions were potentially avoidable. And we used some adaptive criteria, which has been utilized in some other studies in leukemia an GI cancer. And that process was essentially two physicians doing an initial coding review using these criteria. And then anything that was considered potentially avoidable by either of those physicians went to a panel that included two board certified oncologists. Yeah. I'm curious about this. I know that there are published methods for how they do this. But can you give us an example? How do you determine if a patient had an a potentially avoidable readmission? What's an example of something they might find. There's no question that it's a challenge. And it's rife with some subjectivity at times. In order to try and minimize that, we have defined criteria. For an example, one of those is premature hospital discharge, which in this study was defined as being readmitted within seven days of discharge with identical symptoms to the prior admission. And that's by a review of the hospital discharge summary. OK. That makes perfect sense. And you would think that that would be a significant risk for patients since the length of stay is such a big target for hospitals to try to reduce costs. And also our patients typically want to go home. You know, we have to sometimes convince them to stay when we think they need to stay. OK. So if they were readmitted within seven days with the same symptoms that's how you determine that. So tell us some of what you found. Thanks, again. Major points from our paper are, first, similar to some other studies that try and look at potentially avoidable hospitalizations at large. More than 30% of the admissions were qualified as potentially avoidable readmissions, which I don't think is anything that has ever been described. Again, that's fairly consistent with actually the general medicine and with some other oncology literature, but it speaks to the importance of the topic and the sizable possibility of interventions down the road. And the two major important risks that we identified in a multivariable model were marital status, and which we think is a proxy for social support and was protective against potentially avoidable readmissions, and higher physical symptom burden. And those with higher physical symptom burden were more likely to have potentially avoidable readmissions. And finally, when we looked at the most common reasons as using our criteria for potentially avoidable readmissions, those were premature discharge from a prior hospitalization and also not having what's called a timely follow up, which was a seven day follow up. And so that speaks in our mind to the hazardous time period that is the discharge is fraught with a lot of possibilities of difficulty in terms of making that transition. Yeah. I think that makes perfect sense. I know our institution in particular has instituted a mandatory call from the outpatient team to a patient the day after they're discharged to just check and see how they're doing. And then we try to get everybody an appointment within seven days although that's not always possible. Are there any other interventions that you think would come out of what you found that might help reduce potentially avoidable readmissions? I think from the social support side of things, given that social support can be challenging, there is an idea that if we identify patients with that limited social support that that might be the patients that we target for patient navigation programs, more intensive social work involvement programs, or a specially designed care transition programs at hospital discharge as well as potentially patients who have a higher physical symptoms. And the association with higher physical symptoms also makes perfect sense, although that's always a challenge to address appropriately. I know that there's a lot of focus certainly in solid tumors about integrating palliative medicine and [INAUDIBLE] of medicine support for patients with solid tumors to control that. Is that something that you think could be helpful in this setting as well to help reduce readmissions? Absolutely, Nate. I think that the hope would be that this also raises a possibility of identifying a patient population that may already be plugged in with palliative care. But if they're not, this could help identify another group of patients that can benefit from integrated palliative care with the hope being that we can identify interventions that can reduce their hospitalization burden. And where do you think we're going to go here in terms of research. So you've identified some nice potential associations. And there's some low hanging fruit in terms of arranging fast follow up. But what's the next steps in terms of trying to reduce potentially avoidable readmissions for our patients? I think an integrative palliative care interventions for those with high physical symptom burden. And I think that targeted interventions such as more intensive social work involvement or care transition programs for those with limited social support would be potentially good intervention based studies to start with. I also think that, as you mentioned, you raised good points about there's still a good bit of research to having a greater understanding within the world of oncology. What is the ideal follow up after discharge for each sub-population even within oncology? And there's probably a great deal more research into understanding that as well as more about the physical symptom burden of hospitalized patients in oncology. I don't know what your opinion is. Do you think we'll ever be able to avoid almost or all potentially avoidable readmissions? No. I don't think so. I think that it's a patient population that has a high symptom burden and has a high complexity of care. But I do think that any interventions to reduce the burden of hospitalizations could potentially have far reaching consequences. I know. I agree with you. I mean there's no way we'll ever be able to avoid this completely. And we all have experience with patients who we can tell when we're getting ready to discharge them that they're at high risk of not successfully transitioning home and yet they want to try. Perhaps they might be better off in a facility where they could have a higher level of care. But they really want to try to get home. And we want to give them the chance to succeed. And it's just not always successful. So giving them every resource that we can sounds like the right thing to do. [INAUDIBLE] I agree with you totally. I think the other point to mention is just that the care transition time is a very fragile one. And other interventions to try and improve that transition period as well are something that would be of interest for us or other folks to explore around this topic. Yeah. It sounds like that would be ripe for a quality of care study to look and see if really intensive interventions in that first few days or a week after discharge can reduce this. I know that we've moved forward with doing that, but I'm not sure if we have any data that it's effective. But it certainly makes sense that it would be helpful. Connor, thank you so much for talking with me today. Thank you so much for having me. And I also want to thank all the listeners out there who joined us for this podcast. The full text of Dr. Johnson's paper is available online at ASCOpubs.org/journal/JOP in the May 2019 issue of the JOP. This is Dr. Nate Pennell for the Journal of Oncology Practice signing off.

Every week, The American Journal of Managed Care® recaps the top managed care news of the week, and you can now listen to it on our podcast, Managed Care Cast. This week, the top managed care news included a study questioning the Hospital Readmissions Reduction Program; FDA issuing a warning about do-it-yourself artificial pancreas systems; measles cases reach the highest level since 1994. Read more about the stories in this podcast: Study Questions Penalizing, Incentivizing PCPs for Readmission Rates: https://www.ajmc.com/focus-of-the-week/study-questions-penalizing-incentivizing-pcps-for-readmission-rates FDA Issues Warning on Do-It-Yourself Artificial Pancreas: https://www.ajmc.com/newsroom/fda-issues-warning-on-do-it-yourself-artificial-pancreas What We're Reading: Tobacco Age Legislation; Most Measles Cases Since 1994; Hidden Dangers of Heart Device: https://www.ajmc.com/newsroom/what-were-reading-tobacco-age-legislation-most-measles-cases-since-1994-hidden-dangers-of-heart-device Alkermes' Novel Schizophrenia Drug Shows Less Weight Gain, Addressing Top Patient Complaint: https://www.ajmc.com/conferences/apa-2019?rel=0/alkermes-novel-schizophrenia-drug-shows-less-weight-gain-addressing-top-patient-complaint Adam Simmons on Patient Preferences When Taking Antipsychotic Medications: https://www.ajmc.com/conferences/apa-2019/adam-simmons-on-patient-preferences-when-taking-antipsychotic-medications American Psychiatric Association 2019 Annual Meeting: https://www.ajmc.com/conferences/apa-2019 Panelists Debate the Role of ICER: Useful Overseer of Prices, or Oppressor of Choice? https://www.ajmc.com/conferences/ispor-2019/panelists-debate-the-role-of-icer-useful-overseer-of-prices-or-oppressor-of-choice- ISPOR 2019 Annual Meeting: https://www.ajmc.com/conferences/ispor-2019

We speak with Dr. Jason Falvey, Yale researcher and co-author on a Physical Therapy Journal piece titled "Role of Physical Therapists in Reducing Hospital Readmissions: Optimizing Outcomes for Older Adults During Care Transitions From Hospital to Community." It originally appeared in PTJ in August 2016. Listen: Apple Podcasts | Google Podcasts | Google Play | Stitcher  | TuneIn | Other Android Apps

We speak with Dr. Jason Falvey, Yale researcher and co-author on a Physical Therapy Journal piece titled "Role of Physical Therapists in Reducing Hospital Readmissions: Optimizing Outcomes for Older Adults During Care Transitions From Hospital to Community." It originally appeared in PTJ in August 2016. Listen: Apple Podcasts | Google Podcasts | Google Play | Stitcher  | TuneIn | Other Android Apps

We speak with Dr. Jason Falvey, Yale researcher and co-author on a Physical Therapy Journal piece titled "Role of Physical Therapists in Reducing Hospital Readmissions: Optimizing Outcomes for Older Adults During Care Transitions From Hospital to Community." It originally appeared in PTJ in August 2016. Listen: Apple Podcasts | Google Podcasts | Google Play | Stitcher  | TuneIn | Other Android Apps

Erinn discusses a randomized controlled trial regarding Interventions to Improve Functional Recovery After Hospitalization in Geriatric Patients. Tune in to see how we can improve functional outcomes and decrease risk for future hospitalizations!    Links: Deer RR, Dickinson JM, Baillargeon J, Fisher SR, Raji M, Volpi E. A Phase I Randomized Clinical Trial of Evidence-Based, Pragmatic Interventions to Improve Functional Recovery After Hospitalization in Geriatric Patients. J Gerontol A Biol Sci Med Sci. 2019   Wanna find out when you're going to die? --> Charlson Comorbidity Index  

Current Health (formerly snap40) is the most accurate, all-in-one wireless wearable currently approved in the U.S. and EU. The company’s proprietary algorithms continuously analyze data, along with relevant contextual patient information, to offer actionable and proactive insights into the wearer’s health. Current’s FDA-cleared wearable monitors the human body with ICU-level accuracy across more vital signs than any other all-in-one device on the market. Headquartered in Edinburgh, Scotland, with an office in New York, Current is venture backed by investors ADV, MMC Ventures and others. Faced with an aging population and strained healthcare systems worldwide, U.S. and U.K. healthcare providers are deploying Current to change their patient delivery models from reactive to proactive care to produce better patient outcomes. Current’s approach will help health organizations reduce unnecessary hospital readmissions for patients whose conditions deteriorate after treatment — an expensive and cumbersome clinical burden that costs U.S. hospitals more than $40 billion annually. Built using the world’s largest real-time physiological data set, Current is the most accurate, all-in-one wireless wearable currently approved for use in the EU and U.S. The company’s proprietary algorithms continuously analyze data, along with relevant contextual patient information, to offer actionable and proactive insights into the wearer’s health. “At Current, we’re a small team of individuals committed to changing the world through proactive healthcare,” said Christopher McCann, CEO of Current. “Our team worked hard to get here, and it’s just the first step toward monitoring the health of every human being to identify sickness earlier with the goal of saving lives. Today, we’re in the hospital, tomorrow the home, and in the near future, we’ll be everywhere. We are just getting started.” Current Health CEO Christopher McCann has been on the podcast before, but I invited him back on the show to discuss the advancements in healthcare AI and IoT, and how they are already helping improve patient care.        

Ashish Jha has spent years sounding the alarm about the Hospital Readmissions Reduction Program — an Obamacare policy intended to encourage hospitals to provide better care. But Jha argues the program instead put patients at risk, and new data suggests he might be right. Jha, the director of the Harvard Global Health Institute, joins POLITICO's Dan Diamond to discuss the readmissions policy and the latest data. Jha also reflects on the Trump administration’s approach to global health and how his perspective has evolved over the past two years. MENTIONED ON THE SHOW Jha’s February 2017 appearance on POLITICO “Pulse Check,” where he discussed his career and global health priorities. A JAMA study in December found a link between the readmissions policy and rising mortality. Harvard researchers this month also concluded that Medicare has overstated the benefits of its readmissions policy. Yale’s Harlan Krumholz helped develop the policy and has extensively defended it, including in this 2017 comment in JAMA. Writing in the New York Times, Paula Span reviewed the latest arguments and data. HHS Secretary Alex Azar has a unique perspective: Even as he oversees a policy to cut readmissions, Azar was readmitted to the hospital last year while suffering an intestinal infection.

https://accadandkoka.com/wp-content/uploads/2018/11/Gupta-photo-white-coat-e1541393334798.jpg ()Ankur Gupta, MD The Hospital Readmission Reduction Program is a recent policy designed to save the government money by imposing large financial penalties on hospitals whose readmission rates for certain medical conditions are found to be higher than the national average.  Could pushing policy levers on such a grand scale conceivably have negative unintended consequences?… Our guest is Dr. Ankur Gupta, author of a 2017 JAMA article that examined mortality rates in heart failure in the aftermath of the HRRP development and implementation.  Dr. Gupta is an interventional cardiology fellow at University of Texas Southwestern Medical Center in Dallas.  He holds and MD from the All India Institute of Medical Sciences (New Delhi) and an interdisciplinary PhD in statistics and computational fluid dynamics from the University of Alabama. GUEST: Ankur Gupta, MD.  https://twitter.com/AnkurGuptaMD?lang=en (Twitter) LINKS: Gupta A, Allen LA, Bhatt Deepak, et al.  https://jamanetwork.com/journals/jamacardiology/article-abstract/2663213 (Association of the Hospital Readmissions Reduction Program Implementation With Readmission and Mortality Outcomes in Heart Failure). (Open Access in JAMA, 2017) Gupta A, Fonarow G.  http://heartfailure.onlinejacc.org/content/6/7/607?utm_medium=email_newsletter&utm_source=jchf&utm_campaign=toc&utm_content=20180625&rss=1 (The Hospital Readmission Reduction Program: Evidence for Harm). (in JACC: Heart Failure 2018) Khera R, Dhamarajan K, Wang Yonfei, et al.  https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2703947 (Association of the Hospital Readmissions Reduction Program With Mortality During and After Hospitalization for Acute Myocardial Infarction, Heart Failure, and Pneumonia).  (Article from Dr. Krumholz’s group in JAMA 2018, Open Access) Khera R, Dhamarajan K, Krumholz H. http://heartfailure.onlinejacc.org/content/6/7/610 (Rising mortality in patients with Heart Failure in the United States). (Counterpoint to Dr. Gupta’s analysis in JACC: Heart Failure 2018)  WATCH ON YOUTUBE: https://youtu.be/3oYgPO8LKBs (Watch the episode) on our YouTube channel. Support this podcast

In this episode, Dr. Bob Bergamini of Mercy Palliative Care Services in St. Louis steps into the program spotlight to discuss how his program has fought to reduce readmission rates for his institution. This engaging chat is brought to you by the Center to Advance Palliative Care.

lean, six sigma, healthcare, hospital, metrics, quality improvement, performance, patient experience, project management Intro: Welcome to the E6S-Methods podcast with Jacob and Aaron, your weekly dose of tips and tricks to achieve excellent performance in your business and career. Join us as we explore deeper into the practical worlds of Lean, Six Sigma, Project Management and Design Thinking. In this episode number 201, we speak again with Johanna Ficatier from the Mayo Clinic about her work to reduce unnecessary hospital readmissions. If you're just tuning in for the first time, find all our back episodes at our podcast table of contents at e6s-methods.com. If you like this episode, be sure to click the "like" link in the show notes. It's easy. Just tap our logo, click and you're done. Tap-click-done! Here we go. http://bit.ly/E6S-201 Leave a Review! http://bit.ly/E6S-iTunes Outro: Thanks for listening to episode 201 of the E6S-Methods podcast. Stay tuned for episode 202, "Lean Six Sigma for Good - Part 1." We speak again with Brion Hurley about his new book and the best ways for Lean Six Sigma practitioners to use their powers for good. Don't forget to click "like" or "dislike" for this episode in the show notes. Tap-click-done! If you have a question, comment or advice, leave a note in the comments section or contact us directly. Feel free to email me "Aaron," aaron@e6s-methods.com, or on our website, we reply to all messages. If you heard something you like, then share us with a friend or leave a review. Didn't like what you heard? Join our LinkedIn Group, and tell us why. Don't forget you can find notes and graphics for all shows and more at www.E6S-Methods.com. "Journey Through Success. If you're not climbing up, you're falling down." Leave a Review! http://bit.ly/E6S-iTunes

Many hospitals across the UK are under serious pressure this winter. This is often worsened by vulnerable people being allowed to reach a crisis point before receiving support at home – while others enter a seemingly endless cycle of hospital readmissions after being discharged. This week on Crisis Conversations, we discuss this major issue facing the UK health system, and speak with experts from across the British Red Cross about what we are doing to help. More episodes of Crisis Conversations: iTunes: https://itunes.apple.com/gb/podcast/crisis-conversations/id1321869990?mt=2 YouTube: https://www.youtube.com/playlist?list=PLZqB1U2YzcaZTsDggQkLPIBU7fwtBQRO0 Subscribe to British Red Cross on YouTube: https://www.youtube.com/britishredcross Like British Red Cross on Facebook: https://www.facebook.com/BritishRedCross Follow British Red Cross on Twitter: https://twitter.com/BritishRedCross Follow British Red Cross on Instagram: https://www.instagram.com/britishredcross

Date: November 15, 2012 Featuring: Patricia Rutherford, RN, MS, Vice President, Institute for Healthcare Improvement; Co-Principal Investigator, STate Action on Avoidable Rehospitalizations (STAAR) Elizabeth H. Bradley, PhD, Professor of Public Health (Health Policy and Management), Yale School of Public Health; Faculty Director, Yale Global Health Initiative Leora Horwitz, MD, MHS, Assistant Professor, Internal Medicine, Yale University School of Medicine Of all the improvement issues facing health care, reducing avoidable hospital readmissions may well be the one that finally breaks down traditional silos — and allows promising changes to realize their full impact. Why? In order to prevent patients from bouncing back into the hospital, front-line staff must create robust care coordination strategies across multiple health care settings, as well as the home and the community — taking a fundamentally broader view of the patient journey and the reforms needed. However, doing the right thing ​— keeping patients out of the hospital — often hurts a hospital’s bottom line. So far, anyway. In the US, the Centers for Medicare & Medicaid Services (CMS) has now imposed fines on some 2,200 hospitals for higher-than-average readmission rates, as part of new federal policy. This latest move won’t make the financial piece any easier, but it does put hospitals on notice that there’s “nowhere to run, nowhere to hide.” If you want to reduce readmissions, you have no choice but to fundamentally redesign what you’re doing now.What are the most promising ideas and strategies to look to and build upon? This WIHI convenes some important leaders and thinkers on reducing readmissions and care coordination that, between them, have a comprehensive view of what’s working, what’s challenging, and where we go from here. Elizabeth Bradley and Leora Horwitz are among the co-authors of an article in the Journal of the American College of Cardiology published in August 2012 that examines the all-too-persistent gap between best intentions and uneven execution of known best practices. Drs. Bradley and Horwitz discuss the study findings and what can be done to help health care organizations follow through on their own robust policies. In her role as Co-Principal Investigator of IHI’s STAAR initiative, Pat Rutherford has been deeply involved with hospital leaders and officials in three states that have taken to heart the challenge of reducing readmissions, with results to show for it. Pat Rutherford also carefully tracks the work of multiple initiatives in the US, including Project BOOST, Project RED, and Hospital to Home (also known as H2H).WIHI host Madge Kaplan welcomes Dr. Bradley, Dr. Horwitz, and Pat Rutherford to the show, to share their crucial and timely insights and learning. These improvement leaders are keenly aware of the ways in which policy and reimbursement changes surrounding readmissions are giving hospitals that want to do the right thing a jolt.

In this podcast, Susan Craft of the Henry Ford Health System (HFHS), one of four collaborative founders, outlines a few SNF participation and reporting mandates that run the gamut from meeting attendance to LACE readmission risk scores.

In this podcast, Editor-in-Chief Jeanette Hasse, PhD, RD, FADA, CNSC, interviews authors Denise Konrad, RD, LD, CNSC, and Mandy L. Corrigan, MPH, RD, LD, CNSC, FAND,  on their article "Treating Dehydration at Home Avoids Healthcare Costs Associated With Emergency Department Visits and Hospital Readmissions for Adult Patients Receiving Home Parenteral Support" published in the June 2017 issue of NCP.

Among the myths surrounding care transitions management is the belief the intervention can be effectively executed pre-discharge or by phone only, explains Jennifer Drago, executive vice president of population health for Sun Health. In this audio interview, Ms. Drago dispels this myth, outlining requirements for a professionally designed, evidence-based transitions of care program, and why inclusion of dedicated staff and home visits will enhance clinical outcomes and possibly save lives.

YOU Can Reduce Hospital Readmissions w. Jason Falvey & Kyle Ridgeway (2/2) Part 2 of 2...YOU have a role in reducing hospital admissions! Previous SRP guests, Jason Falvey & Kyle Ridgeway, come on the show to share a beer & talk shop on their publication - "Role of Physical Therapists in Reducing Hospital Readmissions: Optimizing Outcomes for Older Adults During Community" Links: @JRayFalvey @Dr_Ridge_DPT @CU_Restore_Lab How to Optimize Care, Prep for GCS, & Be a #HomeHealthPT All-Star w. Jason Falvey The 3 P's to PT Excellence w. Kyle Ridgeway The Role of Physical Therapists in Reducing Hospital Readmissions: Optimizing Outcomes for Older Adults During Care Transitions from Hospital to Community -------------------- If you like what you hear, consider Joining the Senior Rehab Project to get access to: Monthly Mastermind Meetup Newsletter Private FB Group *For links & the other podcasts in the Senior Rehab Project, go to http://SeniorRehabProject.com

YOU Can Reduce Hospital Readmissions w. Jason Falvey @JRayFalvey & Kyle Ridgeway @Dr_Ridge_DPT (1/2) Part 1 of 2. YOU have a role in reducing hospital admissions! Previous SRP guests, Jason Falvey & Kyle Ridgeway, come on the show to share a beer & talk shop on their publication - "Role of Physical Therapists in Reducing Hospital Readmissions: Optimizing Outcomes for Older Adults During Community" Links: @JRayFalvey @Dr_Ridge_DPT @CU_Restore_Lab How to Optimize Care, Prep for GCS, & Be a #HomeHealthPT All-Star w. Jason Falvey The 3 P's to PT Excellence w. Kyle Ridgeway The Role of Physical Therapists in Reducing Hospital Readmissions: Optimizing Outcomes for Older Adults During Care Transitions from Hospital to Community -------------------- If you like what you hear, consider Joining the Senior Rehab Project to get access to: Monthly Mastermind Meetup Newsletter Private FB Group *For links & the other podcasts in the Senior Rehab Project, go to http://SeniorRehabProject.com

Under its partnership with CMS to improve quality of care in long-term care (LTC) facilities by reducing avoidable hospitalizations, the University of Pittsburgh Medical Center RAVEN project embeds clinical staff within eighteen nursing facilities. Here, April Kane, co-director of the RAVEN project, explains how the on-site presence of enhanced care and coordination providers (ECCPs) elevates the facility’s clinical capabilities, from goal development to advanced care planning.

An accurate medication list is square one for clinical pharmacists working to reconcile prescriptions and reduce readmissions among Novant Health’s highest-risk patients, explains Rebecca Bean, director of population health pharmacy for Novant Health. But maintaining a valid list can be problematic when the inventory is accessed by multiple healthcare providers. Ms. Bean describes the challenges of maintaining an accurate medication list and suggests strategies for ensuring medication list integrity in this audio interview.

eCareDiary will speak to Kimberly O'Loughlin, Senior Vice President and General Manager, Home Monitoring for Philips about how hospital readmissions affect seniors and ways to improve patient care.

Dr. Joshua D. Luke is a seasoned hospital CEO, and Founder of the National Readmission Prevention Collaborative and author of the Best Selling Book of the Year on Readmission Prevention. Dr. Luke discusses this subject as well as the future of our health care system.

Dr. Joshua D. Luke is a seasoned hospital CEO, and Founder of the National Readmission Prevention Collaborative and author of the Best Selling Book of the Year on Readmission Prevention. Dr. Luke discusses this subject as well as the future of our health care system.

Tina Shah, MD, MPH; Jeffrey H. Jennings, MD, and editorialist Byron Thomashow, MD, FCCP, engage in a wide-ranging discussion with CHEST Podcast Editor, D. Kyle Hogarth, MD, FCCP, on the difficult issue of reducing readmissions for patients with COPD. Studies by Dr. Shah and colleagues and Dr. Jennings et al are highlighted.

Editor's Audio Summary by Edward H. Livingston, MD, Deputy Editor, the Journal of the American Medical Association, for the February 03, 2015 issue

Audible Article by Michael L. Volk, M.D., MSc

Audible Article by Michael L. Volk, M.D., MSc

Editor's Audio Summary by Howard Bauchner, MD, Editor in Chief of JAMA, the Journal of the American Medical Association, for the January 23, 2013 issue

Intalere welcomes Steven M Riddle, BS Pharm, BCPS, FASHP, Vice President of Clinical Affairs for Pharmacy OneSource (part of Wolters Kluwer Health); a healthcare information technology company that provides web-based solutions that improve quality of care and financial performance for hospitals. Mr. Riddle will review the drivers of readmissions reduction, transitions in the continuum of care, and helpful data for organizations beginning to implement improvement strategies around reducing avoidable readmission. Mr. Riddle will review evidence-based strategies and best practices for reducing readmissions including studies and initiatives involving discharge advocates, the pharmacist’s role, care transition programs, a focus on managing a specific high risk population for readmission, and medication management/counseling processes. Lastly, Steven will offer recommendations to pharmacists as they address the readmissions issue at their organizations.

Sharing the latest literature on the causes and prevention of hospital readmissions is Susan Shepard, the director of patient safety education for The Doctors Management Company. Ms. Shepard described the type of patient most at risk for readmission, some of the risks inherent in transitioning patients from one care site to another, and the contribution of the patient's primary physician to a successful discharge. Shepard identified key aspects of the hospital admission, stay and discharge that can reduce the likelihood of readmission during "A Coordinated Discharge Planning Approach to Reduce Avoidable Hospital Readmissions," a 45-minute webinar on April 28, 2010.

Priority Health members play an active role in keeping themselves out of the hospital, explains Mary Cooley, manager of case and disease management at Priority Health. She describes the four-point strategy that is reducing readmissions at Priority Health, the challenges that still exist and the essential tool that Priority supplies to help providers identify and close care gaps. Cooley provided more details on the strategies that Priority Health is using to reduce avoidable hospital readmissions during "Reducing Avoidable Hospital Readmissions: A Case Study from Priority Health," a 45-minute webinar.

Maryland's Hospital Preventable Readmissions program rewards efforts that reduce hospital readmissions while improving care quality and decreasing cost. Dianne Feeney, associate director of quality initiatives for the Maryland Health Services Cost Review Commission (HSCRC), describes HSCRC's response to hospitals that claim they can't afford the empty beds that result from programs like these, as well as processes to help ensure that higher-risk patients are not refused admittance to hospitals. She also explains how partnerships with "siloed settings" --- nursing homes and home health providers --- can reduce common errors that occur during patient handoffs. Feeney and Dr. Randall Krakauer, national medical director, Medicare at Aetna, examined how to structure programs to reduce avoidable hospital readmissions, including the alignment of financial incentives, during the December 2, 2009 webinar, "Aligning Reimbursement To Reduce Avoidable Hospital Readmissions."

Guest: Mary Naylor, PhD, RN Host: Susan Dolan, RN, JD Mary D. Naylor, PhD, RN, is the Marian S. Ware Professor in Gerontology and Director of the New Courtland Center for Transitions and Health at the University of Pennsylvania in Philadelphia, Pennsylvania. Hear Dr. Naylor as she discusses how to prevent patients from landing back in the hospital.