Mulitmodal Triansiational Care Intervention does not reduce readmission rates.

Disappointing, but not surprising, since at least in older people:
✳️ Readmission is unpredictable
✳️ #Readmission has too many potential causes to fix with 1 intervention
✳️ Many of these causes are non-medical and outside the hospital perspective

Congratulations on this important work though!

#geriatrics #medmastodon
@JAMAInternalMed
https://jamanetwork.com/journals/jamainternalmedicine/fullarticle/2804119

https://em.umaryland.edu/educational_pearls/4089/

This week’s #trauma pearl looks at #readmission after #rib fractures. Be cautious with the anticoagulants, concomitant abdominal injuries, psychiatric patients and the elderly.
#umem #umsom #umemresidency

Here's a #ThrowbackThursday blog post from 10 years ago, together with a link to some current info in the same vein.

Ten years ago, #Medicare #hospital #readmission penalties got off the ground under the #ACA (aka #Obamacare).

Back then, the amount recouped was ~$280m (FFY 2013), it's now up to ~$521m (est) (FFY 2023).

Imposition of penalties has motivated an improvement in performance -- but things can get even better, and we know how to do it. As I shared 10 years ago:

"Effective communications is fundamental to ensuring that patients become engaged in their care and, consequently, better equipped to follow discharge instructions and self-monitor after leaving the acute care setting.

"Coupled with patient-centered practices supported by past studies which have shown that 'the single most effective strategy for improving patient satisfaction is purposeful hourly rounding by nursing staff,' a 'sustainable discharge' strategy is highlighted as a key predictor of avoided readmissions."

https://healthblawg.com/2012/12/can-patient-centered-care-reduce-hospital-readmissions.html

https://www.kff.org/health-reform/slide/10-years-of-hospital-readmissions-penalties/

#patientexperience #healthpolicy #HarlowOnHC