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Axiom Internet Commerce |
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Discharge Planning |
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Information Security |
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Compliance Blues |
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Sitemap |
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Hospital Readmissions – Predictable * Preventable. Patients hospitalized, treated and discharged to home or other forms of healthcare and are admitted back to the hospital for the same diagnosis are categorized as readmissions. On face value this seems like healing or wellness did not occur. This may or may not be accurate. Readmission Facts A. 1/3 of unplanned readmissions occur within 1 month of discharge B. 21% of preventable readmissions are patient factors C. 4 criteria of inpatient care predict readmissions 1. Resolution of the main problem 2. Adequacy of post discharge destination 3. Stability of doses of therapy 4. Appropriate timing of the first follow-up visit Effects of Interventions A. Readmission rates may be reduced by implementation to of pre-discharge reviews and improved follow-up after discharge B. Improved hospital and post-discharge care are associated with fewer readmissions C. Planned interventions for defined disorders show improvement in outcomes D. Benefits of interventions that combine clinical expertise with coordinated care in specific disorders E. Specific intervention features are 1. Patient education 2. Close follow-up 3. Home monitoring 4. Medication adjustment 5. Regular communication with clinical experts Internet Directed Care is a computerized program that combines proven effective post discharge interventions and a 5-week follow-up process. It uses the Internet for real-time medical record sharing between intra and inter disciplinary care providers. |
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