Hospitals are constantly facing challenges due to patients being frequently readmitted that is driven mostly by poor discharge planning, and inadequate follow-up care. The increase numbers of readmission put a higher demand on the hospitals, administration, and staff to find ways to reduce readmission by identifying patients’ barriers on admission. The program that I am presenting is Care Coordination. In an effort to decrease readmission rates, this role was created to combat the challenges that are being faced in hospitals which is effecting cost and profitable measures. In this summary that I am presenting, I will explain the purpose of Care Coordination, the target population, the benefits of the program, cost analysis, and evaluation
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According to the National Priorities Partnership, 2010 one in every five Medicare patient is discharged home from the hospital is readmitted within thirty days. The rate of Medicare patient readmitted is 13.3% versus 11% of all others insured. This program targets every one, because any patient no matter what the age is can fall into one of these categories. Since, Medicare is a big provider of hospital care, and the reimbursement rule is so strenuous I will discuss the benefits of the program in the next …show more content…
Care Coordination executes clear, detailed discharge plans tailored to patients and family members, clinicians, and case managers. The Care Coordinator advocates to arrange timely follow-up appointments to primary care providers. Monitors medication reconciliation to ensure that pre- and post-discharge medication lists are consistent. Provide patients with timely access to care in the community, such as health care professional visits. Identify patients at high risk for readmissions, and connect them to additional discharge support such as rehabs, nursing home, home health, hospice, and any other outpatient services.
Cost Analysis
According to the National Priorities Partnership (2010), of the seven million hospital stays in 2009 in the United States, 836,000 of those patients was readmitted costing 25 billion dollars. If Care Coordination was in effect at that time it is a possibility that the saving would have been 25 billion dollars. The cost of the program averages about over two million dollars, including supplies and marketing options. Maintain the program will cost 700,000 dollars per, year including eight advanced Registered Nurse salary.
According to the National Priorities Partnership, 2010 one in every five Medicare patient is discharged home from the hospital is readmitted within thirty days. The rate of Medicare patient readmitted is 13.3% versus 11% of all others insured. This program targets every one, because any patient no matter what the age is can fall into one of these categories. Since, Medicare is a big provider of hospital care, and the reimbursement rule is so strenuous I will discuss the benefits of the program in the next …show more content…
Care Coordination executes clear, detailed discharge plans tailored to patients and family members, clinicians, and case managers. The Care Coordinator advocates to arrange timely follow-up appointments to primary care providers. Monitors medication reconciliation to ensure that pre- and post-discharge medication lists are consistent. Provide patients with timely access to care in the community, such as health care professional visits. Identify patients at high risk for readmissions, and connect them to additional discharge support such as rehabs, nursing home, home health, hospice, and any other outpatient services.
Cost Analysis
According to the National Priorities Partnership (2010), of the seven million hospital stays in 2009 in the United States, 836,000 of those patients was readmitted costing 25 billion dollars. If Care Coordination was in effect at that time it is a possibility that the saving would have been 25 billion dollars. The cost of the program averages about over two million dollars, including supplies and marketing options. Maintain the program will cost 700,000 dollars per, year including eight advanced Registered Nurse salary.