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December 12, 2011

To Avoid Readmissions, Hospitals Trying Post-Discharge Clinics

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In recent years, hospitals have been under increasing pressure to keep their readmission rates low. The next bump in the road comes in October 2012, when Medicare will begin cutting back on reimbursement for facilities whose readmit rates are too high.

Hospitals are already hard at work at preventing readmissions due to preventable medical errors, which may not be reimbursed at all by Medicare at all. But it seems like they’re still far behind in the care coordination department.

In fact, research suggests that they’re facing an uphill battle, in part because patients often don’t get the kind of follow-up care they need.

In theory, fragile patients  should move smoothly from inpatient care to their PCP, ideally a medical home equipped to coordinate whatever follow-up care needs they have. Few primary care practices are up to speed yet, however.  In fact, some aren’t even sure when their patients are discharged.

How bad is the problem? According to one study quoted in The Hospitalist, only 42 percent of hospitalized Medicare patients had any contact with a primary care physician within 14 days of being discharged.

One solution to this problem might be a “post-discharge” or transitional care clinic offering primary care on or near a hospital’s campus, the article notes. This makes sense. After all, it’s more likely a patient will follow through and get follow-up care if it’s convenient to do so.

The idea behind these clinics isn’t to replace the patient’s existing PCP; instead, the clinic’s hospitalists, advance-practice nurses or PCPs are there to make sure patients absorbed their post-discharge instructions and are compliant with the meds prescribed during their stay.

Some hospitals have invested significant resources in building out transitional clinics, including Beth Israel Deaconess Medical Center, Seattle-based Harborview Medical Center and Tallahassee (Fla.) Memorial Hospital, which partnered with a local health plan to kick off the effort.

That being said, the idea is a new one and few other hospitals have taken the plunge as of yet. It will be interesting to see whether this approach actually works, and particularly, whether one model of transitional care stands out.

P.S.  I’d particularly like to know whether hospitals can accomplish some of these objectives by monitoring patients remotely after they’re discharged. After attending last week’s mHealth show, I’m betting remote monitoring would be cheaper than setting up a new clinic. Can’t wait to see whether hospitals try that route!

 

 

 

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    2 responses to "To Avoid Readmissions, Hospitals Trying Post-Discharge Clinics"

    1. # Peter Eggleston commented on January 12th, 2012:

      Hi Katherine – yes, many hospitals are using mHealth/telehealth technologies to do more effective post-discharge follow-up to reduce re-admissions and improve outcomes. We have many pilots in the works for this ourselves and I’d be willing to share that information with you if you have a deeper interest in learning about what we are seeing. You can contact me directly at peggleston at sbrhealth dot com.

    2. # Anne Zieger commented on January 12th, 2012:

      Peter, I’d be interested in speaking to you about mHealth — it’s one of my favorite industry topics. Please feel free to let me know if you’re interested; there might be a story in what you have to say! Try me at anne at healthcarescene dot come if you’d like.

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