The 4 Cís of Reducing Readmissions
Healthcare is using the four Cís ó communication, care transitions, case management and collaboration ó to reduce readmissions, according to new market research on Reducing Hospital Readmissions.
Our second annual survey on this topic found that across all sectors, healthcare companies are making sure that the information communicated to patients is clearly understood, especially in light of health literacy levels in older patients. Clear communication is never more critical than at discharge from the hospital, when the plan of care and medication instructions are conveyed to patients leaving the hospital.
For example, a seemingly simple intervention ó a phone call placed to the newly discharged patient within the first few days ó is an opportunity to clarify these instructions and confirm that doctorsí appointments have been made and kept.
Secondly, care transitions, including hospital discharge and transfers between care sites, are being closely scrutinized and improved. Communication again comes into play as organizations make sure that the patient data required to ensure a smooth handoff is included as part of the transfer.
Thirdly, more than a third of respondents assign chief responsibility for reducing readmissions to their case managers.
And lastly, many respondents report increased collaboration and partnerships with community clinics, home health and other providers to improve the quality of care delivery and overall patient experience.
These four strategies are at the heart of patient-centered models such as the medical home and accountable care organizations, and are already driving reimbursement and quality rewards.
On the horizon to further reduce readmissions: increased application of telehealth and home monitoring of chronic illness to intervene at the first sign of functional decline or adverse episode.
Get more details on Benchmarks in Reducing Hospital Readmissions.