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Discuss what resources are available to support patient independence and prevent readmission for chronic cardiorespiratory issues

Discuss what resources are available to support patient independence and prevent readmission for chronic cardiorespiratory issues

Discuss what resources are available to support patient independence and prevent readmission for chronic cardiorespiratory issues
Discuss what resources are available to support patient independence and prevent readmission for chronic cardiorespiratory issues. Explain the impact of readmission on reimbursement. What are the implications of readmission for the hospital and the patient?
Discuss what resources are available to support patient independence and prevent readmission for chronic cardiorespiratory issues

In response to a mandate enacted by the Patient Protection and Affordable Care Act, the federal government launched the Hospital Readmissions Program in October 2012. The goal of this program was to reduce hospital readmissions by penalizing hospitals that failed to keep their Medicare readmission rates below the national average.

Although penalties are assessed using a variety of somewhat convoluted metrics, research published by the Kaiser Family Foundation shows that the program has resulted in a net decrease in readmission rates since its inception. Readmissions for cardiovascular disease have been one of the most persistent issues that hospitals have encountered in attempting to achieve program compliance.

The following are some key statistics that highlight the importance of this issue in today’s medical landscape:

Congestive heart failure was named the leading cause of Medicare readmissions in a 2011 study published by the Agency for Healthcare Research and Quality (AHRQ).
The United States has the highest rate of post-myocardial infarction (heart attack) readmissions in the world, according to a report published in the American Journal of Medicine.
One out of every four patients diagnosed with heart failure is readmitted to the hospital within 30 days.
According to the Centers for Disease Control and Prevention, congestive heart failure is responsible for an estimated 1 million hospital admissions and readmissions each year.
According to a 2013 study published in the Journal of the American Medical Association, cardiovascular disease was responsible for 52.8 percent of hospital readmissions after initial heart failure hospitalization and 53.4 percent of readmissions after initial acute myocardial infarction hospitalization.
While there are many factors that can contribute to this high rate of hospital readmissions for cardiovascular disease, patient-centered factors are frequently cited as a significant variable in predicting and influencing readmission rates. Numerous studies have found that low patient participation in terms of following recommended diet, exercise, and medication regimens is one of the primary causes of high readmission rates, particularly among people with chronic conditions.

It’s worth noting that “psychosocial and socioeconomic factors” also play a role in limiting patient adherence and compliance to treatments recommended by health professionals. Language barriers due to ethnic diversity, low health literacy, or a lack of appropriate community resources are examples of this.

While the aforementioned factors pose significant barriers to successful health management, solutions that can encourage greater levels of patient participation do exist. The PatientBond automated cloud-based communications platform, for example, uses psychographic segmentation to provide highly relevant messages and interactions that resonate with patients’ health and wellness motivations, values, and priorities. Hospitals can provide highly personalized post-discharge support for cardiovascular patients using this robust platform.

Whatever solution you choose, make sure to follow the steps below to help reduce hospital readmission rates for cardiovascular disease:

After they have been discharged from the hospital, provide patients with educational materials to encourage self-management of their health condition. This should include information on how to live a healthy lifestyle, with a focus on behaviors that will help them improve their health in light of their cardiovascular disease.

However, make this information easy to understand, internalize, and apply. Giving a 60-page educational book to a CHF patient at discharge is not the most effective way to ensure a successful recovery. If a patient has an emergency, they are more likely to dial 911 than to sift through dozens of pages of patient education.

Provide automated follow-up communications to patients via email, text, and Interactive Voice Response (IVR) to remind them of upcoming appointments, check-ups, and health screenings.

Send automated reminders to patients to refill their prescriptions at predetermined times. One of the primary factors influencing high readmission rates for cardiovascular disease is non-adherence to prescribed medication regimens. These communications are personalized with PatientBond by utilizing key psychographic insights that appeal to the patient’s individual motivations and values, thereby strengthening medication adherence and follow-through on clinician recommendations.

Surveys can be used to track recovery. PatientBond, for example, enables healthcare organizations to gain insight into their patients’ needs, perceptions, motivations, and desires by providing highly customizable survey building services. Once designed, the survey can be sent to virtually any size contact list, providing healthcare professionals with easy and immediate access to key consumer insights without relying on third parties. It is critical to keep these surveys brief in order to maximize patient response.
While it is true that many steps must be taken to reduce or prevent hospital readmissions for cardiovascular disease, the task is far from impossible. An automated solution, such as PatientBond, can help healthcare organizations significantly reduce readmission rates while fostering an environment for more positive health outcomes by combining the power of consumer psychology and adaptive technology.

Discuss what resources are available to support patient independence and prevent readmission for chronic cardiorespiratory issues

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