Dates
Wednesday, 1 March 2017 - Thursday, 2 March 2017
Meeting Code
HRT1703
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Paul White
paul.white@healthroundtable.org
Internationally, and across Australasia, Hospital Funders are
increasingly “paying for outcomes” and penalising health services
who have high inappropriate readmission rates for selected
conditions. A recent systematic review shows that a median
proportion of 27% of readmissions were potentially avoidable. In
addition, there are increasing trials of capitated care models where
high levels of acute care and/or readmissions will be unaffordable.
Reducing unplanned avoidable readmissions is also becoming a key
quality issue and requires a hospital wide strategy for improving
systems for ALL patients . Relying on inefficient approaches such as
case finding ,or employing one FTE to reduce readmissions, reduces
their impact. Frequent hospital admissions can be a sign that
patients with chronic diseases and long term conditions are not
provided with adequate access to non-hospital services and social
support.
Evidence suggests that the rate of avoidable re-hospitalisation CAN
be reduced by:
- Improving core discharge planning and transition processes out of hospital.
- Improving transitions and care coordination at the interfaces between care setting.
- Enhanced coaching, education and support for self-management.