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IJSTR >> Volume 7 - Issue 12, December 2018 Edition



International Journal of Scientific & Technology Research  
International Journal of Scientific & Technology Research

Website: http://www.ijstr.org

ISSN 2277-8616



Improving The Establishment Of The Goals Of Care With Patients - A Strategy To Reducing Hospital Readmissions In The US

[Full Text]

 

AUTHOR(S)

Adedolapo Ojo

 

KEYWORDS

EHR, Patients, Patient engagement, Hospital readmissions, Health savings, Physician communication, Goals of care.

 

ABSTRACT

Hospital readmissions have become a problem in the US and many reports have shown that majority of these admissions are avoidable. There can be huge national health cost savings if even just 10% of such readmissions are avoided, because of this the Center for Medicare and Medicaid Services (CMS) is now penalizing hospitals for what they count as excessive admissions. The causes of these readmissions are multifaceted, and health institutions have different rates. One of the problems hospitals face that largely contributes to these high readmissions rates is poor establishment of goals of care with patients and this can be improved by increasing physician communication and patient engagement. Poor physician communication with patients and suboptimal patient engagement can be attributed to low physician/patient ratio, the Electronic Health Record (EHR) effect, language barriers, physicians’ poor communication techniques, literacy level of patients, physicians’ time spent doing administrative work, and so on. This article highlights interventions for these problems, some of which are communication skills training program, increasing the physician/patient ratio, physicians training to overcome the interpersonal distancing with which computer use is associated, ready availability of translators, and provision of language specific and literacy appropriate patient educational materials.

 

REFERENCES

[1]. Mar 10 GCP, 2017. Aiming for Fewer Hospital U-turns: The Medicare Hospital Readmission Reduction Program. The Henry J. Kaiser Family Foundation. 2017. https://www.kff.org/medicare/issue-brief/aiming-for-fewer-hospital-u-turns-the-medicare-hospital-readmission-reduction-program/. Accessed 27 September 2018.

[2]. Levinson W, Lesser CS, Epstein RM. Developing Physician Communication Skills for Patient-Centered Care. Health Affairs. 2010;29(7):1310–1318.

[3]. McIlvennan CK, Eapen ZJ, Allen LA. Hospital Readmissions Reduction Program. Circulation. 2015. https://www.ahajournals.org/doi/abs/10.1161/circulationaha.114.010270. Accessed 27 September 2018.

[4]. Feemster LC, Au DH. Penalizing Hospitals for Chronic Obstructive Pulmonary Disease Readmissions. American Journal of Respiratory and Critical Care Medicine. 2014;189(6):634–639.

[5]. Kasabwala K, Agarwal N, Hansberry DR, Baredes S, Eloy JA. Readability assessment of patient education materials from the American Academy of Otolaryngology--Head and Neck Surgery Foundation. Otolaryngol Head Neck Surg. 2012;147(3):466–471.

[6]. Wasfy JH, Zigler CM, Choirat C, Wang Y, Dominici F, Yeh RW. Readmission Rates After Passage of the Hospital Readmissions Reduction Program. Ann Intern Med. 2017;166(5):324–331.

[7]. Lie DA, John B, Crandall S, DeGannes CN, Elliott D, Henderson P, et al. Revising the Tool for Assessing Cultural Competence Training (TACCT) for curriculum evaluation: Findings derived from seven US schools and expert consensus. Medical Education Online. 2008;13(1):4480.

[8]. Gellert GA, Ramirez R, Webster SL. The Rise of the Medical Scribe Industry: Implications for the Advancement of Electronic Health Records. JAMA. 2015;313(13):1315–1316.

[9]. Gephart S, Effken J. Using health information technology to engage patients in their care. Online Journal of Nursing Informatics. 2013;17.

[10]. Dugdale DC, Epstein R, Pantilat SZ. Time and the Patient–Physician Relationship. J Gen Intern Med. 1999;14(Suppl 1):S34–S40.