Thursday Review: “Reducing Hospital Readmission Rates: Current Strategies and Future Directions”

In 2012, Burke et al. published an article describing an ideal process to transition patients from hospital care and avoid readmission.

About a year later, two of the four authors of that paper, Dr. Sunil Kripalani and Dr. Eduard E. Vasilevskis, together with Dr. Cecelia N. Theobald and Beth Anctil, published a follow-up in the Annual Review of Medicine. The available data states that their original model was correct.

The best way to reduce hospital readmissions appears to be a process, and not an event.

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Thursday Review: “Moving Beyond Readmission Penalties: Creating an Ideal Process to Improve Transitional Care”

As a quantitative metric, write Dr. Robert E. Burke et al., readmisssions can be problematic. In the Journal of Hospital Medicine, the authors write that one difficulty is the lack of an intentional process of discharging a patient to avoid readmission.

The authors lay out an ideal process for a care transition. I’d like to look briefly at how this idealized transition is like and unlike a story, and comment on how story can intervene at a few key points.
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