Personal contact with patients before and after their hospital discharge resulted in significantly lower readmission rates, according to a study conducted by the Bronx Collaborative, which showed that among 500 patients who received two or more "interventions", in a special program to manage the transition between hospital and home, only 17.6 percent were readmitted to the hospital within 60 days of discharge versus 26.3 percent among a comparison group of 190 patients who received the current standard of care. Another 85 patients who received only one intervention for a variety of reasons had a higher readmission rate, raising to 22.8 percent the overall 60-day readmission rate for patients in the intervention group.
Interventions included intensive pre-discharge education, the scheduling of a post-discharge follow-up appointment with the patient's personal physician, and post-discharge telephone calls to review medications, identify concerns and verify the completion of the follow-up physician visit. In addition to receiving at least two interventions, the follow-up physician visit within 14 days of discharge appeared to be a key factor in preventing a readmission, according to the research analysis.
Source: Montefiore Medical Center
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