Preventing Preventable R eadmissions

1. Preventing Preventable Readmissions

3. What is hospital readmission?

4. How big is the problem!!Readmission rates According to UptoDate: There were over 39 million hospital discharges in the United States in 2006. Almost 20 percent who are discharged from a hospital are readmitted within 30 days.

5. While the exact number of avoidable readmissions is unknown, between 9 and 50 percent of readmissions were judged to be preventable in studies involving retrospective chart review.

6. Causes of preventable readmissions

7. Preventing Preventable Readmissions Study

8. Abstract Background: Discharge checklist and post-discharge phone call are routine features of health systems in many countries. The aim is to reduce unplanned readmission to hospital, help preventing patient related causes of readmission and to improve patient safety. .

9. Objectives: To determine the effectiveness of dis-charge checklist and post-discharge phone call.

10. Methods: Making brochures for patient education about the most common conditions known to be readmitted worldwide (HF-sepsis) plus DM and Asthma which are common in KSA.

11. Applying discharge planning checklist given to the patients who are preparing to leave the hospital which consists of their: - diagnosis.- health care provider contact information. - important points to be discussed with the doctor before discharge.- the next appointment and investigations required.- drug list.

12. Post-discharge phone call within 72 hours of discharge and another call will be done after 7 days. 72

13. Patient selection criteria:

14. Results:

16. Conclusion: The period between discharge and follow-up appointment is a vulnerable period of discontinuity and potential adverse events. A discharge checklist and a post discharge phone call can play an important role in bridging the gap between inpatient and outpatient care.

17. Group 4-B Supervisior Dr. Reem Al-Affari

18. Thank you