New Tool to Help Prevent Readmissions Modified LACE Tool

1. NewTool to Help Prevent ReadmissionsModified LACE Tool Implementation Date: April 29

2. Modified LACE Tool • Tool developed to identify patients at high risk for readmission • A score is calculated based on four criteria: • anticipated length of stay (avg 3 days) • admission (inpatient or observation) • co-morbidities • number of ED visits in past 6 months

3. Score > 11 identifies patient at risk

4. Calculation of LACE Score • Score will automatically be calculated after admission history is completed • If score > 11, automatic orders will be generated: • Social service consult • Educate importance of taking meds as ordered • Educate signs/symptoms of disease and when to call physician

5. Automatic nursing orders for education Automatic social service consult

6. Education orders will show up daily in the blue well

8. Patient Education • Primary diagnosis • Meds • Follow-up appointment • Signs and symptoms to report and who to call

9. Ask Me 3 and Teach-Back • Patient should be able to answer: • What is my main problem? • What do I need to do? • Why is it important for me to do this? • Use Teach-Back to assess patient/family understanding: “I want to be sure that I explained your medication correctly. Can you tell me how you are going to take this medicine?”