دورية أكاديمية
Potential impact of hospital at home on postoperative readmissions.
| العنوان: | Potential impact of hospital at home on postoperative readmissions. |
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| المؤلفون: | Foley OW; Division of Gynecologic Oncology, Massachusetts General Hospital, 55 Fruit St, GRB 4-444, Boston, MA 02114. Email: ofoley@partners.org., Ferris TG, Thompson RW, Heng M, Ricciardi R, Del Carmen MG, Safavi KC |
| المصدر: | The American journal of managed care [Am J Manag Care] 2021 Dec 01; Vol. 27 (12), pp. e420-e425. Date of Electronic Publication: 2021 Dec 01. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Clinical Care Targeted Communications Group, LLC Country of Publication: United States NLM ID: 9613960 Publication Model: Electronic Cited Medium: Internet ISSN: 1936-2692 (Electronic) Linking ISSN: 10880224 NLM ISO Abbreviation: Am J Manag Care |
| أسماء مطبوعة: | Publication: Cranbury, NJ : Clinical Care Targeted Communications Group, LLC Original Publication: Old Bridge, NJ : American Medical Pub., c1995- |
| مواضيع طبية MeSH: | COVID-19* , Patient Readmission*, Cross-Sectional Studies ; Hospitals ; Humans ; SARS-CoV-2 |
| مستخلص: | Objectives: Hospital at home (HAH) is a health care delivery model that substitutes hospital-level services in the home for inpatient hospitalizations. HAH has been shown to be safe and effective for medical patients but has not been investigated in surgical readmissions. We estimated the potential impact of an HAH program for patients readmitted within 60 days postoperatively and described the characteristics of eligible patients to aid in the design of future programs. Study Design: This was a cross-sectional study of 60-day postoperative readmissions at a tertiary care center in 2018. Methods: We identified the number of readmissions that may have been eligible for HAH, collected descriptive information, and estimated the financial margin that could have been generated had eligible readmissions been diverted to HAH. Results: There were 2366 readmissions within 60 days of surgery in 2018. A total of 731 readmissions met inclusion criteria for HAH (30.1%), accounting for 4152 bed days. Of these readmissions, the most common diagnoses were infection, gastrointestinal complications, and cardiac complications. Patients' home addresses were within 16 miles of the hospital in 447 cases (61.1%). Avoidance of these readmissions and use of the beds for new admissions represented a potential backfill margin of $8.8 million, not incorporating the cost of HAH. Conclusions: Many 60-day postoperative readmissions may be amenable to HAH enrollment, representing a significant opportunity to improve patient experience and generate hospital revenue. This is of particular interest in the post-COVID-19 era. To maximize their impact, HAH programs should tailor clinical and operational services to this population. |
| تواريخ الأحداث: | Date Created: 20211210 Date Completed: 20211220 Latest Revision: 20211220 |
| رمز التحديث: | 20221213 |
| DOI: | 10.37765/ajmc.2021.88797 |
| PMID: | 34889584 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 1936-2692 |
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| DOI: | 10.37765/ajmc.2021.88797 |