Identifying Hospital Organizational Strategies to Reduce Readmissions

Faraz S. Ahmad, Joshua P. Metlay, Frances K. Barg, Rebecca R. Henderson, Rachel M. Werner

Research output: Contribution to journalArticlepeer-review

21 Scopus citations

Abstract

With looming financial penalties for institutions with high readmission rates, hospital administrators are under pressure to implement strategies to reduce readmissions despite limited evidence of effective strategies. The objectives of this study were to understand the process of developing readmission reduction strategies and to identify and categorize the range of strategies being implemented. The authors designed a qualitative study using semistructured interviews with 12 hospital administrators at 6 different hospitals. The following 6 categories of strategies were identified: (a) tracking readmissions, (b) using prediction tools, (c) implementing disease-specific or generic readmission reduction programs, (d) adopting electronic health record-based strategies to improve transitions, (e) recruiting frontline staff for program leadership, and (f) coordinating with primary care providers. The results highlight the myriad approaches to readmission reduction and the complexity of developing effective strategies.

Original languageEnglish (US)
Pages (from-to)278-285
Number of pages8
JournalAmerican Journal of Medical Quality
Volume28
Issue number4
DOIs
StatePublished - Jul 1 2013

Keywords

  • care transitions
  • qualitative methods
  • quality
  • readmissions

ASJC Scopus subject areas

  • Health Policy

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