While the need to address disparities in care is well known, few strategies for reducing disparities have been studied systematically.
Identifying and Targeting Heart Failure Patients in the Hospital
Over the course of 18 months, the hospital reduced its readmission rate by 9 percent.
1000 East Washington Street
Medina, OH 44256
Medina Hospital is an acute care facility, with 119-adult beds, serving the health care needs of Medina County, Ohio since 1944. In 2009, the hospital became affiliated with Cleveland Clinic.
Director, Quality Management
P: (330) 725-1000
In order to reduce readmission rates among the hospital’s heart failure patients, the multi-disciplinary team members working at Medina Hospital realized they needed to target interventions earlier in the stay, when patients are first admitted. However, the team discovered that they could automatically generate a true, real-time list of heart failure patients through their electronic medical record (EMR) system and were wasting valuable time. Working with the more experienced EPIC-user members of their interdisciplinary team, the team was able to develop a temporary workaround that combined patient data from its EMR, EPIC, and information entered by the attending physicians in the hospital’s CPOE system (computerized provider order entry). Pulling these data sets helped create a readmissions database that allowed staff to review which patients were in the hospital and why. Next, the team at Medina set up a new workflow process to target heart failure patients with education to avoid a readmission to the hospital. The workflow process involved:
With the new database and improved workflow processes in place, the multidisciplinary hospital team was able to reduce the 30-day all cause heart failure readmission rate by 9 percent.
Poor care coordination contributes to the issue of avoidable readmissions.Learn more
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