The return of a patient to the hospital for additional care within a specific timeframe after a previous discharge.
A commonly used timeframe to measure the rate at which patients return to the hospital within 30 days of their initial discharge.
Services and interventions provided to patients during the transition from the hospital to home or another care setting, aiming to reduce the risk of readmission.
Outreach and communication with patients after discharge to monitor their progress, address concerns, and provide necessary support.
The organized and synchronized management of healthcare activities to ensure seamless transitions between different levels of care and reduce the risk of readmission.
A model of primary care that emphasizes comprehensive and coordinated care, aiming to improve patient outcomes and reduce unnecessary readmissions.
The process of reviewing and updating a patient’s medication list to ensure accuracy and prevent adverse events, a crucial aspect of transitional care.
Groups of patients, such as the elderly or those with chronic conditions, who are more susceptible to complications and readmissions.
An investigative process to identify the underlying causes of readmissions, enabling healthcare providers to implement targeted interventions.
The use of technology to provide healthcare remotely, offering opportunities for virtual follow-up appointments and monitoring to reduce the need for readmission.
Involving patients in their care by providing education, fostering communication, and encouraging active participation in managing their health post-discharge.
The ability of individuals to understand and apply health-related information, a crucial factor in preventing readmissions.
The process of preparing a patient for a safe and effective transition from the hospital to home or another care setting, involving collaboration among healthcare professionals.