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On the Way Home: Doctors are Working to Reduce Hospital Readmission Rates

Reduce Hospital Readmission Rates in Indianapolis, IN – Keeping Seniors from Returning to the Hospital is a Team Effort

Getting the proper level of assistance and care is one of the most important aspects to making a full recovery from any number of ailments, injuries, or surgery. The federal government has been placing a significant amount of pressure on hospitals to get them to reduce readmission rates.

Some of that pressure is now falling on doctors’ shoulders, either directly or indirectly from the hospitals for which they work. As doctors are under pressure to discharge patients more quickly, they are also finding new ways to ensure that their patients get the proper level of care at home, which will, in turn, help to reduce those all important hospital readmission rates.

Some doctors have developed a system that provides support to patients once they are discharged from the hospital. Some of these systems were developed long before the federal government started focusing on ways to reduce those readmission rates.

According to Paula Span, writing for the New York Times in a blog entitled, Clearing the Path Home:

Dr. Coleman began developing the Care Transitions Intervention program 15 years ago. If patients agree, a coach comes to their homes two to four days after discharge. She’s not there to change dressings or help them bathe; home health nurses or aides do that. Instead, over 45 minutes to an hour, the coach — generally a nurse, sometimes a social worker or other health care professional — asks about patients’ goals as they recover.

This can be especially beneficial for people living in lower income areas. For example, poor neighborhoods have a higher rate of hospital readmission rates. There may be several factors that lead to this phenomena.

First, these individuals may not have the financial resources to seek out extra care at home, or to be able to afford a caregiver to come out and work with them on a regular basis. Second, they may not know that there are programs or assistance available for them.

By being proactive, doctors are ensuring that their patients get the proper level of care and assistance as home. When doctors reach out to their patients once they are discharged, or just before they are sent home, they can inform them about what they need to focus on in order to recover without a return to the hospital.

As more pressure is placed on hospitals, doctors will likely step up their efforts to reach out and help their patients get the necessary care at home to help them on their road to a full recovery.

The caregivers at Great Care are available to talk with you and your family about all of your home care needs. Great Care is an elder care agency providing quality and affordable elder care in Indianapolis, IN and the surrounding areas. Call (888) 240-9101 for more information.

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Valerie VanBooven RN BSN

Editor in Chief at Approved Senior Network
Valerie is a Registered Nurse and long-term care expert. She has published 4 books on caring for aging adults and is the Editor in Chief of and

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