How Leading Hospitals Operationalize Evidence-Based Readmission Reduction Strategies: A Mixed-Methods Comparative Study Using Systematic Review and Survey Design

Bita A. Kash, Juha Baek, Ohbet Cheon, Joanna Grace Mayo Manzano, Stephen L. Jones, Jaya Paranilam, Robert A. Phillips

Research output: Contribution to journalArticle

1 Scopus citations

Abstract

Although various interventions targeted at reducing hospital readmissions have been identified in the literature, little is known about actual operationalization of such evidence-based interventions. This study conducted a systematic review and a survey of key informants in 2 leading hospitals, Houston Methodist (HM) and MD Anderson Cancer Center (MDACC), to compare and contrast the most cited evidence-based interventions in the current literature with interventions reported by those hospitals. The authors found that both hospitals followed evidence-based practices reported as successful in the literature. Both hospitals have implemented interventions for inpatient settings, and the timing of interventions was very similar. Major implementation differences observed for post-discharge interventions focused on collaboration. It also was found that HM was more likely than MDACC to use medication reconciliation in outpatient (P =.018) and discharge planning for community/home patients (P =.032). Results will provide hospital professionals with insights for implementing the most effective interventions to reduce readmissions.

Original languageEnglish (US)
Pages (from-to)529-537
Number of pages9
JournalAmerican Journal of Medical Quality
Volume34
Issue number6
DOIs
StatePublished - Nov 1 2019

Keywords

  • comparative study
  • evidence-based interventions
  • hospital readmissions
  • survey

ASJC Scopus subject areas

  • Health Policy

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