Simple concept, yet often overlooked. Communicate with patients before, during and after discharge to ensure they understand their specific circumstances and are comfortable with their prescribed therapies when leaving the hospital. Reach out to patients in a timely manner after discharge to check on their progress and also identify any potential issues to alert care providers.
Each patient has unique circumstances, and some groups predictably will be at higher risk for potential readmissions. Focus on those high-risk patient groups, and ensure that the healthcare team has the most current training on signals that can lead to readmissions.
With an understanding of patient populations, and experience from talking to patients, hospitals should focus on improving their process … before, during and after discharge. Studies have shown that a large portion of readmissions could have been avoided with more informed and more timely communications between care providers and patients.