PROFILE: Large academic facility with over 2,000 beds located in the northeast United States.
OBJECTIVE: Manage avoidable readmission through effective, timely patient engagement beyond discharge. Identify intervention opportunities to prevent readmission.
CALLENGE: Hospital worked from internal reports that resulted in inefficient work flow, lack of data capture, and inability to track patient results. Additionally, staff workloads prevented effective patient management for the 30 day period.
SOLUTION: PREMEDEX facilitated post-discharge follow-up to bring quality, consistency, and accountability to the process with a specific goal of decreasing 30 day avoidable readmission rates. PREMEDEX healthcare coordinators engage patients within 24-48 hours of discharge and alert designated care team members of outliers who need intervention. PREMEDEX created ongoing communication pathways using automated care phone calls for patients during the remaining 30 day period.
RESULTS: PREMEDEX Alerts identified 20% of discharged patients as potential candidates for 30 day readmission. Through patient follow-up and engagement, readmissions decreased by 17%, while overall patient satisfaction improved by 21%.
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