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Adding this Step to Discharge Planning Slashes Hospital Readmissions by 25%

By Alexandra Wilson Pecci  
   April 20, 2017

The research also found that most of the studies analyzed "reported statistically significant shorter time-to-readmission, shorter rehospitalization, and lower costs of post-discharge care among discharge planning interventions with caregiver integration," according to the abstract.

How 2 Systems Cut Postacute Care Costs and Raised Quality

"Due to medical advances, shorter hospital stays, and the expansion of home care technology, caregivers are taking on considerable care responsibilities for patients," lead author Juleen Rodakowski, OTD, MS, OTR/L, assistant professor in the Department of Occupational Therapy in Pitt's School of Health and Rehabilitation Sciences, said in a statement.

"This includes increasingly complex treatment, such as wound care, managing medications, and operating specialized medical equipment. With proper training and support, caregivers are more likely to be able to fulfill these responsibilities and keep their loved ones from having to return to the hospital."

Caregiver statistics aggregated from the AARP, the Family Caregiver Alliance, the IOM, and the National Alliance for Caregiving reveal that:

  • More than 34 million unpaid caregivers provide care to someone age 18 and older who is ill or has a disability (AARP, 2008)
  • Unpaid caregivers provide an estimated 90% of the long-term care (IOM, 2008)
  • The majority (83%) are family caregivers—unpaid persons such as family members, friends, and neighbors of all ages who are providing care for a relative (FCA, 2005)
  • The typical caregiver is a 46-year-old woman with some college experience and provides more than 20 hours of care each week to her mother (NAC, 2004)

The studies examined by the University of Pittsburgh Health Policy Institute researchers varied in how caregivers were integrated.

Some interventions connected patients and caregivers to community resources. Others provided written care plans and medication reconciliation. Still others used learning validation methods, such as teach–back, where the caregiver demonstrates his or her training to an instructor, typically a nurse.

Reducing Readmissions From the Postacute Setting

The researchers say their findings validate the Caregiver Advise, Record and Enable (CARE) Act, which mandates caregiver identification and training before patients leave a health facility. Pennsylvania enacted it this week; it has so far been adopted by more than 30 states and the District of Columbia.

Alexandra Wilson Pecci is an editor for HealthLeaders.

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