Interventions for Reducing Hospital Readmission Rates: The Role of Hospice and Palliative Care

Abstract

National efforts to reduce rehospitalizations may result in improved integration of hospice and palliative care for patients who are at risk of readmission.

Quality Improvement Initiatives to Reduce Mortality: An Opportunity to Engage Palliative Care and Improve Advance Care Planning

“…To the extent that systems can be developed to better understand patient goals of care upstream, 35 before the acute event occurs, as well as during timesensitive situations, these systems could apply across specialties to improve hospital-wide outcomes. 40,41 Limitations Findings should be interpreted in light of several limitations. First, this study focused on a subset of participants at 5 of the 10 hospitals in the LSL study.…”

A systematic review and meta-synthesis of policy intervention characteristics that influence the implementation of government-directed policy in the hospital setting: implications for infection prevention and control

“…Policy intervention involved activities undertaken to align policy changes with clinical goals, priorities and patient outcomes Amin et al, 2014;Back et al, 2017;Barbash et al, 2017;Cherlin et al, 2017;Coleman et al, 2007;Duckers et al, 2009b;Gasparini et al, 2015;Iorio et al, 2016;Jurkowski et al, 2016;Ketko et al, 2015;Lanese, 2016;McClain et al, 2017;McHugh et al, 2011;Morrow et al, 2012;Padula et al, 2015;Russ et al, 2015;Sautter et al, 2007;Som, 2007;Stone et al, 2015;Wald et al, 2012;Weeks et al, 2014;Wiig et al, 2013;Yelland et al, 2017;Yu et al, 2...…”

“…Policy interventions could also be supported by internal infrastructure. In such examples implementation processes and tools, such as checklists or guidelines, were utilised or newly established within an individual hospital to support local implementation and drive required changes (Altman, 2012;Bates et al, 2014;Calikoglu et al, 2012;Cherlin et al, 2017;Iorio, 2015;Jurkowski et al, 2016;Lambert et al, 2015;Nisly et al, 2013;Padula et al, 2015;Sautter et al, 2007;Tung and Yang, 2009). When new processes or tools were developed this often required the allocation of additional resources and, in some cases, the establishment of new roles to directly support clinical practice changes (Altman, 2012;Iorio, 2015;Iorio et al, 2016;Kahin et al, 2017;Kodal et al, 2012;Kurtzman et al, 2011;Lanese, 2016;Morrow et al, 2012;Padula et al, 2015;Purvis et al, 2017;Resar et al, 2011;Wiig et al, 2013;Yu et al, 2017).…”

“…The literature strongly suggested the importance of linking of policy interventions to clinical goals and most importantly patient outcomes (Amin et al, 2014;Cherlin et al, 2017;Coleman et al, 2007;Gasparini et al, 2015;McClain et al, 2017;Morrow et al, 2012;Padula et al, 2015;Sautter et al, 2007;Stone et al, 2015;Wald et al, 2012;Weeks et al, 2014;Yelland et al, 2017;Yu et al, 2017). In some of the articles analysed, efforts associated with policy implementation specifically described how issues of competing priorities and goals associated with patient care were addressed (Back et al, 2017;Russ et al, 2015;Som, 2007).…”

Referral Time of Advance Cancer Patients to Palliative Care Services and Its Predictors in Specialized Cancer Center

“…A study was done among college students to measure the awareness of hospice care and services in Saudi Arabia. The study revealed that 74 (86.05%) of 86 Saudi Arabian students attending a Mid-Western public university did not know what hospice care is, and only 12 (13.95%) of 86 Saudi Arabian students had some knowledge about hospice care [16].…”