Psychotherapeutic Home Intervention Program: Impact on Medicaid Readmission Rates

Johns, Mark J.; Flaxman, Judith; Gomez, Madeleine Y.; Bockian, Neil R.; Hall, Mitch

doi:10.1891/152109807782590673

“…Frequent visitors were defined as patients with six or more visits in a 12-month period, while infrequent visitors were defined as those with five or less visits in that same time frame. Those defined as frequent visitors were more likely to lack social support and were more often homeless, which is consistent with previous findings (Johns, Flaxman, Gomez, Bockian, & Hall, 2007). Frequent visitors also were identified as higher users of inpatient and outpatient services as compared to infrequent visitors.…”

Section: Literature Reviewsupporting

confidence: 90%

Evidence Based Practice: Decreasing Psychiatric Revisits to the Emergency Department

Adams

¹

,

Nielson

²

2012

Issues in Mental Health Nursing

View full text Add to dashboard Cite

Inpatient psychiatric settings anticipate changes in reimbursement that will link payment rates to objective quality measures. Readmission rates are expected to be one of the quality measures. Inpatient areas are undertaking initiatives to decrease readmission rates in preparation for this change. The emphasis on avoiding readmission could cause an increase in emergency room revisit rates by psychiatric patients. In preparation for this potential impact, the mental health emergency service within the Emergency Department of a not-for-profit community based hospital implemented a proactive process improvement plan. The plan's goal was to insure that all patients' care was provided according to a defined standardize best practice process. Steps of the plan focused on (1) improving treatment providers' communications across the continuum of care, (2) enhancing communication between the mental health emergency department nurses and the on-call psychiatrists, (3) developing on-line decisional support to enhance communication, and (4) providing providers with feedback on the impact of changes. Implementation of the improvement process decreased the mean psychiatric emergency revisit rate from 5.7% to 4.3% and decreased the variability in monthly rates from a range of 1.83%-9.53% to a range of 3.53%-5.56%.

show abstract

Reducing Hospital Readmissions Among Medicaid Patients

Regenstein

¹

,

Andres

²

2014

Quality Management in Health Care

View full text Add to dashboard Cite

Reducing hospital readmissions is a key approach to curbing health care costs and improving quality and patient experience in the United States. Despite the proliferation of strategies and tools to reduce readmissions in the general population and among Medicare beneficiaries, few resources exist to inform initiatives to reduce readmissions among Medicaid beneficiaries. Patients covered by Medicaid also experience readmissions and are likely to experience distinct challenges related to socioeconomic status. This review aims to identify factors related to readmissions that are unique to Medicaid populations to inform efforts to reduce Medicaid readmissions. Our search yielded 254 unique results, of which 37 satisfied all review criteria. Much of the Medicaid readmissions literature focuses on patients with mental health or substance abuse issues, who are often high utilizers of health care within the Medicaid population. Risk factors such as medication noncompliance, postdischarge care environments, and substance abuse comorbidities increase the risk of readmission among Medicaid patients.

show abstract

Reducing Hospital Readmissions Among Medicaid Patients

Regenstein

¹

,

Andres²

2014

Quality Management in Health Care

View full text Add to dashboard Cite

Reducing hospital readmissions is a key approach to curbing health care costs and improving quality and patient experience in the United States. Despite the proliferation of strategies and tools to reduce readmissions in the general population and among Medicare beneficiaries, few resources exist to inform initiatives to reduce readmissions among Medicaid beneficiaries. Patients covered by Medicaid also experience readmissions and are likely to experience distinct challenges related to socioeconomic status. This review aims to identify factors related to readmissions that are unique to Medicaid populations to inform efforts to reduce Medicaid readmissions. Our search yielded 254 unique results, of which 37 satisfied all review criteria. Much of the Medicaid readmissions literature focuses on patients with mental health or substance abuse issues, who are often high utilizers of health care within the Medicaid population. Risk factors such as medication noncompliance, postdischarge care environments, and substance abuse comorbidities increase the risk of readmission among Medicaid patients.

show abstract

Psychotherapeutic Home Intervention Program: Impact on Medicaid Readmission Rates

Cited by 3 publications

References 22 publications

Evidence Based Practice: Decreasing Psychiatric Revisits to the Emergency Department

Evidence Based Practice: Decreasing Psychiatric Revisits to the Emergency Department

Reducing Hospital Readmissions Among Medicaid Patients

Reducing Hospital Readmissions Among Medicaid Patients

Contact Info

Product

Resources

About