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THE IMPLEMENTATION
PLAN
READMISSION RATES FOR INPATIENT ADMISSIONS
SNHU
HCM-490
PROFESSOR
DATE
INTENDED POPULATION
• The vast majority of patients who are readmitted to hospitals are either elderly or originate from lower
socioeconomic backgrounds. According to recent studies, readmission rates have increased in
numerous hospitals around the country, including some of the top academic medical centers.
Approximately one in six Medicare patients now return to the hospital within 30 days of their medical
discharge (Dartmouth Atlas Project, 2021).
• Patients who meet specific requirements, such as those related to their age or infirmities, are
individuals who are eligible for Medicare. Unfortunately, we are focusing our attention on this cohort
and refer to it when we discuss the hospital system’s 30-day readmission rates. In order to determine
the number of readmissions at a particular hospital, we use the Medicare patients.
MILESTONES
• We need to make sure we’ve employed the right number of people to take care of our patients and
keep up with them if we want this implementation to go smoothly. We won’t be able to adequately
manage the program if we are not appropriately staffed from the start.
• All of our mid-level physicians and nurses will receive the necessary training once we are fully staffed so
they are knowledgeable about the importance of this follow-up and how to make sure all of our
patients can receive excellent medical treatment without having to be readmitted to the hospital..
• After deployment, we must assess the data at intervals of a month, three months, six months, and
eventually one year. This will give us the flexibility to adapt the curriculum as needed as we move along.
FINANCIAL IMPACT
• An immediate financial impact will result from the requirement to recruit extra personnel in order to
guarantee that patients are called at the 24-hour mark and followed up at the 72-hour mark.
• The hospital will eventually benefit financially even though it will initially cost more because there will
be fewer inpatient admissions and better patient access since hospitals won’t be overrun with patients.
• Despite being aware that the effort would require a one-time purchase, I am confident that with correct
use and execution, our revenue will increase within the first year.
RESOURCES
• As was already indicated, if adequate staffing is ensured, this technique can be introduced and used
without burdening the workforce. We will want a dedicated team to manage all trainings after the
implementation process has started so that they can better assist any employees who might have
questions or require more guidance.
• We will need to buy more laptops with tele-medicine and video visit capabilities so that the nurses and
mid-level practitioners can better meet the needs of the patients.
COMPLIANCE/ETHICAL CHALLENGES
• The Hospital Readmission Reduction Program (HRRP) has made decisions on readmission rates and the
sum that will be withheld from particular hospitals if they surpass the rate of readmission prediction
based on a set of criteria. “Critics” contend that it is unfair to base payment adjustments on averages
when multiple organizations treat an excessive number of patients who have multiple complications
and low incomes or lack the resources of larger or more metropolitan healthcare facilities to handle
complex cases (Catalyst, 2018)..
• When we examine the ethical and legal aspects of the HRRP, we find that neither the socioeconomic
positions nor the patient population are taken into account. We must raise the readmission rates in
order to lessen the financial losses brought on by unneeded readmissions. Even while it may seem
impossible to expect hospitals serving seniors to maintain the same readmission rates as hospitals
serving young people, we need to alter how we discharge patients and how follow-up for these patients
is handled.
REFERENCES
• Catalyst, N. E. J. M. (2018, April 26). Hospital Readmissions Reduction Program (HRRP). NEJM Catalyst.
https://catalyst.nejm.org/doi/full/10.1056/CAT.18.0194.
• Project, D. A. (2021). Hospital Readmission Rates on the Rise in Older Adults.
https://www.todaysgeriatricmedicine.com/news/102011_news.shtml
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