How Leading Hospitals Operationalize Evidence-Based Readmission Reduction Strategies: A Mixed-Methods Comparative Study Using Systematic Review and Survey Design

Am J Med Qual. 2019 Nov/Dec;34(6):529-537. doi: 10.1177/1062860618824410. Epub 2019 Feb 4.

Abstract

Although various interventions targeted at reducing hospital readmissions have been identified in the literature, little is known about actual operationalization of such evidence-based interventions. This study conducted a systematic review and a survey of key informants in 2 leading hospitals, Houston Methodist (HM) and MD Anderson Cancer Center (MDACC), to compare and contrast the most cited evidence-based interventions in the current literature with interventions reported by those hospitals. The authors found that both hospitals followed evidence-based practices reported as successful in the literature. Both hospitals have implemented interventions for inpatient settings, and the timing of interventions was very similar. Major implementation differences observed for post-discharge interventions focused on collaboration. It also was found that HM was more likely than MDACC to use medication reconciliation in outpatient (P = .018) and discharge planning for community/home patients (P = .032). Results will provide hospital professionals with insights for implementing the most effective interventions to reduce readmissions.

Keywords: comparative study; evidence-based interventions; hospital readmissions; survey.

Publication types

  • Research Support, Non-U.S. Gov't
  • Systematic Review

MeSH terms

  • Continuity of Patient Care / organization & administration
  • Cooperative Behavior
  • Evidence-Based Practice / organization & administration*
  • Hospital Administration*
  • Humans
  • Medication Reconciliation / organization & administration
  • Patient Care Team
  • Patient Discharge
  • Patient Education as Topic / organization & administration
  • Patient Readmission / statistics & numerical data*
  • Quality of Health Care