Our albatross: 30-day readmission rate

Our albatross: 30-day readmission rate
Our 30-day readmission rate is the third highest in North Carolina, as reported recently. Under the canopy of the Affordable Care Act lies 'the open sea of 30-day readmits.' Before us on this open sea is the illimitable challenge, and the opportunity, to improve the health of our community by reducing our 30-day readmits, under the standards set for the Center of Medicare and Medicaid.
 
The following are some of the issues contributing to our high readmit rates:
  • Lack of optimal primary care access
  • Non- compliance with accessing primary care
  • Lack of optimal transportation
  • Non-compliance with medication
  • Lack of optimal Home Health
  • Lack of utilization of Home Health
  • Lack of utilization of Palliative Care
  • Lack of optimal and utilization of Hospice
  • Accountability of healthy lifestyle
To address 'not enough water to drink on the open sea,' we are taking these actions:
  • Readmission Core Team
  • Community Partners
  • Caring Community Clinic
  • Transportation Grant with United Way
  • Patient Call messenger
  • Care review
  • Transition Coach - Duke Endowment
As we journey across this open sea, I ask that we all join together to take on this awesome and unfathomed albatross. Pursuing the strategies above and being creative to solve this problem, we will find the water we seek.
 

Sincerely,

Ed Piper, Ph.D.

Former President & Chief Executive Officer, 2000-2016

 

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