Unplanned readmissions back to the hospital are a burden financially and a strain on patients and their families, healthcare organizations, and government payers. Readmissions from skilled nursing facilities account for approximately one-fifth of total rehospitalizations. This project uses the Plan, Do, Study, Act (PDSA) cycle to implement an adaptive problem solving plan to determine the root cause of individual unplanned readmissions from skilled nursing facilities back to the hospital. The plan details past readmission administrative data using descriptive statistics, the roles and responsibilities for the collaborative partnership between care sites, the content of adaptive problem solving, and the use of rigorous reflection and review for continuous improvement. The project provides a disruptive patient centered care approach for problem solving the complexities of readmissions to the hospital for healthcare organizations to consider as readmission rates are tied to reimbursement and quality outcomes.
|Advisor:||Spencer, Robert A.|
|Commitee:||Fulton, Keith, Verduft, Gerald|
|School:||California State University, Dominguez Hills|
|School Location:||United States -- California|
|Source:||MAI 52/03M(E), Masters Abstracts International|
|Subjects:||Medicine, Nursing, Health care management|
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