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Dissertation/Thesis Abstract

Using adaptive problem solving to reduce hospital readmissions from skilled nursing facilities
by Nunn, Dianna R., M.S., California State University, Dominguez Hills, 2013, 100; 1524282
Abstract (Summary)

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.

Indexing (document details)
Advisor: Spencer, Robert A.
Commitee: Fulton, Keith, Verduft, Gerald
School: California State University, Dominguez Hills
Department: Quality Assurance
School Location: United States -- California
Source: MAI 52/03M(E), Masters Abstracts International
Subjects: Medicine, Nursing, Health care management
Publication Number: 1524282
ISBN: 978-1-303-53343-3
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