Self-reflection as a Tool to Increase Hospitalist Participation in Readmission Quality Improvement. Qual Manag Health Care 2016;25(4):219-224
Date
10/18/2016Pubmed ID
27749719DOI
10.1097/QMH.0000000000000111Scopus ID
2-s2.0-84995674811 (requires institutional sign-in at Scopus site) 2 CitationsAbstract
BACKGROUND: Reducing 30-day readmissions is a national priority. Although multipronged programs have been shown to reduce readmissions, the role of the individual hospitalist physician in reducing readmissions is not clear.
OBJECTIVES: We evaluated the effect of physicians' self-review of their own readmission cases on the 30-day readmission rate.
METHODS: Over a 1-year period, hospitalists were sent their individual readmission rates and cases on a weekly basis. They reviewed their cases and completed a data abstraction tool. In addition, a facilitator led small group discussion about common causes of readmission and ways to prevent such readmissions.
RESULTS: Our preintervention readmission rate was 16.16% and postintervention was 14.99% (P = .76). Among hospitalists on duty, nearly all participated in scheduled facilitated discussions. Self-review was completed in 67% of the cases.
CONCLUSIONS: A facilitated reflective practice intervention increased hospitalist participation and awareness in the mission to reduce readmissions and this intervention resulted in a nonsignificant trend in readmission reduction.
Author List
Rana V, Thapa B, Saini SC, Nagpal P, Segon A, Fletcher K, Lamb GAuthors
Kathlyn E. Fletcher MD Professor in the Medicine department at Medical College of WisconsinBipin Thapa MD Assistant Dean, Professor in the Medicine department at Medical College of Wisconsin
MESH terms used to index this publication - Major topics in bold
Academic Medical CentersFemale
Hospitalists
Humans
Male
Middle Aged
Patient Readmission
Quality Improvement
Severity of Illness Index
Socioeconomic Factors
United States