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Self-reflection as a Tool to Increase Hospitalist Participation in Readmission Quality Improvement. Qual Manag Health Care 2016 Oct/Dec;25(4):219-224

Date

10/18/2016

Pubmed ID

27749719

DOI

10.1097/QMH.0000000000000111

Scopus ID

2-s2.0-84995674811

Abstract

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 G

Authors

Kathlyn E. Fletcher MD Professor in the Medicine department at Medical College of Wisconsin
Bipin Thapa MD Assistant Dean, Associate Professor in the Medicine department at Medical College of Wisconsin




MESH terms used to index this publication - Major topics in bold

Academic Medical Centers
Female
Hospitalists
Humans
Male
Middle Aged
Patient Readmission
Quality Improvement
Severity of Illness Index
Socioeconomic Factors
United States