Reducing readmission rates through a discharge follow-up service

D. Vernon, James E Brown, E. Griffiths, Alan M. Nevill, M. Pinkney

Research output: Contribution to journalArticle

Abstract

Approximately 15% of elderly patients are readmitted within 28 days of discharge. This costs the NHS and patients. Previous studies show telephone contact with patients ­post-discharge can reduce readmission rates. This service ­evaluation used a cohort design and compared 30-day emergency readmission rate in patients identified to receive a community nurse follow-up with patients where no attempt was made. 756 patients across seven hospital wards were ­identified; 303 were identified for the intervention and 453 in a ­comparison group. Hospital admission and readmission data was extracted over 6 months. Where an attempt to contact a patient was made post-discharge, the readmission rate was 9.24% compared to 15.67% where no attempt to ­contact was made (p=0.011). After adjustment for ­confounding using logistic regression, there was evidence of reduced readmissions in the ‘attempt to contact’ group odds ratio = 1.93 (95% c­onfidence interval = 1.06–3.52, p=0.033). Of the patients who community nurses attempted to contact, 288 were contacted, and 202 received a home visit with general practitioner ­referral and medications advice being the most common ­interventions initiated. This service evaluation shows that a simple intervention where community nurses attempt to contact and visit geriatric patients after discharge causes a significant reduction in 30-day hospital readmissions.
LanguageEnglish
Pages114-117
Number of pages4
JournalFuture Healthcare Journal
Volume6
Issue number2
Early online date19 Jun 2019
DOIs
Publication statusE-pub ahead of print - 19 Jun 2019

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Patient Readmission
Patient Discharge
Nurses
House Calls
Telephone
Geriatrics
General Practitioners
Emergencies
Referral and Consultation
Logistic Models
Odds Ratio
Costs and Cost Analysis

Bibliographical note

© Royal College of Physicians 2019. All rights reserved.

Cite this

Vernon, D., Brown, J. E., Griffiths, E., Nevill, A. M., & Pinkney, M. (2019). Reducing readmission rates through a discharge follow-up service. 6(2), 114-117. https://doi.org/10.7861/futurehosp.6-2-114
Vernon, D. ; Brown, James E ; Griffiths, E. ; Nevill, Alan M. ; Pinkney, M. / Reducing readmission rates through a discharge follow-up service. 2019 ; Vol. 6, No. 2. pp. 114-117.
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Vernon, D, Brown, JE, Griffiths, E, Nevill, AM & Pinkney, M 2019, 'Reducing readmission rates through a discharge follow-up service' vol. 6, no. 2, pp. 114-117. https://doi.org/10.7861/futurehosp.6-2-114

Reducing readmission rates through a discharge follow-up service. / Vernon, D.; Brown, James E; Griffiths, E.; Nevill, Alan M.; Pinkney, M.

Vol. 6, No. 2, 19.06.2019, p. 114-117.

Research output: Contribution to journalArticle

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