Care Coordination Relating To Elderly Annotated Bibliography

Excerpt from Annotated Bibliography :

The results of this analysis highlight the need for hospitals to fine-tune their discharge process to reduce readmissions, and support the expenditure of additional resources for this purpose as a cost-effective intervention; as an example, author cites a hospital in Iowa that implemented a rigorous post-discharge planning process for patients with heart failure and 30-day readmission rates were reduced by 3-9% during the 3-month period following implementation.


The research showed that many elderly patients who suffer from congestive heart failure also suffer from a wide range of comorbid conditions, including diabetes and physician or nurse, early post-discharge nurse phone calls to confirm understanding of follow-up plan, and appropriate referral for home…

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