Reducing Readmissions and Unnecessary Hospitalization
Hours: 1.00
The purpose of this course is to enable to learner to recognize the impact of 30-day readmissions on the healthcare system and interventions from the evidence that have been used in an effort to prevent them. Research has found common characteristics and commonly chronic diseases among people who are at risk for readmission. Implementing post-discharge interventions, including the integration of a pharmacist and active engagement at the time of discharge, are discussed. This course engages the learner in discovering resources and strategies to reduce unnecessary admissions, as well as early signs of deterioration.
The purpose of this course is to enable to learner to recognize the impact of 30-day readmissions on the healthcare system and interventions from the evidence that have been used in an effort to prevent them. Research has found common characteristics and commonly chronic diseases among people who are at risk for readmission. Implementing post-discharge interventions, including the integration of a pharmacist and active engagement at the time of discharge, are discussed. This course engages the learner in discovering resources and strategies to reduce unnecessary admissions, as well as early signs of deterioration.
Florida Board of Nursing Home Administrators
Florida Board of Nursing Home Administrators (CEBroker Provider # 50-290)
This activity is approved for 1.00 contact hours.
Georgia Nursing Home Administrators Board
Georgia Nursing Home Administrators Board (CEBroker Provider # 50-290)
This activity is approved for 1.00 contact hours.
California Department of Social Services Residential Care Facilities for the Elderly
Relias, LLC is approved by the California Department of Social Services as a Continuing Education Training Program Vendor to provide Continuing Education training courses to administrators of residential care facilities for the elderly.
Vendor/Provider # 2000224-740-2;
Approval # 224-0147-32684.
This activity is approved by the California Department of Social Services for 1.00 contact hours.
North Carolina Department of Health and Human Services Division of Facility Services
This course is approved by the North Carolina Department of Health and Human Services Division of Facility Services - Group Care Licensure Section (NC-DHHS)
Program Sponsor ID #032316
This activity is approved for 1.00 contact hours.
California Department of Social Services Adult Residential Facilities
Relias, LLC is approved by the California Department of Social Services as a Continuing Education Program Vendor to provide Continuing Education training courses to administrators of Adult Residential Facilities.
Vendor/Provider # : 2000224-735-2
Approval # 224-0147-32621
This activity is approved by the California Department of Social Services for 1.00 contact hours.
California Nursing Home Administrator Program - P type
This educational offering is approved by the California Nursing Home Administrator Program (NHAP) as a Patient Care/Aging ("P" credit) course. Provider # CEP 1701; Course Approval # 1701001-9023/P. This activity is approved for 1.0000 contact hours.
Describe the historical data regarding readmission rates and the financial impact on the healthcare system.
Define the research findings regarding the most common reasons why residents are readmitted to the hospital within 30 days of discharge.
Identify chronic diseases that have a higher risk for readmission.
Identify three interventions that staff working in the community living environment can use to prevent readmissions.
List early warning signs that a senior’s condition is deteriorating.
Describe the outcomes for people who received a post-discharge pharmacist review.
Outline:
I. Introduction A. Risk to persons readmitted B. Readmission rates C. Common conditions 1. Heart failure 2. Myocardial Infarction 3. Pneumonia 4. COPD 5. Joint replacement 6. Coronary artery bypass grafting II. Causes of Readmission A. Delay in provider communication B. Lagging test results C. Medications 1. Elder consumption 2. Polypharmacy 3. Adverse drug reactions 4. Failure to fill medications D. Follow up 1. Lack of early intervention E. Learning Engagement: multiple choice and True/False questions III. Evidence-Based Interventions A. Transitional care model B. Care transitions intervention C. Project RED D. Post-pharmacist intervention E. Learning Engagement: Identify risk assessment criteria IV. Key Contributors to Readmissions A. Multiple health conditions B. Communication C. Comprehension and application of instructions D. Lack of follow-up V. Interventions for the Community Living Environment A. Advocacy 1. Discharge instructions 2. Male residents 3. Socioeconomic implications 4. Different learning materials 5. Communication 6. Early follow-up 7. Medication reconciliation 8. High-risk residents 9. Pharmacy assistance 10. Recognizing signs of early deterioration B. Signs and symptoms of deterioration 1. Observable vs. ambiguous a. Fever b. Malaise c. Fatigue d. Flushed skin e. Falls f. Urinary changes g. Wounds h. Cough and congestion C. Learning Engagement: Distinguish between observable and ambiguous symptoms D. Symptoms of adverse drug reactions 1. Falls 2. Fast heart rate 3. Confusion 4. Lightheadedness 5. Behavior changes VI. Conclusion
Laura L. Morgan, MSN, RN, CCRP, NEA-BC, currently serves as the Clinical Education Specialist at Lincoln County Medical Center in Ruidoso, New Mexico. She plans, develops, implements, and evaluates educational programs for clinicians, using the most current research and clinical data, while fostering the implementation of evidence-based practice. Ms Morgan is an endorsed member of the Society of Clinical Research Associates, member of Sigma Theta Tau international honors Society of nursing, an instructor for Basic Life Support, Advance Cardiovascular Life support and a Board Certified Nurse Executive-Advanced from the American Nurses Credentialing Center. Disclosure: Laura L. Morgan, MSN, RN, NEA-BC has no Relevant Financial or Non-Financial Relationship with ineligible companies to disclose.
Asynchronous/Online Distance Learning; please see certificate details for specifics on delivery format.
Relias has a grievance policy in place to facilitate reports of dissatisfaction. Relias will make every effort to resolve each grievance in a mutually satisfactory manner. In order to report a complaint or grievance please contact Relias.
If you require special accommodations to complete this module, please contact Relias Support by completing the web form (https://www.relias.com/help) or by using the chat functionality.
All courses offered by Relias, LLC are developed from a foundation of diversity, inclusiveness, and a multicultural perspective. Knowledge, values and awareness related to cultural competency are infused throughout the course content.
Reference herein to any specific commercial product, process, or service by trade name, trademark, service mark, manufacturer or otherwise does not constitute or imply any endorsement, recommendation, or favoring of, or affiliation with, Relias, LLC.
All characteristics and organizations referenced in the following training are fictional. Any resemblance to any actual organizations or persons living or dead, is purely coincidental.
To earn continuing education credit for this course you must achieve a passing score of 80% on the post-test and complete the course evaluation.
If you require special accommodations to complete this module, please contact Relias Customer Support here.
