NY Times offers advice to seniors to avoid the possibility of readmission

NY Times offers advice to seniors to avoid the possibility of readmission

Medicare is working on reducing the readmission of patients, by penalizing hospitals when they poorly discharged a patient. Believe it or not, readmissions for some hospitals was a profitable business model until Medicare recently began defunding the readmission, placing it on the backs of the hospital. Unfortunately, not all readmissions are preventable however, many definitely are.

The NY Times offers some helpful advice to seniors.

At Too Many Hospitals, a Revolving Door



Jessie Gruman can’t remember the number of times she’s been hospitalized for cancer. The list of the conditions she’s had over almost 40 years is daunting: from Hodgkin’s lymphoma to cancers of the cervix and lung.

But Ms. Gruman, 59, can’t forget her experience three years ago, when it was time to leave the hospital after having her stomach removed, a consequence of gastric cancer.

Ms. Gruman was alone; her husband was on his way to this hospital but hadn’t yet arrived. This is all she remembers a nurse saying before she was shown the door.

Here is a prescription for pain medication. Don’t drive if you take it. Call your surgeon if you have a temperature or are worried about anything. Go see your doctor in two weeks. Do you want a flu shot? I can give you one before you leave. If you need a wheel chair to take you to the door, I’ll call for one. If not, you can go home. Take care of yourself. You are going to do great!

What wasn’t communicated to Ms. Gruman: Here’s a number to call if you have any questions. Here’s the medical expert who’s in charge of your follow-up care and how to reach him or her. Here’s the plan for your care over the next month, and here’s the plan for the next six months. Or this: You’re going to experience a lot of challenges when you get home. Here are the three or four concerns that should be your priorities. Here’s what your caregiver needs to know to help you most effectively. Here are resources in the community that might be of assistance.

Given the inadequacies in care for discharged patients — a well-documented and common problem — is it any wonder that so many bounce back to hospitals after they’re sent home?

Medicare, the government’s health care program for seniors, has trained its sights on the issue and is focused on trying to reduce the number of seniors readmitted to hospitals shortly after being sent home. Nearly one in five older adults discharged from a hospital returns within 30 days, at an annual cost of $17.4 billion, according to a recent study in The New England Journal of Medicine.

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