How can we reduce LOS and readmission rates?

Long-term self-management, streamlined transitions key to reducing readmissions

Topics: Readmissions, Quality, Performance Improvement, Capacity, Efficiency, Length of Stay

November 27, 2012

I've been assigned a project: find tactics to reduce both length of stay (LOS) and readmission rates. Does the Advisory Board have any new resources to help me here?

For LOS tactics, you'll want to start with the Clinical Advisory Board's study, Next Generation Capacity Management: Volume I, which explores opportunities for optimizing the admissions process and improving patient flow across five key areas. In Volume II, we review strategies for improving hospital efficiency by addressing discharge organization, post-acute care transfer, and patient throughput.

Meanwhile, our Nursing Executive Center's ADT Efficiency Toolkit reviews how nurses can help reduce length of stay and offers a step by-step approach to assessing the state of admissions, discharges, and transfers (ADT) at individual institutions.

See our top practices

Here's another way to focus on avoidable readmissions: Learn to target them at different parts of the care continuum by reviewing these three publications.

  • The Clinical Advisory Board's Preventing Unnecessary Readmissions offers 17 best practices focusing on promoting seamless transitions both within and across the care continuum, corresponding to isolating improvement opportunities, and migrating toward shared responsibility.

  • The Nursing Executive Center's Nurse-Led Strategies for Preventing Avoidable Readmissions details 14 best practices for reducing readmissions by leveraging the inpatient stay to equip patients for long-term self-management and facilitating seamless transfers to post-acute care settings.

  • The Cardiovascular Roundtable's Reducing Preventable Readmissions aims to help you lower readmission rates, particularly among cardiovascular patients, by improving various hospitals' processes—including enhanced discharge management, streamlined transitions out of the hospital, and augmented care delivery post-discharge.

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