Comprehensive Caring Connections
Using applications designed with senior user experience in mind, supporting:
- Intellectual curiosity
- Cognitive stimulation
- Personal interests
As simple as making a phone call, our seniors can immediately be face to face with their loved ones. Especially for kids and grandkids whom live far away, this can be an awesome way to keep in touch and stay connected!
Capturing patient care observations and real-time reporting to their clinical teams is a crucial gap that we bridge in the home-based and community care space!
Overall Solutions That Reduce Readmissions
A hospital readmission is an episode when a patient who had been discharged from a hospital is admitted again within a specified time interval. Readmission rates have increasingly been used as an outcome measure as a quality benchmarks for health systems. Hospital readmission rates were formally included in reimbursement decisions for the Centers for Medicare and Medicaid Services (CMS) as part of the Patient Protection and Affordable Care Act (ACA) of 2010, which penalizes health systems with higher than expected readmission rates through the Hospital Readmission Reduction Program. The issue of unnecessary hospital readmissions is now front and center in the national conversation about the quality of health care. Thanks to Medicare’s readmissions reduction program, hospitals are working hard to bring their readmission rates down, and that’s good news -- good news being drowned out by a chorus of complaints. Avoidable readmissions are a strong indicator of a fragmented health care system that too often leaves discharged patients confused about how to care for themselves at home, and unable to follow through with discharge plans and get the necessary follow-up care.
What’s being done to lower the rate of readmissions?
There are many things hospitals are doing to lower the rate of readmissions:
- Focusing on better coordination of care and communications between providers, and patients and their caregivers.
- Improving discharge planning, education and follow-up for discharged patients.
- Using electronic medical records to share information and provide continuity of care.
In addition, CCoC has developed a system for furthering efforts on the home-based and community side of the patient’s care. Through capturing patient care observations and real-time reporting, our staff are able to recognize red flags associated with risks of readmissions, and pass them along to the patient’s clinical team.