当前位置： SCI文献检索 > Journal of the American Medical Directors Association期刊下所有文献 > Hospital to Post-Acute Care Facility Transfers: Identifying Targets for Information Exchange Quality Improvement.

Hospital to Post-Acute Care Facility Transfers: Identifying Targets for Information Exchange Quality Improvement.

Abstract：

INTRODUCTION:Information exchange is critical to high-quality care transitions from hospitals to post-acute care (PAC) facilities. We conducted a survey to evaluate the completeness and timeliness of information transfer and communication between a tertiary-care academic hospital and its related PAC facilities. METHODS:This was a cross-sectional Web-based 36-question survey of 110 PAC clinicians and staff representing 31 PAC facilities conducted between October and December 2013. RESULTS:We received responses from 71 of 110 individuals representing 29 of 31 facilities (65% and 94% response rates). We collapsed 4-point Likert responses into dichotomous variables to reflect completeness (sufficient vs insufficient) and timeliness (timely vs not timely) for information transfer and communication. Among respondents, 32% reported insufficient information about discharge medical conditions and management plan, and 83% reported at least occasionally encountering problems directly related to inadequate information from the hospital. Hospital clinician contact information was the most common insufficient domain. With respect to timeliness, 86% of respondents desired receipt of a discharge summary on or before the day of discharge, but only 58% reported receiving the summary within this time frame. Through free-text responses, several participants expressed the need for paper prescriptions for controlled pain medications to be sent with patients at the time of transfer. DISCUSSION:Staff and clinicians at PAC facilities perceive substantial deficits in content and timeliness of information exchange between the hospital and facilities. Such deficits are particularly relevant in the context of the increasing prevalence of bundled payments for care across settings as well as forthcoming readmissions penalties for PAC facilities. Targets identified for quality improvement include structuring discharge summary information to include information identified as deficient by respondents, completion of discharge summaries before discharge to PAC facilities, and provision of hard-copy opioid prescriptions at discharge.

journal_name

J Am Med Dir Assoc

journal_title

Journal of the American Medical Directors Association

authors

Jones CD,Cumbler E,Honigman B,Burke RE,Boxer RS,Levy C,Coleman EA,Wald HL

doi

10.1016/j.jamda.2016.09.009

subject

Has Abstract

pub_date

2017-01-01 00:00:00

pages

70-73

issue

eissn

1525-8610

issn

1538-9375

pii

S1525-8610(16)30424-8

journal_volume

pub_type

杂志文章

在线工具

Hospital to Post-Acute Care Facility Transfers: Identifying Targets for Information Exchange Quality Improvement.