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Readmission Assessment Tool
Implement a special readmission assessment Determine who is to complete this assessment STAAR worksheet (IHI)
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Readmission Worksheet for Chart Reviews
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Data Tracking for Readmissions
Number of readmissions to IP in less than 31 days (not counting day of discharge and day of readmission) with reasons and sorted into the following categories: Number of readmissions from an acute discharge Number of readmissions from a swing bed discharge (if used) Number of readmissions from a home D/C – no HH Number of readmissions from a nursing home discharge (SNF or LTC) – total and by nursing facility Number of readmissions from a Home Health discharge – total and by Home Health system Number of patients discharged with palliative care or hospice Outcome of the questions from the post-discharge follow-up calls re: difficulty with appointments, obtaining meds, unclear instructions, transportation Outcome of the questions from the discharge satisfaction survey specifically pertaining to discharge readiness Readmissions by PCP
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Readmission Risk Assessment Tool
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