1. New Tool to Help Prevent Readmissions Modified LACE Tool
Implementation Date: April 29

2. Modified LACE Tool
Tool developed to identify patients at high risk for readmission
A score is calculated based on four criteria:
anticipated length of stay (avg 3 days)
admission (inpatient or observation)
co-morbidities
number of ED visits in past 6 months

3. Score > 11 identifies patient at risk

4. Calculation of LACE Score
Score will automatically be calculated after admission history is completed
If score > 11, automatic orders will be generated:
Social service consult
Educate importance of taking meds as ordered
Educate signs/symptoms of disease and when to call physician

5. Automatic nursing orders for education
Automatic social service consult

6. Education orders will show up daily in the blue well

8. Patient Education Primary diagnosis Meds Follow-up appointment
Signs and symptoms to report and who to call

9. Ask Me 3 and Teach-Back Patient should be able to answer:
What is my main problem?
What do I need to do?
Why is it important for me to do this?
Use Teach-Back to assess patient/family understanding:
“I want to be sure that I explained your medication correctly. Can you tell me how you are going to take this medicine?”