Literature DB >> 26939601

Role of Physical Therapists in Reducing Hospital Readmissions: Optimizing Outcomes for Older Adults During Care Transitions From Hospital to Community.

Jason R Falvey1, Robert E Burke2, Daniel Malone3, Kyle J Ridgeway4, Beth M McManus5, Jennifer E Stevens-Lapsley6.   

Abstract

Hospital readmissions in older adult populations are an emerging quality indicator for acute care hospitals. Recent evidence has linked functional decline during and after hospitalization with an elevated risk of hospital readmission. However, models of care that have been developed to reduce hospital readmission rates do not adequately address functional deficits. Physical therapists, as experts in optimizing physical function, have a strong opportunity to contribute meaningfully to care transition models and demonstrate the value of physical therapy interventions in reducing readmissions. Thus, the purposes of this perspective article are: (1) to describe the need for physical therapist input during care transitions for older adults and (2) to outline strategies for expanding physical therapy participation in care transitions for older adults, with an overall goal of reducing avoidable 30-day hospital readmissions.
© 2016 American Physical Therapy Association.

Mesh:

Year:  2016        PMID: 26939601      PMCID: PMC4992143          DOI: 10.2522/ptj.20150526

Source DB:  PubMed          Journal:  Phys Ther        ISSN: 0031-9023


  64 in total

1.  "Quicker and sicker" under Medicare's prospective payment system for hospitals: new evidence on an old issue from a national longitudinal survey.

Authors:  Xufeng Qian; Louise B Russell; Elmira Valiyeva; Jane E Miller
Journal:  Bull Econ Res       Date:  2011

2.  Effects of Hospital-Based Physical Therapy on Hospital Discharge Outcomes among Hospitalized Older Adults with Community-Acquired Pneumonia and Declining Physical Function.

Authors:  Sun Jung Kim; Joo Hun Lee; Boram Han; Julia Lam; Elizabeth Bukowy; Avinash Rao; Jordan Vulcano; Anelia Andreeva; Heather Bertelson; Hyun Phil Shin; Ji Won Yoo
Journal:  Aging Dis       Date:  2015-06-01       Impact factor: 6.745

3.  Assessing gait speed in acutely ill older patients admitted to an acute care for elders hospital unit.

Authors:  Glenn V Ostir; Ivonne Berges; Yong-Fang Kuo; James S Goodwin; Kenneth J Ottenbacher; Jack M Guralnik
Journal:  Arch Intern Med       Date:  2012-02-27

4.  The care transitions intervention: translating from efficacy to effectiveness.

Authors:  Rachel Voss; Rebekah Gardner; Rosa Baier; Kristen Butterfield; Susan Lehrman; Stefan Gravenstein
Journal:  Arch Intern Med       Date:  2011-07-25

Review 5.  The care span: The importance of transitional care in achieving health reform.

Authors:  Mary D Naylor; Linda H Aiken; Ellen T Kurtzman; Danielle M Olds; Karen B Hirschman
Journal:  Health Aff (Millwood)       Date:  2011-04       Impact factor: 6.301

6.  Medicare home health patients' transitions through acute and post-acute care settings.

Authors:  Jennifer L Wolff; Ann Meadow; Carlos O Weiss; Cynthia M Boyd; Bruce Leff
Journal:  Med Care       Date:  2008-11       Impact factor: 2.983

7.  Mobility after hospital discharge as a marker for 30-day readmission.

Authors:  Steve R Fisher; Yong-Fang Kuo; Gulshan Sharma; Mukaila A Raji; Amit Kumar; James S Goodwin; Glenn V Ostir; Kenneth J Ottenbacher
Journal:  J Gerontol A Biol Sci Med Sci       Date:  2012-12-19       Impact factor: 6.053

8.  Posthospital care transitions: patterns, complications, and risk identification.

Authors:  Eric A Coleman; Sung-joon Min; Alyssa Chomiak; Andrew M Kramer
Journal:  Health Serv Res       Date:  2004-10       Impact factor: 3.402

9.  Care transitions from the hospital to home for patients with mobility impairments: patient and family caregiver experiences.

Authors:  Almas Dossa; Barbara Bokhour; Helen Hoenig
Journal:  Rehabil Nurs       Date:  2012-06-29       Impact factor: 1.625

10.  The impact of chronic multimorbidity and disability on functional decline and survival in elderly persons. A community-based, longitudinal study.

Authors:  A Marengoni; E von Strauss; D Rizzuto; B Winblad; L Fratiglioni
Journal:  J Intern Med       Date:  2009-02       Impact factor: 8.989

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  18 in total

1.  Public Health Impact of Frailty: Role of Physical Therapists.

Authors:  A M Gustavson; J R Falvey; C M Jankowski; J E Stevens-Lapsley
Journal:  J Frailty Aging       Date:  2017

Review 2.  High-Value Home Health Care for Patients With Heart Failure: An Opportunity to Optimize Transitions From Hospital to Home.

Authors:  Christine D Jones; Kathryn H Bowles; Angela Richard; Rebecca S Boxer; Frederick A Masoudi
Journal:  Circ Cardiovasc Qual Outcomes       Date:  2017-05

3.  Involvement of Acute Care Physical Therapists in Care Transitions for Older Adults Following Acute Hospitalization: A Cross-sectional National Survey.

Authors:  Jason R Falvey; Robert E Burke; Kyle J Ridgeway; Daniel J Malone; Jeri E Forster; Jennifer E Stevens-Lapsley
Journal:  J Geriatr Phys Ther       Date:  2019 Jul/Sep       Impact factor: 3.381

4.  Variation in Hospital-Based Rehabilitation Services Among Patients With Ischemic Stroke in the United States.

Authors:  Amit Kumar; Deepak Adhikari; Amol Karmarkar; Janet Freburger; Pedro Gozalo; Vince Mor; Linda Resnik
Journal:  Phys Ther       Date:  2019-05-01

5.  Preparing for the Future of Post-Acute Care: A Metasynthesis of Qualitative Studies.

Authors:  Allison M Gustavson; Jacqueline Jones; Kelly J Morrow; Jennifer E Stevens-Lapsley
Journal:  Home Health Care Manag Pract       Date:  2016-12-12

6.  Bridging the Gap: A Mixed Methods Study Investigating Caregiver Integration for People with Geriatric Syndrome.

Authors:  Isabelle Meulenbroeks; Liz Schroeder; Joanne Epp
Journal:  Int J Integr Care       Date:  2021-03-16       Impact factor: 5.120

7.  Self-Reported Physical Function As a Predictor of Hospitalization in the Lifestyle Interventions and Independence for Elders Study.

Authors:  Kathryn E Callahan; Laura Lovato; Michael E Miller; Anthony P Marsh; Roger A Fielding; Thomas M Gill; Erik J Groessl; Jack Guralnik; Abby C King; Stephen B Kritchevsky; Mary M McDermott; Todd Manini; Anne B Newman; W Jack Rejeski
Journal:  J Am Geriatr Soc       Date:  2018-10-03       Impact factor: 5.562

8.  Progressive Multicomponent Intervention for Older Adults in Home Health Settings Following Acute Hospitalization: Randomized Clinical Trial Protocol.

Authors:  Jason R Falvey; Kathleen K Mangione; Amy Nordon-Craft; Ethan Cumbler; Kristine L Burrows; Jeri E Forster; Jennifer E Stevens-Lapsley
Journal:  Phys Ther       Date:  2019-09-01

9.  Gaps in Hospital and Skilled Nursing Facility Responsibilities During Transitions of Care: a Comparison of Hospital and SNF Clinicians' Perspectives.

Authors:  Patricia A Valverde; Roman Ayele; Chelsea Leonard; Ethan Cumbler; Rebecca Allyn; Robert E Burke
Journal:  J Gen Intern Med       Date:  2021-02-02       Impact factor: 6.473

10.  Can AM-PAC "6-Clicks" Inpatient Functional Assessment Scores Strengthen Hospital 30-Day Readmission Prevention Strategies?

Authors:  Scott M Arnold; James M Naessens; Kimberly McVeigh; Launia J White; James W Atchison; James Tompkins
Journal:  Cureus       Date:  2021-05-12
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