Naina Sinha Gregory1, Jane J Seley2,3, Savira Kochhar Dargar4, Naveen Galla5, Linda M Gerber6, Jennifer I Lee4. 1. Department of Medicine, Division of Endocrinology, Weill Cornell Medicine, 211 East 80th Street, New York, NY, 10075, USA. sinhana@med.cornell.edu. 2. Division of Nursing, NewYork-Presbyterian Hospital, New York, NY, USA. 3. Weill Cornell Medicine, 413 East 69 Street, Box 55 Baker Bldg., Room F2025, New York, NY, 10021, USA. 4. Department of Medicine, Division of General Internal Medicine, Weill Cornell Medicine, 1330 York Avenue, Baker F2020, New York, NY, 10065, USA. 5. Weill Cornell Medical College, 420 East 70th Street, Apt 7N1, New York, NY, 10021, USA. 6. Department of Healthcare Policy and Research, Weill Cornell Medical College, 402 East 67th Street, New York, NY, 10065, USA.
Abstract
PURPOSE OF REVIEW: Patients with diabetes are known to have higher 30-day readmission rates compared to the general inpatient population. A number of strategies have been shown to be effective in lowering readmission rates. RECENT FINDINGS: A review of the current literature revealed several strategies that have been associated with a decreased risk of readmission in high-risk patients with diabetes. These strategies include inpatient diabetes survival skills education and medication reconciliation prior to discharge to send the patient home with the "right" medications. Other key strategies include scheduling a follow-up phone call soon after discharge and an office visit to adjust the diabetes regimen. The authors identified the most successful strategies to reduce readmissions as well as some institutional barriers to following a transitional care program. Recent studies have identified risk factors in the diabetes population that are associated with an increased risk of readmission as well as interventions to lower this risk. A standardized transitional care program that focuses on providing interventions while reducing barriers to implementation can contribute to a decreased risk of readmission.
PURPOSE OF REVIEW: Patients with diabetes are known to have higher 30-day readmission rates compared to the general inpatient population. A number of strategies have been shown to be effective in lowering readmission rates. RECENT FINDINGS: A review of the current literature revealed several strategies that have been associated with a decreased risk of readmission in high-risk patients with diabetes. These strategies include inpatient diabetes survival skills education and medication reconciliation prior to discharge to send the patient home with the "right" medications. Other key strategies include scheduling a follow-up phone call soon after discharge and an office visit to adjust the diabetes regimen. The authors identified the most successful strategies to reduce readmissions as well as some institutional barriers to following a transitional care program. Recent studies have identified risk factors in the diabetes population that are associated with an increased risk of readmission as well as interventions to lower this risk. A standardized transitional care program that focuses on providing interventions while reducing barriers to implementation can contribute to a decreased risk of readmission.
Entities:
Keywords:
Discharge; Inpatient diabetes; Inpatient hyperglycemia; Readmission; Transitional care
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