Short Stay Discharges

APRIL 2016 - As promised, over the next few weeks, I will be taking a closer look at each of the 6 new metrics that will soon be affecting the QI/QM component of the 5 Star Rating on Nursing Home Compare. Many will agree that a successful return to the community could be considered the most important outcome associated with NF care. So let’s start there.

Percentage of short-stay residents who were successfully discharged to the community.

Who are we looking at?
• Short stay= less than or equal to 100 days
• Includes only those who were admitted to the NF following an inpatient hospitalization
• Excludes Medicare Advantage enrollees, those who were in a NF prior to the start of the stay, and those who enroll in hospice during the observation period

What constitutes a successful discharge?
• The beneficiary was not hospitalized (inpatient or observation stay), readmitted to NF, and did not die in the 30 days after discharge

As most of you know, hospitals have already been dealing with readmission penalties for the last few years. As a result, study upon study has been done on the topic and they’ve identified that adverse medication events are at the very core of the readmission problem.

Luckily for you, GrandView Pharmacy already has a system in place to ensure the best chance at a successful return to the community for your residents. Our transition of care program, IMPACT (Integrated Management for Post-Acute Care Transitions), is designed to reduce hospitalizations. Studies have shown that systematic problems in care transitions are at the root of most adverse events that arise after discharge.

GrandView Pharmacy makes the discharge process seamless by utilizing a Care Coordinator to manage the various stages of transition. We coordinate the discharge date, home assessment, and physician orders with your facility, as well as deliver medications and medical equipment to the nurses’ station prior to discharge. We then connect the resident with one of our Certified Geriatric Pharmacists, through a personal one-on-one phone call, in order to provide education or answer any questions they may have. If the resident is diabetic, we will set up an appointment with one of our Certified Diabetic Educators.

In addition to 24/7 pharmacist access, the resident will receive follow up calls from a Care Coordinator at 3 days, 14 days and 28 days post discharge. This process helps to ensure that patients are not readmitted to the hospital and allows the facility to better focus on the other many components of the 5 Star Rating System. If this sounds like a win-win to you, you can visit grandrx.com to learn more about our unique IMPACT program, or call your GV Account Manager. They can get your facility enrolled in this program today. If you are not a current GV customer and think we could be a good fit, please feel free to contact me directly. Mel Green and I will come out and assess your current processes to see if we could be a solution for you.

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