Title

Health Care Transitions And The Aging Population: A Framework For Measuring The Value Of Rapid Rehabilitation

Keywords

Aging; health care transitions; rapid rehabilitation

Abstract

A study was undertaken to establish a framework to measure the value of rapid rehabilitation and identify indicators to quantify effective outcomes and efficient processes as health care services are delivered to the aging population across providers, services, and settings. The rapid rehabilitation protocol serving as intervention in this research provides patients (≥65 years old) the option to transition from the acute-care hospital, early in the continuum of care, to an outpatient, skilled nursing facility operated by a division of the hospital organization. A quasi-experimental, cross-sectional, retrospective study is designed to identify and quantify the relationships present in processes and outcomes inherent in health care transitions. Statistical analysis yields unexpected relationships with limited explanatory power for the selected indicators: length of stay, cost of care, discharge delays, 30-day readmissions, falls, and patient satisfaction. However, this research finds 4 imperatives for hospital and clinical leadership: (1) increase collaboration across providers, settings, and stakeholders; (2) educate workforce to optimize risk assessment of aging population; (3) standardize critical to quality measures as scientific foundation for management of services; (4) invest in technologies to ensure the integrity, validity, and reliability of information used to draw inferences about services, risk, and performance. Copyright © 2011 Wolters Kluwer Health | Lippincott Williams & Wilkins.

Publication Date

4-1-2011

Publication Title

Health Care Manager

Volume

30

Issue

2

Number of Pages

96-117

Document Type

Article

Personal Identifier

scopus

DOI Link

https://doi.org/10.1097/HCM.0b013e318216ed89

Socpus ID

79955670542 (Scopus)

Source API URL

https://api.elsevier.com/content/abstract/scopus_id/79955670542

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