Reduction in readmissions in less than 31 days post discharge
Nationally recognized
"Heart 100" hospital
400-bed, close-in suburb of Chicago, IL
100%
Reduction in returns to the ER in less than 31 days post discharge
8 hour
reduction in length of stay on readmit
ANNUAL PROJECTIONS
Control group = 394
13.2%
readmission rate
52
readmissions per year
3.1%
return to the ER
12
returns to the ER per year
6.86
days LOS on readmit
6.86
days LOS on readmit
SelfCareKitTM group = 23
8.7%
readmission rate
34
readmissions per year
0%
returns to the ER
0
0 returns to the ER
6.50
days LOS on readmit
6.50
days LOS on readmit
Control Group is retrospective data, 2001. SelfCareKitTM Group is one quarter, 2002.
Selection criteria: patients discharged to home or home care weighing 300 pounds or less.
Data collected from medical records. Readmitted patients discharged with DRG 127.
HIGHLIGHTS: SelfCareKitTM rose to the challenge of improving outcomes at a Heart 100 Hospital:
in fact SelfCareKitTM achieved a remarkable improvement.
This hospital had thought its readmission rate was much lower prior to collecting
the "before" data. Hospitals seldom review ER returns and readmissions for quality
improvement but instead assume a lower rate of recidivism than is actually the case.
Even when numbers are genuinely low, cost savings can be surprisingly high.
In the case of the hospital that did this project, SelfCareKitTM reduced the length of
stay by .36 of a day. The Chief Nursing Officer said, "That is more than eight
hours of time eliminated. You just saved me money!"