Assessment of Readmission in a Rural Medical Center

Authors

  • Jennifer A Mallow School of Nursing, West Virginia University
  • Andrea Bailey School of Nursing, West Virginia University
  • Karen E. Clark School of Medicine, West Virginia University
  • Laurie Theeke School of Nursing, West Virginia University

DOI:

https://doi.org/10.14574/ojrnhc.v20i2.615

Keywords:

hospital readmission, care transitions, health disparities, social determinants of health, risk stratification

Abstract

Understanding and predicting hospital readmission has been of interest for more than three decades. To strategically place readmission reduction resources where most beneficial, organizations use readmission risk-stratification tools. However, common tools used to assess 30-day risk do not incorporate health disparity and it is unknown how modifying currently validated tools affects their predictive value. The aims of this retrospective study were to describe the population of people who are admitted and re-admitted for hospital care in a rural population and examine the effectiveness of a common risk satisfaction tool to predict 30-day readmission in a rural population experiencing health disparities. This retrospective cohort study examined data from de-identified Electronic Health Record and included adult patients admitted to one general medicine service. The factors identified in this study that influence readmission are also identified in the literature and include number of co-morbid conditions and insurance status.

DOI:  http://doi.org/10.14574/ojrnhc.v20i2.615 

Author Biographies

Jennifer A Mallow, School of Nursing, West Virginia University

PhD, FNP-BC

WVCTSI Scholar, Assistant Professor

Andrea Bailey, School of Nursing, West Virginia University

MSN, FNP-BC

Clinical Instructor and Transitional Care Coordination Team Program Consultant

Karen E. Clark, School of Medicine, West Virginia University

MD, FACP

Professor, Chief, and Medical Director of Care Management

Laurie Theeke, School of Nursing, West Virginia University

PhD, FNP-BC, GCNS-BC, FAAN

Professor and PhD Program Director

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Published

2020-12-11