Key result
An enhanced psychosocial assessment significantly reduced the number of readmissions in patients with COPD in the 90 days postintervention compared to their own historical controls.
Why the study?
Does enhanced psychosocial assessment reduce readmissions in patients with Chronic Obstructive Pulmonary Disease?
Observational (n=26)
Does enhanced psychosocial assessment reduce readmissions in patients with Chronic Obstructive Pulmonary Disease?
Enhanced psychosocial assessment may significantly reduce 90-day readmission rates in patients with COPD.
Answers are grounded in this paper and cite their sources.
May reduce COPD readmissions; leaves open need for randomized confirmation before practice change.
In 2015, the Patient Protection and Affordable Care Act of 2010 will mandate reduced Medicare reimbursements for hospitals with Chronic Obstructive Pulmonary Disease (COPD) readmissions that are higher than expected. Several studies identified social issues as a concern and possible contributor to readmissions. This study calculated readmission rates for patients with COPD following an enhanced psychosocial assessment. With 26 participants serving as their own historical controls, a paired t-test of the mean of admissions 90 days prior to the assessment and 90 days postassessment was conducted. The study group had a significantly lower number of readmissions in the 90 days postintervention.
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Owens et al. (2015) conducted an observational in Chronic Obstructive Pulmonary Disease (COPD) (n=26). Enhanced psychosocial assessment vs. Historical controls (90 days prior to assessment) was evaluated on Number of readmissions. An enhanced psychosocial assessment significantly reduced the number of readmissions in patients with COPD in the 90 days postintervention compared to their own historical controls.
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