Advancing SCI health care to avert rehospitalization.

MedStar author(s):
Citation: Journal of Spinal Cord Medicine. 38(6):696-9, 2015 Nov.PMID: 26507469Institution: MedStar Washington Hospital Center | MedStar Washington Hospital CenterDepartment: National Rehabilitation Network | Physical Medicine and RehabilitationForm of publication: Journal ArticleMedline article type(s): EditorialSubject headings: *Patient Readmission/sn [Statistics & Numerical Data] | *Quality of Health Care | *Spinal Cord Injuries/th [Therapy] | Humans | Spinal Cord Injuries/ep [Epidemiology] | Spinal Cord Injuries/rh [Rehabilitation]Year: 2015Local holdings: Available in print through MWHC library: 1999 - 2006ISSN:
  • 1079-0268
Name of journal: The journal of spinal cord medicineAbstract: This commentary reflects on the high rate of health care utilization among individuals with traumatic spinal cord injury (SCI) in the first year of injury as reported by Skelton et al. in the current issue of this journal. Commentary argues that the variation in risk-adjusted rehospitalization rates suggests that there is considerable opportunity for improvement. Authors note that we need better strategies to prevent the onset of the 3 conditions that drive most of the rehospitalization, namely, urinary tract infections, pneumonia, and pressure ulcers. Commentary also urges providers to rethink and reinvent the process of care in acute, rehabilitation, and post-discharge phases of care. It recommends that SCI centers take greater advantage data resources already available such as the National Spinal Cord Injury Database to openly share and compare center-to-center differences in practice and outcomes. It also urges SCI centers to reinvent their systems of care in ways being made possible under health care reform, especially systems that make all providers in a given episode of care-from acute to rehabilitation to post-discharge care, mutually and financially accountable for both outcomes and costs including emergency room use and rehospitalization.All authors: DeJong G, Groah SLFiscal year: FY2016Digital Object Identifier: Date added to catalog: 2016-09-07
Holdings
Item type Current library Collection Call number Status Date due Barcode
Journal Article MedStar Authors Catalog Article 26507469 Available 26507469

Available in print through MWHC library: 1999 - 2006

This commentary reflects on the high rate of health care utilization among individuals with traumatic spinal cord injury (SCI) in the first year of injury as reported by Skelton et al. in the current issue of this journal. Commentary argues that the variation in risk-adjusted rehospitalization rates suggests that there is considerable opportunity for improvement. Authors note that we need better strategies to prevent the onset of the 3 conditions that drive most of the rehospitalization, namely, urinary tract infections, pneumonia, and pressure ulcers. Commentary also urges providers to rethink and reinvent the process of care in acute, rehabilitation, and post-discharge phases of care. It recommends that SCI centers take greater advantage data resources already available such as the National Spinal Cord Injury Database to openly share and compare center-to-center differences in practice and outcomes. It also urges SCI centers to reinvent their systems of care in ways being made possible under health care reform, especially systems that make all providers in a given episode of care-from acute to rehabilitation to post-discharge care, mutually and financially accountable for both outcomes and costs including emergency room use and rehospitalization.

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