According to researchers, a better work environment and improved staffing levels for nurses could lead to fewer hospital readmissions for patients suffering from common health problems such as heart failure, heart attack, and pneumonia.
A study funded by the Robert Wood Johnson Foundation used nurse survey data and patient discharge data from California, New Jersey, and Pennsylvania to determine the relationship between hospital readmissions and factors such as the workload, environment, and education levels of the nursing staff. Data was collected from 412 hospitals whose work conditions were then categorized as either good, poor, or mixed.
The researchers found that hospitals with good working conditions experienced a reduction in 30-day readmissions for patients with heart failure (7 percent), heart attack (6 percent), and pneumonia (10 percent). The data also showed that patients’ care suffered when the nursing staff was spread thin. For each additional patient added to a nurse's workload, the probability of readmission rose by 9 percent for heart attack, 7 percent for heart failure and 6 percent for pneumonia. Highly educated nursing staffs were associated with a 3 percent reduction in readmissions for pneumonia patients, but had no effect on patients suffering from heart conditions.
The study will prove invaluable to hospital administrators, with new provisions of the Affordable Care Act penalizing hospitals for preventable readmissions of Medicare patients. “Our findings indicate that improving nurses’ work environments and reducing their workloads can reduce readmissions for Medicare patients with common conditions,” said lead researcher Matthew McHugh, PhD. “It is certainly worthwhile for hospital administrators to examine these two factors and explore whether they can be optimized to improve patient outcomes and reduce readmissions.”Is your community finding ways to help hospitals reduce readmissions? Submit your program for the ALFA 2013 Best of the Best Awards.
Read the article: New Study Shows Improving Nurses’ Work Environments and Staffing Ratios Can Reduce Hospital Readmissions for Medicare Patients or purchase the full study: Hospital Nursing and 30-Day Readmissions Among Medicare Patients With Heart Failure, Acute Myocardial Infarction, and Pneumonia.
Engage, Facts and Figures, Health and Wellness, Memory Care Best Practices and Research, Memory Care Education, News, Research
Eli Lilly has worked for nearly 30 years on drugs for Alzheimer’s disease by focusing on a protein called tau but is changing its tactics in hopes for...
Facts and Figures, Falls Prevention, Health and Wellness, Managed Risk, Research
Seventy-year-old women are at a greater risk of falling compared to men, according to new research published in the Journal of Post-Acute and Long-Ter...
CEO, cheatsheet, Clinical Quality and Quality Care Delivery, End of Life, Facts and Figures, Health and Wellness, Health Care, Medicare, Research, Wellness Program
The new Medicare system for reimbursing providers outlined in the Medicare Access and CHIP Reauthorization Act, or MACRA, may not adequately reward go...
ALFA, Engage, Memory Care Best Practices and Research
Argentum’s Memory Care Executive Peer Group with the support of MatrixCare has commissioned a new project to recognize innovations improving resident ...
Advocacy, Choice, Clinical Quality and Quality Care Delivery, Core Principles, Dignity, Independence, Quality of Life, Regulations, Regulatory Compliance
Argentum launched the first phase of professional standards for operators of senior living communities this year and is looking to identify more compr...