Raymond Hakim
Last active: 6/9/2014

RightReturn. Partnering to reduce the high rate of hospital readmission for dialysis-dependent patients.

Wingard RL, Chan KE, Hakim R
Nephrol News Issues. 2012 26 (3): 20-2

PMID: 22479972

The rate of rehospitalization is at a critical level. Twenty percent of all Medicare patients are rehospitalized within 30 days of discharge, and this rate is even higher (36%) for end-stage renal disease patients. Dialysis-dependent patients are commonly discharged from the hospital with a decline in various health measures (such as hemoglobin, albumin, and estimated dry weight) when compared to pre-hospital values, making the common response to resume previous orders" in the outpatient setting inadequate. Both quality of care and financial penalties by the Centers for Medicare & Medicaid Services have set the stage for partnerships between dialysis providers and hospitals to develop strategies to reduce readmissions for ESRD patients, and provide for the "RightReturn" to the outpatient setting with resumption of their daily lives at home in optimal health.

MeSH Terms (9)

Anemia Humans Kidney Failure, Chronic Outpatient Clinics, Hospital Patient Protection and Affordable Care Act Patient Readmission Program Evaluation Renal Dialysis Risk Factors

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