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An investigation of quality improvement initiatives in decreasing the rate of avoidable 30-day, skilled nursing facility-to-hospital readmissions: a systematic review

Authors Mileski M, Topinka JB, Lee K, Brooks M, McNeil C, Jackson J

Received 28 September 2016

Accepted for publication 18 October 2016

Published 25 January 2017 Volume 2017:12 Pages 213—222

DOI https://doi.org/10.2147/CIA.S123362

Checked for plagiarism Yes

Review by Single-blind

Peer reviewers approved by Dr Colin Mak

Peer reviewer comments 2

Editor who approved publication: Dr Richard Walker


Michael Mileski, Joseph Baar Topinka, Kimberly Lee, Matthew Brooks, Christopher McNeil, Jenna Jackson

School of Health Administration, Texas State University, San Marcos, TX, USA

Objectives: The main objective was to investigate the applicability and effectiveness of quality improvement initiatives in decreasing the rate of avoidable 30-day, skilled nursing facility (SNF)-to-hospital readmissions.
Problem: The rate of rehospitalizations from SNF within 30 days of original discharge has increased within the last decade.
Setting: The research team participants conducted a literature review via Cumulative Index of Nursing and Allied Health Literature and PubMed to collect data about quality improvement implemented in SNFs.
Results: The most common facilitator was the incorporation of specialized staff. The most cited barriers were quality improvement tracking and implementation.
Conclusion: These strategy examples can be useful to acute care hospitals attempting to lower bounce back from subacute care providers and long-term care facilities seeking quality improvement initiatives to reduce hospital readmissions.

Keywords: readmissions, skilled nursing, quality improvement, hospital, finance, Medicare, transfers

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