OldandSick

Do you have a program that is helping to limit re-hospitalizations? We want to hear from you.

We would like to hear about it. This is the place to tell your stories about a home care patient’s return to the hospital, especially one that you were powerless to prevent.

I have heard stories about patients being hospitalized for reasons that were completely beyond the control of their home care provider, sometimes completely unnecessary. But the provider is dinged for it anyway.

I want to hear these stories, publish them, use them to increase the industry’s insight and awareness and help everyone out. Naturally, we need you to leave out your name and everything that might identify your patient. Address your story to tim@homecareful.com.

In coming issues, we will expand on this service to include other stories. The more the experience shocked you, the more helpful it will be to tell it to the entire industry.

  • Have you had medications stolen from your patients?
  • Have you had patients neglected?
  • Have you had family members do insane things?
  • Have you had physicians who wanted to increase hospital census?
  • Have you had physicians ignore your warnings?
  • Have you had hospitals discharge inappropriate patients?

All of these things, and worse, are happening to patients every day. We need your help to compile a list of the ways in which others make it difficult for you to do what you do best, care for patients.

CMS and government planners might not get around to your neck of the woods very often. Sometimes it seems as though the only way they know what you do is through cold, raw numbers. By cataloging the hospitalization reasons you experience every day, perhaps someone in Washington or Baltimore will understand your world better as they calculate your outcomes.

The door to the Homecareful website is open. Use it! Tell Tim about a few of your hospitalizations that were going to happen no matter what you did. We are all in this together.

One Response to “Have you had an unpreventable hospitalization?”

  1. chinmanrn Says:

    We occasionally have unplanned hospitalizations, as do all agencies I’m sure. The latest one happened just today. Hospital discharged the patient yesterday evening. She was not therapeutic on her Coumadin yet and they did not administer any Coumadin before she left the hospital nor did they give her one to take that night in case she didn’t get any medications filled until the next day. She arrived home in the evening, after the pharmacy was closed. When the nurse went out this morning to admit her, her O2 sats were 81% on room air and the doctor suggested that due to the 2 hour car ride home, not being therapeutic on the coumadin and with her sats so low, she had to go to the ER to be evaluated for a PE. Sure enough, she is admitted to the hospital with a PE. Luckily for the agency, we had not gotten the admission done, so we will have to hold off now until she gets discharged. But the patient and her insurance company have alot to go through now!

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