Analytics Seems To Be Making a Big Difference In This Situation.

This report appeared a little while ago.

Analytics help hospital cut readmissions by 25%

June 28, 2013 | By Susan D. Hall
El Camino Hospital in California reduced readmissions by 25 percent through the use of predictive analytics and videoconferencing with nursing home staff who care for the most high-risk patients, according to a newly published case study by the College of Healthcare Information Management Executives.
The 443-bed hospital based in Mountain View, Calif., identified 25 characteristics that could help predict whether readmission would be likely and grouped patients by low, medium or high risk. Those factors included the patient's age; where the patient was to be placed after discharge; five diagnoses (congestive heart failure, pneumonia, stroke, sepsis and renal failure); and whether the patient's primary care physician (PCP) was identified in the record.
Based on that information, a banner appeared across the top of the screen on records of high-risk patients to alert everyone involved in their care, allowing them to intervene early and plan accordingly.
What's more, according to the case study, when patients were discharged to nursing homes, weekly telepresense sessions allowed staff to exchange patient information.
More with reference etc. here:
There is another useful report here:

El Camino slashes hospital readmissions

Posted on Jun 28, 2013
By Erin McCann, Associate Editor
New telehealth and data analytics initiatives at a Silicon Valley-based hospital aimed at significantly curbing readmissions rates have already helped effect a 25 percent decrease in hospital readmissions.
Officials at the 433-bed El Camino Hospital in Mountain View, Calif. — the subject of a recent CHIME case study — decided to tap into hospital data and create a readmissions rate formula identifying which patients were considered high-risk for the metric. By utilizing both care transition teams and its year-old telehealth program connecting the hospital with long-term facilities, providers are able to follow up with high risk patients who normally would be readmitted to the hospital. 
The Centers for Medicare and Medicaid Services estimate that 30-day readmissions rates for Medicare beneficiaries are nearly 20 percent, with a price tag of some $17.5 billion. For many hospital and health systems, these numbers are also significant. 
Lots more here:
El Camino is a very technologically advanced hospital and one of the places where one would expect technology to be able to demonstrated to make a difference - and so it seems.
Silicon Valley strikes again.
Good stuff.
David.

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