Sea Crest is utilizing our expertise in home health care to utilize a program designed to help health care providers decrease avoidable hospital readmissions and other adverse medical events while improving patient satisfaction in their care.
Studies show that home health care is effective at reducing hospital lengths of stay, lowering costs and improving patient satisfaction. Research also suggests that if corrective measures are instituted earlier and more effectively, 20-30 percent of hospital readmissions are preventable and another 30 percent ameliorable. According to recent studies, readmissions occur more often with certain diagnoses and procedures, and are frequently caused by:
- Medication errors – Patient lacks instruction on new prescription or has difficulty getting it filled, or the new prescription may interfere with existing medication.
- Discharge planning deficiencies – Patient receives little or no information on how to achieve a successful recovery and/or does not schedule a follow-up appointment with their physician.
- Inadequate arrangements – Family members or caregivers are uninformed or unable to provide the necessary care for transitioning the patient from the hospital to the home.
- Physician Communication – failure to follow up with primary care physician.
Sea Crest can help mitigate these issues by coordinating appropriate and timely home health interventions through our readmission reduction program. Our program has been developed with guidance from industry recognized leaders in the area of Hospital readmission prevention. The program utilizes proven strategies to identify and mitigate risk factors which may result in a hospital readmission. Studies reveal that improvements in discharge planning or new business models that apply interventions before, during and after discharge can improve member safety, and save the health care system upwards of $30-40 billion per year.
Sea Crest identifies patients as high risk for adverse medical events which could lead to rehospitalization. Sea Crest will then enroll them into structured care plans that are delivered face-to-face in the home. Sea Crest leverages our expertise in home healthcare management to partner with our health care providers to identify patients at risk for an adverse outcome and intervene to eliminate or reduce that risk. In doing so, we help lower hospital spending and deliver improved patient outcomes over current medical management programs. With our readmission reduction model Sea Crest is uniquely positioned to assist health care providers with reducing hospital readmissions and adverse medical events through our new program.
Medication Management Program
Unsafe medication usage among patients, especially the elderly, is one of the leading contributors to hospital readmissions. Sea Crest has integrated a specialized medication management software to assist patients in maintaining safe and effective medication administration practices at home. Along with a teaching regimen and medication box preparation program participants will be better able to manage new medications at home.
Nightly tuck-in call for program participants
Sea Crest added a telephone follow up component to the Readmission Reduction program in which a nurses specialist monitors a patient daily by phone on a routine follow up schedule during his/her entire length of stay with home care.
Rapid Response Referral for the Emergency Department
Sea Crest allows for the convenience of the home care rapid referral process allowing staff to expedite requests for home care services during the evening and overnight hours. For patients who visit the Emergency Department and present with symptoms that are not appropriate for observation and do not meet hospital admission criteria, ER staff can fax the designated referral from directly to Sea Crest. They can be confident the patient will be discharged home knowing he/she will be contacted the next morning to arrange for a home care assessment. The patient’s primary care physician also receives notification and verifies orders.