the policy focus on readmissions has motivated widespread efforts by hospitals and outpatient providers to evaluate and reengineer care processes. Many adult studies demonstrate a link between successful initiatives to improve quality and reductions in readmissions" (Nakamura et al
By simply checking for correct medication dosage, correct dosing frequency, and correct medication during and between these transition points, medication reconciliation will be improved. There are five essential steps to medication reconciliation: "determining a current list of medications, developing a listing of medications to be prescribed, comparing the two lists, making clinical decisions based on the two lists, and finalizing and communicating the list of medications to the patient and other clinicians" (Weber & Moffatt-Bruce, 2014, p
The model directs that both research and non-research evidence form the basis for clinical decision-making. The model also illustrates that internal and external factors must be considered before practice can be changed" (Buchko & Robinson, 2012)
A 2014 study details the benefits of using such an approach as it relates to patients over 65 with multiple co morbidities. "The activities led by an Advanced Practice Nurse, rather than a general nurse, conducting individualized education with a cognitive behavioral approach, were able to provide positive clinical and patient outcomes" (Chow & Wong, 2014, p
These are things that comprise the whole of transitional care. Certain illnesses affecting the heart and renal system are more likely to cause readmission in geriatric patients (Franchi et al
2257). Another article from 2013, states that perhaps the problems do not solely lie within lack of patient education, but also low-quality transitional care (Mudge, Shakhovskoy, & Karrasch, 2013)
Recognition of high-risk patients and medication adherence is crucial. Patients that have a habit of not taking their medications can also lead to a higher likelihood for re-admittance (Olson, Dey, Kumar, Monsen, & Westra, 2016)
Unplanned readmissions, at a cost of USD $17.4 billion, accounted for 17% of total hospital payments from Medicare in 2004" (Uptodate, 2016)