Most healthcare facilities have been working on projects to reduce readmission rates because Medicare and some private payers no longer reimburse for certain patients who are re-hospitalized within 30 days.
The journal, Archives of Internal Medicine, finds that the number of people who die because of infections caused by hospitals in the U.S. is more than the number of people who die from AIDS, firearm shootings, and auto accidents. Additional ailments such as hospital-acquired pneumonia resulted in two extra weeks in the hospital, and in 11 percent of the pneumonia cases the patients did not survive. Those who have hospital stays are at increasing risk of contracting "superbugs" which are difficult to treat and, in some cases, trigger infections that ultimately cause the body’s organs to shut down. Kidney disease patients ought to be concerned about this because they are at higher risk of hospitalizations and readmissions. Find below ways to avoid continued hospital stays.
In order to avoid readmission to the hospital, and ESRD patient needs to plan well before going into the hospital.
- Investigate the readmittance statistics before entering the hospital.
- You may be weaker and need more assistance when you get out of the hospital than when you were admitted. Therefore, make sure you or your care provider has prepared appropriately, such as transportation, meals, washing clothes, bath as necessary, living accommodations.
Take affirmative steps for your recovery.
- Be a key player on your healthcare recovery team, and hold yourself accountable for the results.
- Be clear on follow up instructions, such as doctor's visits, lab tests, etc.
- Know your list of medications, especially any which added during your time at your hospital, make sure there is no conflict between them.
- On day of discharge, get a copy of discharge summary and read it. Ask questions to clarify those things that you do not understand.
Communicate with your healthcare team by phone, text, email, or in person at clinic.
- Keep a up-to-date diary about what has happened since discharge.
- Do not go to the emergency room unless there is an emergency. Otherwise, talk to your healthcare team first.