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Readmissions Project

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Improving Community Health Through Reducing Hospital Readmissions

Reducing preventable hospital readmissions is a powerful tool in our work improving health and wellness in communities throughout Alice Hyde’s service area. Hospital readmissions can have multiple causes – from patients being discharged into a situation where they do not have the resources or support to continue their recovery, to worsening health conditions that result from inadequate support, supervision or follow-up for managing chronic conditions.

Hospitals can only control some aspects of a patient’s recovery, but Alice Hyde is committed to providing patients with resources, tools and support to help them manage their conditions and improve their health and wellness after being discharged from the hospital.

Congestive Heart Failure

Heart failure is one of the most common causes of hospitalization in the United States. Many patients also find themselves back in the hospital within 30 days of their initial visit, for the same medical problem.

The biggest period of vulnerability for heart failure patients is the first 30 days after their initial discharge. Alice Hyde’s Readmissions Project focuses on using multiple strategies to address issues proactively and prevent serious problems from developing after a patient’s discharge.

Improving Patient Education

Congestive Heart Failure Zone Guide

Improved patient education is one of the most important and impactful ways to help heart failure patients improve their health and wellness. In addition to using teach-back techniques and video tools to help patients understand discharge instructions across a wide variety of topics, our clinical team takes the time to connect with patients, understand their motivations and challenge , and engage them in creating a health and wellness plan that works for them.