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Reducing the rate of avoidable readmissions

The current situation

Malnourished patients are significantly more likely than well-nourished patients to experience hospital readmissions.1-4

Collaborative leadership

How can you and your care team reduce the number of avoidable readmissions?

Collaborate with peer clinicians to identify patients at risk of readmissions and take an active role in nutritional care from admission through discharge.

  • 30-day readmission rates decreased from 16.5% to 7.1% after instituting of a comprehensive nutrition pathway from inpatient to post-discharge.5

Nutrition intervention

Rapid nutrition intervention is important to your patients’ recovery.

Nutrition care has been shown to improve patient outcomes:

  • Patients who received oral nutrition supplements in addition to dietary counseling experienced significantly fewer readmissions (26%), versus dietary counseling alone (48%).6
  • Patients who received oral nutrition supplements, in addition to food for 6 weeks, experienced significantly lower readmissions (29%), versus food alone (40%).7

Enhanced procedures

How can your hospital’s procedures be enhanced to help reduce avoidable readmissions?

  1. Recognize and diagnose all patients at risk of malnutrition
    • Identify patients at risk of readmission with facility-specific screening tools, like the Malnutrition Screening Tool.
    • Utilize and maximize your nutritional screening process to help identify patient targets.
  2. Rapidly implement nutrition interventions and continue monitoring your patients
    • Enhance standing orders to include automatic nutrition intervention for patients at risk of malnutrition.
    • Promote teamwork between nutrition services and nursing to educate patients on the benefits nutrition.
  3. Develop a discharge plan for patient nutrition care and education
    • Create a discharge plan that includes nutrition education and instructions.

Reducing the rate of avoidable readmissions PDF(395 KB)

Find out how nutrition can improve patient outcomes and reduce the incidence of falls, pressure ulcers and reduce infections.

1“Tackling Malnutrition: Oral Nutritional Supplements as an integrated part of patient and disease management in hospital and the community. A summary of the evidence base.” Medical Nutrition International Industry, July 2010.
2 Mudge A, et al. J Hosp Med. 2011;6:61-67.
3Friedmann J, et al. Am J Clin Nutr. 1997; 65:1714-1720.
4Vecchiarino P, et al. Heart Lung. 2004;33:301-307.
5Brugler Lm Jt Comm. J Qual Improv.1999;25:191-206.
6Norman K, et al. Clin Nutr. 2008;27:48-56.
7Gariballa S, et al. Am J Med. 2006;119:693-699.

 
 
 
 
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