MESSAGE OF THE DAY:
A “simple” complex plan is reducing readmissions at Wythe County Community Hospital. Care teams review data to determine which patients keep returning to WCCH within 30 days of discharge – and frequently visiting the ED – and developed the “15 Families Initiative.” Before discharging identified patients, care providers meet with patient and family to discuss the patient’s condition, medical history and care plan. Family members learn how to help provide care, but working with patients one-on-one is key. After discharge, Wythe’s director of patient education follows up by phone, tailoring information to each patient’s and family’s needs. Using the teach-back method they are able to intercept issues and give patients the tools they need to control disease processes at home. WCCH’s hospital-wide readmission rate was 6.8% in 2012 and is down to 4.7% to date in 2013.