Excessive avoidable readmission rates have forced Medicare to implement
the readmissions reduction program due to a reported spending rate of
$17.8 billion a year on readmissions that could have been avoided. A fragmented
health care system and lack of communication has left discharged patients
confused about follow-up care, medications, and financial resources leading
to unnecessary hospital readmissions and deterioration of their disease
processes. Hospitals are actively seeking ways to reduce readmissions
in order to not only avoid penalties, but improve patient care.
Recently, the Transition Care Team at Covenant Health Plainview –
a team of front line nurses -developed a program to address the hospital’s
readmission rate. Patients with conditions that often lead to hospital
readmission were asked to be a part of the transition care program, at
no charge. Upon discharge from the hospital, these patients were visited
at home/care facility by their nursing team (the same nurses the patients
see on the floor) for the sole purpose of education and encouraging follow-up
with their physician. During these follow-ups, nurses educate further
on the disease process, medications, and resources available for their
long-term health and recovery.
Covenant Health Plainview has seen outstanding results with this program
and was selected by Premier, Inc. to present this program at the upcoming
Annual Breakthroughs Conference in Washington, DC. “Our front line
staff are passionate, highly-skilled, forward-thinkers and are excited
to be on the forefront of patient care nation-wide. This speaks volumes
for the care that we provide here at Covenant Health Plainview,”
said Leslie Hackett, CNO, Covenant Health Plainview.
Premier, Inc. (Nasdaq: PINC) is a healthcare performance improvement alliance
of approximately 3,600 U.S. hospitals and 120,000 other providers whose
mission is simple: To improve the health of communities. As an industry
leader, the Premier alliance has created one of the most comprehensive
databases of actionable data, best practices and cost reduction strategies.
Named one of the World’s Most Ethical Companies (https://www.premierinc.com/premier-named-worlds-ethical-company-eighth-year/)
8 years in a row, Premier is well-equipped to transform the future of
To learn more about this program and Covenant Health Plainview, please visit