Even the best acute management practices and discharge plan executions do not offset the factors that most often lead to readmission and the resulting impact on patient satisfaction. The three main reasons for readmission are:
AccessNurse focuses on the full range of outbound transitional care calls. As a physician founded and led company with the experience of more than 1 million outbound transitional care calls, we understand that readmission reduction and patient satisfaction are inseparable metrics. Our experience also tells us that calls made within 48 hours of discharge or a change in plan of treatment is the most effective in correcting patient misunderstandings, promoting risk management, reducing readmissions and increasing patient satisfaction.
Our clinical programs can be implemented for all discharges or high-risk only on a per-program basis.
48-Hour RN Calls – RN calls the discharged patient within 24 to 48 hours in order to review discharge care plan and assess patient satisfaction. Program can include:
Full 30 Day Program –
Our non-clinical programs can be implemented for all patients or just low risk discharge patients.
48-Hour PCR Calls:
A Patient Care Representative calls the post-discharge patient 24 to 48 hours post-hospital discharge to assess satisfaction. Program can include:
Our Post-Hospital Nurse Advice Line allows patients to reach out in the immediate post-discharge period if they have a question regarding the care plan or develop an untoward symptom.
Texas-Based Children's Practice
Midwest Family Care Clinic