Michael A. Evans, BS, RPh, discusses potential strategies to help prevent unnecessary hospital readmissions and decrease overall length of stay for patients being discharged on anticoagulant therapy.
Educating the patient about his or her treatment, ensuring that the patient fills their prescription, and then following up with the patient to assess whether they are taking the prescription as directed and not experiencing any side effects are all important strategies, says Mr Evans.
During follow-up care, which team members will be involved in ensuring that a patient is adherent to his or her treatment will depend on the structure of the health system where the patient is receiving care, Mr Evans adds. For instance, explains Mr Evans, in a closed health system (ie, managed care organization), follow-up may be performed by a care manager, nurse, or pharmacist. However, if the patient is being released from a fee-for-service institution, the hospital or acute care facility would need to communicate with an ambulatory care team. Then, the ambulatory care team would be responsible for reaching out to the patient.
Mr Evans also explains why patients treated with warfarin may experience longer lengths of stay in a hospital setting prior to discharge and suggests that hospitals that have strong ambulatory care transition programs can release patients sooner. Mr Evans further notes that direct-acting oral anticoagulants can help decrease overall length of stay because unlike with warfarin, no bridging therapy is necessary.
Oncology Onward: A Conversation With Thyme Care CEO and Cofounder Robin Shah
October 2nd 2023Robin Shah, CEO of Thyme Care, which he founded in 2020 with Bobby Green, MD, president and chief medical officer, joins hosts Emeline Aviki, MD, MBA, and Stephen Schleicher, MD, MBA, to discuss his evolution as an entrepreneur in oncology care innovation and his goal of positively changing how patients experience the cancer system.
Listen
CMS' 340B Repayment Proposal May Harm Vulnerable Hospitals, Reward Those With Higher Revenues
April 26th 2024The 340B hospitals not receiving an offsetting lump-sum payment from CMS following 2018-2022 cuts later ruled unlawful are disproportionately rural, publicly owned, and nonacademic, according to a new study.
Read More
The Federal Trade Commission's (FTC's) vote to ban most employers from issuing and enforcing noncompete clauses could have varying impacts on the health care workforce; federal regulators vastly under-enforced antitrust laws in the hospital sector during the last 2 decades, resulting in increased health costs; the FDA recently found genetic evidence of the H5N1 bird flu virus in pasteurized commercially purchased milk.
Read More
What We’re Reading: Abortion Privacy Rules; Alzheimer Drug Hurdles; Nursing Home Staffing Overhaul
April 23rd 2024New health privacy rules aim to protect patients and providers in an evolving abortion landscape; some physicians express concerns about efficacy, risks, and entrenched beliefs in treating Alzheimer disease; CMS addresses longstanding staffing deficits in nursing homes.
Read More