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Pneumonia 30 Day Readmissions (Individual Level (Comorbidities, Age,…
Pneumonia
30 Day Readmissions
Community Level
Geographic location
Distance to travel
Relationships
PCP
Pharmacy
Hospital
Transportation
Access to Care
Support groups
Public Policy
Center for Medicare and Medicaid Services
Hospital Readmission Reduction Program HRRP
Financial Penalty
Lack of support
Government Healthcare Legislation
Organizational Level
Evidence based treatment guidlelines
Patients clinical stability at discharge
Teaching status of hospital
Antimicrobial stewardship policy
Hospital Discharge
Type of unit admitted to
Ability to ask questions
Instructions easy to read and understand
Established care transition
Social work/Case management
Interpersonal Level
Patient - Care transition coordinator relationship
Social Support
Family Support
Identified Variables affecting Readmission
(Emory Midtown Hospital)
CHF Diagnosis
COPD Diagnosis
CTC Phone Time (min)
Discharge Disposition
30 Day Readmission
Individual Level
Comorbidities
Age
Health Literacy
Compliance
Sex
Personal beliefs
Religion
Educational level