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Robert Wood Johnson Foundation;
The U.S. health care system suffers from a chronic malady -- the revolving door syndrome at its hospitals. It is so bad that the federal government says one in five elderly patients is back in the hospital within 30 days of leaving.Some return trips are predictable elements of a treatment plan. Others are unplanned but difficult to prevent: patients go home, new and unexpected problems arise, and they require an immediate trip back to the hospital.
But many of these readmissions can and should be prevented. They are the result of a fragmented system of care that too often leaves discharged patients to their own devices, unable to follow instructions they didn't understand, and not taking medications or getting the necessary follow-up care.
The federal government has pegged the cost of readmissions for Medicare patients alone at $26 billion annually, and says more than $17 billion of it pays for return trips that need not happen if patients get the right care. This is one reason the Centers for Medicare & Medicaid Services has identified avoidable readmissions as one of the leading problems facing the U.S. health care system and now penalizes hospitals with high rates of readmissions for their heart failure, heart attack, and pneumonia patients.
This report is being released in conjunction with the Robert Wood John Foundation's Care About Your Care initiative, which is devoted to improving care transitions when people leave the hospital. It looks at the issue of readmissions in two ways: by the numbers and through the eyes of the people who live them.
John J. Heldrich Center for Workforce Development;
This PowerPoint deck was presented by Kathy Krepcio, executive director of the Heldrich Center, at the International Public Management Association for Human Resources - Eastern Region's conference, "Human Capital at the Capitol: Achieving Monumental Results." The conference was held in Washington, D.C. on June 20, 2006.
Robert Wood Johnson Foundation;
Summarizes findings from a June 2006 survey on Americans' views on government support for legal immigrant children and foster children, issues of community violence, and long-term care services, costs, and long-term care insurance.
Outlines the Community Living Assistance Services and Supports (CLASS) Act, which would create a voluntary national long-term care insurance program. Reviews public insurance programs in Europe and Japan and highlights lessons for U.S. policy makers.
Migrants play an increasingly significant role in caring for the elderly due to a growing number of older people and declining domestic labour supplies, according to this report in the IOM Migration Research Series. It examines the demand for migrant care workers; compares the experiences of migrants, employers and older people; and presents recommendations for addressing the increasing significance of elder care and its implications for migrant labour.
California HealthCare Foundation;
Examines trends among seniors, long-term care systems, and policy. Profiles innovative models that provide services to support the economic security, adequate and affordable housing, and access to health care needed for aging within the community.
Dartmouth Atlas Project;
Analyzes patterns in underuse or overuse of joint replacements among Medicare beneficiaries by geographic regions and race/ethnicity. Explores underlying factors and highlights the need for physician and patient education and shared decision making.
UCLA Center for Health Policy Research;
Analyzes trends in the health status and use of preventive services among Californians age 65 and over by race/ethnicity, insurance type, and region. Reports rises in doctor visits and in cancer, diabetes, high cholesterol, obesity, and other illnesses.
Pew Center on the States;
Ranks states by funding levels for pension, healthcare, and other public sector retirement benefits; unfunded liabilities; and contributions as of the end of fiscal year 2008. Examines factors behind the underfunding and policy reform efforts.
Provides an overview of current policy and program environments that affect the state's most vulnerable elder population, and considers some effective strategies to address the growing needs of older persons in California.
Pew Internet & American Life Project;
Presents findings from a survey of 26,094 adults, conducted between March and December 2000. Explores what motivates seniors to go online, what they do when they get Internet access, and how they have benefited from the resources available online.
International Longevity Center-USA;
In this paper, Dr. Ibe addresses some of the problems confronting Japan today, among them pensions, long-term care, housing policies and the legal system. Of surprise to a reader from the West who may assume that Asia is still under the influence of Confucian rules of filial duty is Dr. Ibe's contention that "there is almost no continuity of values between the old and young." He is particularly concerned about the decline in births, and what he regards as the loss of "self confidence" on the part of Japanese men.