This project used chart review to evaluate 22 patients labeled as “frequent fliers,” each with 4 to 8 readmissions over a 6-month period at a Michigan community hospital. The goal was to identify whether the 4 key elements identified by the Institute for Healthcare Improvement for reducing rehospitalization had been put into place for these patients. It found that a clear discharge plan was only documented for 15 (68%) of the 22 patients. Better coordinated care is warranted.
Department of Patient Safety & Quality (Ms Mulder), Battle Creek Health System, Battle Creek, Michigan; Department of Nursing (Dr Tzeng), School of Health Professions and Studies, The University of Michigan-Flint, Flint, Michigan; and Michigan Peer Review Organization (Ms Vecchioni), Farmington Hills, Michigan.
Correspondence: Huey-Ming Tzeng, PhD, RN, Department of Nursing, School of Health Professions and Studies, The University of Michigan-Flint, 303 E Kearsley St, 2180 WS White Bldg, Flint, MI 48502 (email@example.com).
The authors declare no conflict of interest.
Accepted for publication: June 20, 2011.
Published online before print: July 29, 2011.