Patients of healthcare facilities often undergo transfer to various multiple care sites. Many a times, such transfers lead to the adverse outcomes for organizations and patients involving hospitalization. This intensifies the apprehension for hospitals and the facilities of acute care, in the procedure of regulating the shifts of industry from value-based to fee-based models of reimbursements.

On giving the pressures, timing is not good for hospitals and long-term post-acute care providers to take part to assist in improving care coordination, patient experience, patient outcome and care delivery. Many organizations approve the common goals finding the correct path.

1. Assess Referral Patterns

Program of Hospital Readmissions Reduction (HRR) started in hospitals with high rates of Medicare readmissions are becoming financially penalized. However, idea behind the program is hospitals are taking care of patients not sending to post-acute environment impulsively. If patient discharging the hospital are healed properly or educating for maintaining the care and probable to witness recurrence or readmit.

However, the Medicare case reimbursement is at risk and hospitals are paying close attention on patients after leaving the walls of hospital. For acute facilities, HRR encourage the change in procedures. Hospitals are referring the patient to LTPAC organization in the geographic area.

2. Create strategic relationships

It is predictable that after hospitalization, many patients wish to go home. It’s the first choice that inclines to be the affordable option for person. Progressively, hospitals are paying close attention to the characteristics of patient to recognize if the patient should go home, or patient will serve on going to inpatient rehabilitation facility, and receive huge rehabilitation services or skilled nursing facility on receiving the nursing care.

The decisions might be hard for hospitals, specifically inadequate information regarding the discharge of patient. The facilities have experience in dealing with patients needing rehabilitative services and assist in guiding and recommending patients for the venue of care.

However, on seeing more and more facilities of LTPAC do not provide venue of care with various offerings like skilled nursing and home care for patient. This proves that the leader of hospital communicates with the allied LTPAC facilities for discussing patient to home care, skilled nursing or inpatient rehab, where LTPAC provider is able to give recommendation for patient with other facilities.

3. Recognize barriers for communication

According to American Recovery and Reinvestment Act, providers of healthcare are essential to accept the ‘meaning use’ of electronic health records.

As there is no electronic communication in hospital and the LTPAC facilities, it opens the door to various issues. However, the crucial information regarding the patient like allergies or medication dosages is left to manual entry, not immune to human error.

4. Enhance lower expenses and patient care

Enhancing the patient care coming down to main things: making sure that patient is changing to care facility after discharging from hospital and assists patient in avoiding unnecessary hospitalization.

5. Influence Technology

The developing networks like CommonWell simplify the transfer of information in the venues of care at national level. However, the information has potential to bilaterally flow in care venues and reconcile the medical record of patient.