Post-acute care clinical teams are under increasing pressure to improve outcomes and reduce hospital readmissions. There are significant consequences to the bottom line and referral volume. But by far the most devastating effects are experienced by patients themselves who endure the extra trip to the hospital and often longer-term functional decline and higher mortality rates.
The key to preventing readmissions is detecting subtle changes in condition and intervening early. That enables the care team to treat patients in place and avoid the hospital. But identifying the relevant early signs and symptoms of risk for even the most common causes of hospital readmission is a challenge. Often, they are overlooked until they become acute.