Overview of Hospital Readmission Reduction Programs:
Relevance to Rehabilitation Providers

Presented by Kyle Ridgeway and Jason R. Falvey

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Video Runtime: 67 Minutes; Learning Assessment Time: 15 Minutes

Hospital readmissions have become an important patient, hospital, and health care issue. Ideal care transition models have been proposed but do not include rehabilitation therapists. Physical function is independently associated with hospital readmission risk, yet little evidence links rehabilitation to reduced readmissions. This overview course will frame the problem of hospital readmissions, present current care transition models, and then outline risk factors for readmissions. Lastly, we will propose how rehab professionals can fit into efforts to reduce readmissions and improve care transitions.

Meet your instructors

Kyle Ridgeway

Kyle J. Ridgeway, PT, DPT, CCS, is a board-certified clinical specialist in cardiovascular and pulmonary physical therapy (CCS). He received his Bachelor of Arts degree in Neuroscience from Pomona College in Claremont, CA and his Doctorate of Physical Therapy (DPT) degree from the University of Colorado, Anschutz Medical…

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Jason R. Falvey

Jason Falvey is a postdoctoral fellow at Yale University. His research training focuses on disability and recovery for older adults after acute hospitalization and how physical function contributes to hospital readmission risk. He received his PhD in rehabilitation science from the University of Colorado, Anschutz Medical…

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Chapters & learning objectives

Overview and Implication of Hospital Readmissions

1. Overview and Implication of Hospital Readmissions

This chapter provides the background information and explanation of hospital readmissions, regulatory considerations, financial considerations, and general problems.

Readmission Metrics

2. Readmission Metrics

This chapter is an overview of general readmissions metrics and Medicare target diagnoses.

Implications of Hospital Readmissions for Rehabilitation Professionals

3. Implications of Hospital Readmissions for Rehabilitation Professionals

This chapter describes the Hospital Readmission Reduction Program, current Medicare care bundling programs, and how rehabilitation plays a role.

Introduction to Care Transition Models

4. Introduction to Care Transition Models

This chapter is a presentation of current proposed transition models and programs and includes identification of potential general roles and contributions from rehabilitation professions.