IDEAS home Printed from https://ideas.repec.org/a/bla/popmgt/v27y2018i12p2226-2250.html
   My bibliography  Save this article

Missed Opportunities in Preventing Hospital Readmissions: Redesigning Post‐Discharge Checkup Policies

Author

Listed:
  • Xiang Liu
  • Michael Hu
  • Jonathan E. Helm
  • Mariel S. Lavieri
  • Ted A. Skolarus

Abstract

Hospital readmissions affect hundreds of thousands of patients every year, negatively impacting patients and placing a tremendous burden on the national healthcare system. Post‐discharge checkup policies can reduce readmissions through early detection of health conditions, however, the methods behind designing effective checkup policies are poorly understood. Under current practice, up to 67% of readmitted patients return to the hospital before their first scheduled office visit. This work aims to develop effective checkup plans to monitor patients following hospital discharge, using a variety of checkup methods, including phone calls and office visits. We develop and analyze a new delay‐time analysis model to identify the optimal type and timing of checkups to implement post‐discharge monitoring plans. By analyzing the structure of optimal policies, we develop checkup schedules that can detect up to 43.7% more readmission‐causing conditions experienced by readmission‐bound patients. Further, we uncover simple rules of thumb that can help doctors design and improve monitoring plans even in the absence of advanced computer software or complex computations.

Suggested Citation

  • Xiang Liu & Michael Hu & Jonathan E. Helm & Mariel S. Lavieri & Ted A. Skolarus, 2018. "Missed Opportunities in Preventing Hospital Readmissions: Redesigning Post‐Discharge Checkup Policies," Production and Operations Management, Production and Operations Management Society, vol. 27(12), pages 2226-2250, December.
    • Handle: RePEc:bla:popmgt:v:27:y:2018:i:12:p:2226-2250
    DOI: 10.1111/poms.12858
    as

    Download full text from publisher

    File URL: https://doi.org/10.1111/poms.12858
    Download Restriction: no
    File URL: https://libkey.io/10.1111/poms.12858?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Onder, O. & Cook, W. & Kristal, M., 2022. "Does quality help the financial viability of hospitals? A data envelopment analysis approach," Socio-Economic Planning Sciences, Elsevier, vol. 79(C).
    2. Zhao, Heng & Liu, Zixian & Li, Mei & Liang, Lijun, 2022. "Optimal monitoring policies for chronic diseases under healthcare warranty," Socio-Economic Planning Sciences, Elsevier, vol. 84(C).
    3. Tinglong Dai & Kelly Gleason & Chao‐Wei Hwang & Patricia Davidson, 2021. "Heart analytics: Analytical modeling of cardiovascular care," Naval Research Logistics (NRL), John Wiley & Sons, vol. 68(1), pages 30-43, February.
    4. Cho, David D. & Stauffer, Jon M., 2022. "Tele-medicine question response service: Analysis of benefits and costs," Omega, Elsevier, vol. 111(C).
    5. Sun, Huan & Wang, Haiyan & Steffensen, Sonja, 2022. "Mechanism design of multi-strategy health insurance plans under asymmetric information," Omega, Elsevier, vol. 107(C).
    6. Ni Huang & Zhijun Yan & Haonan Yin, 2021. "Effects of Online–Offline Service Integration on e‐Healthcare Providers: A Quasi‐Natural Experiment," Production and Operations Management, Production and Operations Management Society, vol. 30(8), pages 2359-2378, August.
    7. Xiao Yu & Armagan Bayram, 2021. "Managing capacity for virtual and office appointments in chronic care," Health Care Management Science, Springer, vol. 24(4), pages 742-767, December.
    8. Liangfei Qiu & Subodha Kumar & Arun Sen & Atish P. Sinha, 2022. "Impact of the Hospital Readmission Reduction Program on hospital readmission and mortality: An economic analysis," Production and Operations Management, Production and Operations Management Society, vol. 31(5), pages 2341-2360, May.
    9. Chauhan, Ankur & Jakhar, Suresh Kumar & Jabbour, Charbel Jose Chiappetta, 2022. "Implications for sustainable healthcare operations in embracing telemedicine services during a pandemic," Technological Forecasting and Social Change, Elsevier, vol. 176(C).

    More about this item

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:bla:popmgt:v:27:y:2018:i:12:p:2226-2250. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    We have no bibliographic references for this item. You can help adding them by using this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Wiley Content Delivery (email available below). General contact details of provider: http://onlinelibrary.wiley.com/journal/10.1111/(ISSN)1937-5956 .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.