Decreased Rehospitalization Costs Through Intermittent Nursing Visits to Nursing Home Patients

Effects of a Care Protocol on Care Outcomes in Older Nursing Home Patients with Chronic Obstructive Pulmonary Disease

“…The positive benefits of augmenting care in these homes by using nurses as advisors to the home staff have been documented in the literature. These benefits include reducing admissions to hospitals, reducing emergency room usage, and improving patients' ability to perform activities of daily living 20–22 . Nursing therapies such as hydration and nutritional care have also been beneficial.…”

“…These benefits include reducing admissions to hospitals, reducing emergency room usage, and improving patients' ability to perform activities of daily living. [20][21][22] Nursing therapies such as hydration and nutritional care have also been beneficial.…”

A Nurse-Managed Discharge Program for Congestive Heart Failure Patients: Outcomes and Costs

“…If compliance to the prescribed medical regimens can decrease readmissions, then the challenge for nurses is not only to do adequate patient discharge teaching but also to evaluate the effects of that teaching. Research supports the fact that advanced practice nurses have been able to use various postdischarge strategies to significantly improve outcomes for their patients (Brooten et al, 1986;Chappell & Dicky, 1993;Cintron, Bigas, Linares, Aranda, & Hernandez, 1983). Brooten et al (1986) concluded that early hospital discharge with home follow-up of very low birth weight infants by a nurse specialist was not only safe but was also cost effective.…”

Cost Analysis of Nursing Home Registered Nurse Staffing Times

“…8 The Institute of Medicine was convinced that quality benefits obtained by mandating 24 hours of RN coverage fully justified the estimated $338 million (in 1997) cost it would incur. 12 The addition of geriatric nurse practitioners also may contribute to cost savings. 10 A study of a program of increased nurse visits to nursing homes reduced rehospitalization and emergency department visits, producing a net savings for the healthcare system of about $70,000 per year for the entire program, 11 although there have been few economic studies of nurse staffing levels within nursing homes.…”

“…In the CMS validation study, absence of reliance on float or contract staff decreased pressure ulcer (PU) presence 8 . The Institute of Medicine was convinced that quality benefits obtained by mandating 24 hours of RN coverage fully justified the estimated $338 million (in 1997) cost it would incur 12 . The addition of geriatric nurse practitioners also may contribute to cost savings 10 .…”