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Comment and ask questions to below: Readmission rates affect various settings, providers and patient populations. The settings that can be affected are skilled nursing facilities, hospitals, as well as inpatient rehabilitation centers. Patients affected are ones who may have one or more comorbidities like uncontrolled hypertension, congestive heart failure, diabetes, and COPD. Also patients who are Medicare beneficiaries can be affected with the risk of readmission. Providers who are impacted are hospitalists who have discharged the patient, nurses who have gone over the discharge summary, case managers who help assist with the discharge, as well as social workers who helped with the discharge process. Since hospitals are not getting reimbursements if the patient gets readmitted, hospitals are focusing on discharge planning and care coordination. Mashhadi et al. (2021) mentioned that a key factor affecting hospital readmissions is the patient’s inability to comprehend and implement a treatment plan upon discharge. A way to ensure patients are adequately understanding their discharge paperwork is to use the teach back method. At times, especially when there is a new diagnosis with medication change, patients may not fully understand, therefore having the patient recite the discharge directions in their own words can ensure that the patient follows their discharge instructions and limits their readmission to the hospital for the similar reason. Kum et al. (2024) stated that an average cost for a readmission for a patient is $16,870.06. If multiple patients get readmitted, it can greatly negatively impact the hospital reimbursement rate.

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