Quality Outcomes
07/02/2026
Targeting a high 30-day readmission rate among heart failure patients, St. Luke’s Home Health in Bethlehem, Pa., shattered expectations through a novel multidisciplinary approach anchored by a unique hotline that’s nearly cut the agency’s readmission rate for these patients in half.
06/25/2026
You can’t match the staffing intensity of an inpatient rehabilitation unit, but more touchpoints in the first few days is going to help identify concerns and escalate when necessary.
06/11/2026
Schedule your first therapy visit as soon as possible when working with short-stay, high-intensity patients like those who recently underwent a joint replacement.
06/04/2026
Track your success when keeping joint replacement patients out of the hospital and emergency department, and promote those wins to your referral partners. CMS’ newest innovation model puts the hospital on the hook for costs associated with these patients long after they’ve walked out the door, putting new importance on a successful transition to home health.
05/22/2026
Don’t assume that patients and their caregivers understand what clinicians may consider to be basic infection prevention and control practices.
05/07/2026
Open communication about which medications the patient is taking and what they are intended to do can help prevent rehospitalization and other issues down the line.
04/30/2026
Take time during the start of care to discuss any limitations that a patient who lives alone may face, even if they’re resistant to it. 
04/23/2026
Ensure that unplanned discharges are completed properly — including the OASIS — and that all other documentation complies with CMS requirements. Failing to accurately note the patient’s status at discharge could impact scoring on publicly reported measures that drive reimbursement and star ratings.  
04/17/2026
Don’t wait to address problems with your OASIS-E2 implementation. Correcting course now will keep issues from ballooning into larger problems that are more difficult to fix over time.
04/02/2026
Recognize the warning signs for sepsis risk, even when concerns may look like common parts of a patient’s disease progression. Sepsis moves quickly, so clinicians, patients and their caregivers must be prepared for the possibility.

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