Hospital readmissions

Readmission

ClinicalClinical conditionChronic diseaseCognitive impairmentReadiness for initial dischargeFuntional abilityAbility to ambulateHaving a regular physician

Healthcare utilization# of recent admissionsLOS in hospital# of ED uses# of physician visits

Specific problem: discharge planning

Education level

Having a regular physician

Functional ability

Schedule follow up before they leave

Discharge instructions should be simple, personal, and visual