HOSPITAL Score for Readmissions
Predicts 30-day potentially avoidable hospital readmissions.
Advice
- Use this tool in combination with clinical judgment to guide discharge planning and post-discharge care.
- Consider other critical factors, such as social determinants of health, which may also influence a patient’s readmission risk.
- Higher-risk patients may benefit from:
- Optimization of medical conditions prior to discharge.
- Assigning additional case management and care transition services.
- Scheduling outpatient follow-up appointments and/or home health visits.
- Thorough medication reconciliation.
- Education on warning signs, at-home health management, and proper medication use.