Role of Physical Therapists in Reducing Hospital Readmissions: Optimizing Outcomes for Older Adults During Care Transitions From Hospital to Community

Author:

Falvey Jason R.1,Burke Robert E.2,Malone Daniel3,Ridgeway Kyle J.4,McManus Beth M.5,Stevens-Lapsley Jennifer E.6

Affiliation:

1. J.R. Falvey, PT, DPT, Physical Therapy Program, Department of Physical Medicine and Rehabilitation, University of Colorado Anschutz Medical Campus, Mail Stop C244, 13121 East 17th Ave, Room 3116, Aurora, CO 80045 (USA), and Denver Veterans Affairs Medical Center, Denver, Colorado.

2. R.E. Burke, MD, MS, Research and Hospital Medicine Sections, Denver VA Medical Center, and Department of Medicine, University of Colorado Anschutz Medical Campus.

3. D. Malone, PT, PhD, Physical Therapy Program, Department of Physical Medicine and Rehabilitation, University of Colorado Anschutz Medical Campus.

4. K.J. Ridgeway, PT, DPT, Physical Therapy Program, Department of Physical Medicine and Rehabilitation, University of Colorado Anschutz Medical Campus, and University of Colorado Hospital, Aurora, Colorado.

5. B.M. McManus, PT, MPH, ScD, School of Public Health, Department of Health Systems, Management, and Policy, University of Colorado Anschutz Medical Campus.

6. J.E. Stevens-Lapsley, PT, PhD, Physical Therapy Program, Department of Physical Medicine and Rehabilitation, University of Colorado Anschutz Medical Campus, and Veterans Affairs Geriatric Research, Education and Clinical Center, Denver, Colorado.

Abstract

AbstractHospital readmissions in older adult populations are an emerging quality indicator for acute care hospitals. Recent evidence has linked functional decline during and after hospitalization with an elevated risk of hospital readmission. However, models of care that have been developed to reduce hospital readmission rates do not adequately address functional deficits. Physical therapists, as experts in optimizing physical function, have a strong opportunity to contribute meaningfully to care transition models and demonstrate the value of physical therapy interventions in reducing readmissions. Thus, the purposes of this perspective article are: (1) to describe the need for physical therapist input during care transitions for older adults and (2) to outline strategies for expanding physical therapy participation in care transitions for older adults, with an overall goal of reducing avoidable 30-day hospital readmissions.

Publisher

Oxford University Press (OUP)

Subject

Physical Therapy, Sports Therapy and Rehabilitation

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