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134 - Automating Data Gathering to Assist Home Health Clinicians with Planning Care to Reduce Re-Hospitalization

‐ May 3, 2013 1:30pm

By using data collected at start of care, a large home care agency was able to automatically compile a hospitalization risk score and impart that information to visiting clinicians. This process, which included best practices that were implemented to prevent patient readmission to the hospital, is discussed, and lessons learned are shared.

Contact hours available until 5/4/2015.

Requirements for Successful Completion:
Complete the learning activity in its entirety and complete the online CNE evaluation.

Faculty, Planners and Authors Conflict of Interest Disclosure:
Planning Committee: Laurie Levknecht discloses other financial or material support as an employee of Elsevier CPM Resource Center.

Commercial Support and Sponsorship:
No commercial support or sponsorship declared.

Non-Endorsement of Products:
Accreditation of activities for contact hours does not imply approval or endorsement of any product, advertising, or educational content by ANIA, Anthony J. Jannetti Inc., or the American Nurses Credentialing Center’s Commission on Accreditation.

Accreditation Statement:
This educational activity is jointly provided by Anthony J. Jannetti, Inc. (AJJ) and ANIA.

Anthony J. Jannetti, Inc. is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center's Commission on Accreditation.

Anthony J. Jannetti, Inc. is a provider approved by the California Board of Registered Nursing, provider number, CEP 5387.


  • Identify the importance of reducing re-hospitalization.
  • Demonstrate how to analyze existing clinical data.
  • Review the mechanism for informing clinicians regarding best practices to reduce re-hospitalization as well as tracking compliance in utilizing those best practices.