READMISSION REDUCTION INITIATIVE

Hospital stays can be both costly and strenuous for our patients and their families. For this reason, Mission Home Care works in congruence with our local facilities in order to reduce hospital readmissions. Following is a list of diagnoses commonly known to cause repeat hospitalizations. These diagnoses are a focus area for our clinicians. We strive to teach self-management skills to our patients with chronic conditions because we believe this is the key to fewer hospitalizations. Our Mission is to keep you or your loved one at home, happy and healthy.

Chronic Obstructive Pulmonary Disease (COPD)

program coming soon

• Monitored oxygen saturation levels.
• If it is determined the patient has low saturations, an overnight and/or walk test order will be obtained to get the patient qualified for supplemental oxygen therapy
• Check respiratory medications to ensure patient is self administering properly and with the correct frequency
• Check all oxygen equipment for functionality, safety, and physician ordered liter flow.
• It is important to use the liter flow prescribed by the doctors. Never alter the set liter flow without a doctor’s order.
• Education on nebulizer cleaning as well as monitoring for timely DME resupply for neb cups and tubing.
• Looking for signs and symptoms such as blue lips, lethargy, or shortness of breath.
• Teaching breathing techniques such as pursed lip breathing to promote healthy gas exchange

Pneumonia

program coming soon

• Deep breathing exercises
• Medication monitoring, finishing antibiotic regiment, and breathing treatment effectiveness
• Lung checks and cardiopulmonary assessments
• Encourage and assist the patient in staying active
• Monitor closely in beginning stages and watch for any signs of decline

Acute Myocardial Infarction (MI)

program coming soon

• Helping patient adapt to lifestyle changes after major MI’s.
• Medication monitoring, communication with labs when necessary
• Cardiopulmonary assessments, cardiac rehabilitation, breathing exercises
• Ensure follow-up with Cardiologist when necessary
• Teaching patient what signs and symptoms to watch for and when they should call 911

Heart Failure

program details

• Medication management
• Monitored edema, and diuretic effectiveness
• Watching for weight gain of 2-3 Lb per day or 5 Lb in a week, and notifying doctor
• Educating patient on signs and symptoms such as shortness of breath and orthopnea
• Encouraging a low sodium diet

Stroke

program coming soon

• Monitored blood pressure
• Medication management, such as Coumadin or other blood thinners
• Monitored INR and relaying out of levels to doctor when desired
• Speech, physical, and occupational therapies where necessary
• Education on signs and symptoms such as numbness, weakness, or confusion. When to call 911