Reducing readmissions – lessons for England from Kaiser Permanante

In June 2010 Andrew Lansley announced in a major speech “..we’re going to ensure that hospitals are responsible for patients not just during their treatment but also for the 30 days after they’ve been discharged.” The NHS Operating Framework for 2011/12 states that hospitals will not be reimbursed for emergency readmissions within 30 days of discharge following an elective admission, and all other readmissions within 30 days of discharge will be subject to locally agreed thresholds, set to deliver a 25% reduction, where possible.

At the IHI conference in December 2010 Kaiser Permanente reported on their research into the causes of readmissions of all types within 30 days of an admission. They put in place an improvement programme that reduced readmissions across the board from 16% to 9% in 6 months.

What lessons can the NHS in England learn from this experience?Continue reading