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The impact of Hospital Elder Life Program interventions, on 30-day readmission Rates of older hospitalized patients.

OBJECTIVE: This study investigated the impact of the Hospital Elder Life Program (HELP), a geriatric intervention program targeted at reducing delirium, on readmission rates. Secondary goals were to review HELP's impact on average length of stay (ALOS), discharge to the home, and falls.

DESIGN: This retrospective 3-year study reviewed inpatients age 70 and older, with one or more of six impairments: functional, renal, cognitive, sleep, visual and hearing. Patients were from a 784 bed teaching hospital in California with admissions between January 1, 2014 and December 31, 2016. This was compared to a matched cohort of patients who did not receive any interventions from HELP volunteers or a HELP geriatric nurse practitioner. Data was also reviewed for impact on goals in age groups 70-85 and 85 + .

RESULTS: 2146 HELP patients with an average age of 82.1 showed improvement in 30-day readmission rates, with a readmission rate of 11.3% in the HELP group and 13.5% in the control group (n = 2704, mean 82.5). Detailed age data noted statistical significance only in the 70-85 population for readmission. ALOS was 5.6 and 6.2 days respectively in the HELP and non-HELP population. ALOS was also statistically significant across 70-85 and 85 + . Neither rates of discharge to home nor falls showed any significant improvement. Both control and intervention groups had a disproportionate number of whites and females.

CONCLUSION: This study shows hospitals can improve patient outcomes and financial burden from 30-day readmissions and length of stay, particularly in the 70-85 age group, by implementing the Hospital Elder Life Program.

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