Table 3.
PCP, Discharging Physician, and Readmitting Physician Perceptions Regarding Potential Strategies for Preventing Readmission
| PCP | Disch | Admit | Concordance | ||||||
|---|---|---|---|---|---|---|---|---|---|
| PCP–Disch | PCP–-Admit | Admit–Disch | |||||||
| n = 305 | n = 642 | n = 694 | n = 190 | n = 212 | n = 440 | ||||
| No. | (%)* | n | (%) | n | (%) | k | k | k | |
| Improved self-management plan at discharge | 184 | (60) | 343 | (53) | 359 | (52) | 0.22 | 0.15 | 0.21 |
| Greater engagement of home and community supports | 177 | (58) | 287 | (45) | 305 | (44) | 0.13 | 0.24 | 0.18 |
| Provision of resources to manage care and symptoms after discharge | 177 | (58) | 300 | (47) | 327 | (47) | 0.28 | 0.21 | 0.12 |
| Improved discharge planning | 139 | (46) | 202 | (31) | 233 | (34) | 0.09 | 0.04 | 0.12 |
| Improved coordination of care between inpatient and outpatient providers | 124 | (41) | 209 | (33) | 254 | (37) | 0.13 | 0.11 | 0.09 |
| More complete communication of information | 112 | (37) | 166 | (26) | 209 | (30) | 0.07 | 0.00 | 0.11 |
| Improved attention to medication safety | 104 | (34) | 135 | (21) | 159 | (23) | 0.09 | 0.15 | 0.13 |
| Improved clarity, timeliness, or availability of information provided at discharge | 99 | (32) | 138 | (22) | 164 | (24) | 0.13 | 0.10 | 0.07 |
| Average k | N/A | N/A | N/A | N/A | N/A | N/A | 0.14 | 0.13 | 0.13 |
Abbreviations: Disch discharging physician, Admit readmitting physician, k kappa statistic
* “No. (%)” represents the number reporting anything other than “no probability” of preventing readmission (i.e. slightly probable, slightly less than 50-50, slightly more than 50-50, strongly probable, nearly certain)