Author: Andrea Miller
Reviewed By: Brindusa Vanta

Assisted living can prevent rehospitalization by coordinating care with acute care providers before, during and after discharge. The staff at the assisted living community should communicate openly with the resident’s care team to understand their post-discharge needs. Follow-up care is an essential component of post-discharge recovery. Hospitals track the rate of rehospitalizations within 30 days of the initial hospitalization, with a lower rate reflecting a higher quality of care.

What Factors Lead to Rehospitalization in Older Adults?

A variety of factors lead to rehospitalization in older adults. Seniors have a higher chance of 30-day readmission if they have frailty-related factors, such as malnutrition, decreased mobility, increased risk of falls, fatigue and functional dependence. Assisted living reduces these risks by encouraging mobility, providing nutritional support, and helping residents with activities of daily living and medication management.

Rehospitalization occurs more frequently among seniors with certain chronic conditions. Those with liver disease, heart failure, anemia or multiple comorbidities have a higher risk of readmission.

What Are Some Avoidable Types of Hospital Readmission?

Avoidable types of hospital readmission include aspiration pneumonitis, acute kidney injury and surgical site infection. Ambulatory-care-sensitive conditions defined by the Agency for Healthcare Research and Quality also fall into the category of preventable readmission. The AHRQ list includes uncontrolled diabetes with complications and/or amputation, COPD, asthma, hypertension, congestive heart failure, urinary tract infection, dehydration and bacterial pneumonia.