Report: Videotaping Care Reduced Readmissions | Healthcare Informatics Magazine | Health IT | Information Technology Skip to content Skip to navigation

Report: Videotaping Care Reduced Readmissions

June 4, 2012
by Gabriel Perna
| Reprints

According to a paper produced by the non-profit research consortium Kaiser Permanente Care Management Institute, the use of video ethnography helped contributed to a rapid reduction in hospital readmission rates for elders with heart failure. At the Kaiser Permanente South Bay Medical Center in Southern California, hospital readmission rates dropped from 13.6 percent to 9 percent in six months as a result of a quality-improvement framework that incorporated video ethnography as a care transitions tool for elders with heart failure.

 “Video ethnography is a powerful tool for achieving rapid-cycle improvements in quality that keep the needs of patients front and center,” study lead author Esther Neuwirth, PhD, director of field studies at Kaiser Permanente’s Care Management Institute, said in a statement. “Focusing on the real-time experiences of patients and caregivers allows us to identify care gaps and improvement opportunities and share this knowledge throughout Kaiser Permanente.”

Video ethnography involves video-recording interviews and observations of patients and caregivers in real time to identify care gaps, unmet patient and caregiver needs, and effective practices. According to the study, it was helpful with frail elders, patients nearing the end of life, and those with multiple chronic conditions. These groups, the authors say, are typically not well represented in other quality improvement approaches.

According to Kaiser Permanente, the process involves video-recording patients and caregivers as they are being interviewed and observed interacting with each other in a clinic or hospital or at home. Recurrent themes are reviewed, including patient and caregiver needs and choices, care gaps, and effective practices to determine quality improvement priorities. The resulting footage is edited to create a five-to-eight minute video to document quality improvement opportunities in the voices of patients and caregivers.

“Video ethnography allows us to see nuances that otherwise might be missed — discrepancies between what people say, what they do, and what they may think,” Neuwirth said. “It’s also especially effective at motivating and guiding quality improvement efforts because seeing is believing.”

The research will be published in the June issue of Health Affairs,

Topics

News

Former Michigan Governor to Serve as Chair of DRIVE Health

Former Michigan Governor John Engler will serve as chair of the DRIVE Health Initiative, a campaign aimed at accelerating the U.S. health system's transition to value-based care.

NJ Medical Group Launches Statewide HIE, OneHealth New Jersey

The Medical Society of New Jersey (MSNJ) recently launched OneHealth New Jersey, a statewide health information exchange (HIE) that is now live.

Survey: 70% of Providers Using Off-Premises Computing for Some Applications

A survey conducted by KLAS Research found that 70 percent of healthcare organizations have moved at least some applications or IT infrastructure off-premises.

AMIA Warns of Tax Bill’s Impact on Graduate School Programs in Informatics

Provisions in the Republican tax bill that would count graduate student tuition waivers as taxable income would have detrimental impacts on the viability of fields such as informatics, according to the American Medical Informatics Association.

Appalachia Project to Study Relationship Between Increased Broadband Access, Improved Cancer Care

The Federal Communications Commission and the National Cancer Institute have joined forces to focus on how increasing broadband access and adoption in rural areas can improve the lives of rural cancer patients.

Survey: By 2019, 60% of Medicare Revenues will be Tied to Risk

Medical groups and health systems that are members of AMGA (the American Medical Group Association) expect that nearly 60 percent of their revenues from Medicare will be from risk-based products by 2019, according to the results from a recent survey.