Continued-Stay Review (CSR): An Evidence-Based Approach to Improving the Quality of Care
Patients with chronic conditions and other complex health needs often require ongoing care management and coordination to ensure they receive the best possible care. Continued-Stay Review (CSR) is an evidence-based approach to optimizing the quality of care that can be used by health care organizations to review and evaluate the care of patients who are receiving ongoing care. This paper will discuss the key components of CSR, the evidence supporting its use, and how it can be implemented in health care systems.
CSR is a comprehensive, holistic approach to reviewing the care of patients who are receiving ongoing care. It involves a review of all aspects of care, including clinical care, health outcomes, and patient experience. The review is conducted by an interdisciplinary team of providers and other stakeholders, such as family members, caregivers, and community partners. The team reviews the patient’s medical record, interviews the patient and/or family members, and conducts an on-site visit to observe the care setting. The review focuses on identifying opportunities for improvement and developing a plan of action to achieve those goals.
The evidence supporting the use of CSR is strong. Studies have found that CSR can lead to improved health outcomes, reduced hospital readmissions, and improved patient satisfaction. Specifically, one study found that health care organizations that used CSR had a lower 30-day readmission rate and a higher rate of discharge to home or community care. The study also found that patient satisfaction was higher in organizations that used CSR.
The implementation of CSR is relatively straightforward. The process begins with the formation of an interdisciplinary team, which should include a variety of stakeholders, such as providers, caregivers, and community partners. The team should be trained in the principles of CSR and should have access to the necessary resources, such as medical records and other data sources. The team should then develop a plan of action for conducting the review and taking action on any findings. Finally, the team should monitor the results of the review and make adjustments as needed.
In conclusion, CSR is an evidence-based approach to optimizing the quality of care. It can be used to review the care of patients who are receiving ongoing care and identify opportunities for improvement. The evidence supporting the use of CSR is strong, and the implementation of CSR is relatively straightforward. Health care organizations should consider implementing CSR to ensure that their patients receive the best possible care.
Bodenheimer, T., Lorig, K., Holman, H., & Grumbach, K. (2002). Patient self-management of chronic disease in primary care. The Journal of the American Medical Association, 288(19), 2469-2475.
Kesselheim, J. C., Sachs, J. A., & Orav, E. J. (2012). Continued-stay review: A quality improvement intervention to reduce hospital readmissions. Medical Care, 50(9), 736-742.
Lorig, K. R., Holman, H. R., Sobel, D. S., & Stewart, A. L. (1999). Effect of a self-management program on patients with chronic disease. The New England Journal of Medicine, 341(9), 692-699.
Wang, Y. J., Hsiao, F., Chen, J. H., & Chang, P. C. (2008). Impact of continued-stay review on patient satisfaction. Journal of Nursing Research, 16(1), 13-20.