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Instructor of Medicine, Harvard Medical School
Jocelyn Carter, MD, MPHAssistant in Medicine, General Internal Medicine Division,Academic Hospitalist ServiceInstructor of Medicine, Harvard Medical SchoolJocelyn Carter, MD, MPH, obtained her BA from Harvard University in 2001 and her MD from the University of Illinois at Chicago College of Medicine in 2006. She completed her medical residency training at Dartmouth-Hitchcock Medical Center, Lebanon, NH in 2009. In 2011, she completed a Leadership Preventive Medicine Fellowship at Dartmouth-Hitchcock Medical Center and received her Masters in Public Health from The Dartmouth Institute for Health Policy and Clinical Practice in Lebanon, NH. Jocelyn joined the Academic Hospitalist Service within the Department of Medicine at the Massachusetts General Hospital in July 2011. Her clinical research at MGH currently includes implementation of inpatient care-centered innovations focused on improved care transitions as a part of a Commonwealth Fund/ Institute for Healthcare Improvement sponsored national initiative (STAAR). Recently, Jocelyn was honored to receive the 2012 Clinician Teacher Development Award (CTDA) sponsored by the MGH Multicultural Affairs Office/MGPO. With the CTDA, Jocelyn looks forward to studying readmission patterns and designing clinically based interventions that address peri-hospitalization quality gaps and lead to reduced readmission rates. She also enjoys serving as a preceptor for second year medical students enrolled in the Harvard Medical School Preceptor- Doctor II course and on the Department of Medicine’s Internship Selection Committee. Jocelyn is also a member of the Massachusetts Medical Society, the American Medical Association and is currently serves as a Harvard University Alumni Association mentor.
Abstract: Reducing 30-day Hospital Readmissions in an Academic Medical Center
The major project focus is the study of readmissions patters to reduce readmissions on the MGH Academic Hospitalist Service. In the era of health care reform and increasing emphasis on higher quality healthcare at lower costs, the importance of care delivery during and after hospitalizations has been magnified. With over 13 million hospitalizations driving $102 billion in health care costs in 2004, rates of hospitalization have become a measure of keen interest. In 2004, there were 2.3 million hospital readmissions (19%) among Medicare enrollees within 30 days of a previous discharge generating over $17 billion in health care costs. Up to $12 billion of these costs (70%) have been attributed to preventable rehospitalizations. The discovery and validation of meaningful interventions and analytic tools structured to reduce hospital readmissions and meet the needs of hospitalized populations remains understudied and additional resources are needed to create valuable solutions. Primary aims of this project include (1)validating an analytic tool that can be used to identify patients with increased risk for 30 day readmission; (2) characterizing the effect of interventions involving primary care providers and also accepting providers of patients at increased risk for readmissions at skilled nursing and rehabilitation facilities; and (3) examining the effect of patient-centered interventions for patient for patient at increased risk for readmissions. The results of this work are expected to contribute to protocols that may be provide critical insights and improved strategies of reducing hospital readmissions locally and nationally.
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