Blog About Medical Education

Best Medical Schools UCFS

When looking for the best medical schools, start looking at their clinic and research results.  I was quite impressed by the University of California at San Francisco’s latest statistics that showed that the UCSF Clinic has reduced hospital re-admissions for older heart failure patients by nearly one third!  We can thank this outcome to a new program, which is designed specifically to identify techniques for doctors and their respective hospital colleagues to improve patients’ transitions from hospital to home. The 30% reflects those patients 65 and older.  The re-admissions rate dropped for those patients who had stays of 30 and 90 days.  The UCSF’s Heart Failure Program was launched in 2008 after receiving a $575,000 grant, generously maid by the Gordon and Betty Moore Foundation. Data from 2006 was used as the point of comparison.

During the last 11 months, an average of only 16 percent of the hospital’s heart failure patients were readmitted within 30 days of discharge – 23 percent less than in 2006, which is 2 percent lower than the country’s 30-day readmission rate of 25 percent.  During the first four months of 2011, the readmission rate was only 11.6 percent – a tremendous improvement.  Compared to 2006 where the average was at 45 per cent, that is a tremendous drop of 31 per cent! With such a statistic, I would certainly nominate UCSF as one of the best medical schools in the county. Not only does this show improved patient recovery, but is also has saved Medicare approximately a million dollars over the course of the year.  It is in the best interest of all, including hospital workers that this savings continues.  This dollar amount is calculated by 40 patients annually.  With this breakthrough, hospitals can now accommodate that many more patients, while patients can remain in the comfort of their own home.  Best medical schools earn their titles they can produce hard facts on improved patient care as well as actual cost savings.

According to studies, approximately half of all heart failure re-admissions can be avoided if communication between patient and doctors, as well as discharge nurses were improved.  Patients often have to be readmitted due to unclear instructions.  The best medical schools always stress the importance of advanced English language skills.  When dealing with the elderly, much patience is need for better patient care.  Recognizing this, Maureen Carroll and Eileen Brinker, two nurses at UCFS built a multidisciplinary heart failure team composed of UCSF staff and health care companies, addressing improved patient education and support after discharge.

Early follow-up with patients is certainly vital to lessening re-admissions. Carroll and Brinker ensure that their patients leave a follow-up appointment is scheduled in the week of discharge.  Further, it is important that more follow-up phone calls are made to patients, especially during the initial week of discharge.

In many cases, heart failure patients frequently take multiple medications, which can be somewhat daunting, especially for the elderly who do not always keep track of their medication schedule.  Recognizing this, the heart failure team provides general medication education to the patients inside the hospital and certifies the individual has access to medication refills when necessary.  Outpatient or home nurses are sometimes suggested for those patients who need closer medication supervision.

The best medical schools not only produce the best doctors, but also the best nurses.  If you are considering medical school and would like a chance to work with a progressive and aggressive team, perhaps you might want to consider applying to UCSF.