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Rafiat Banwo is a health care operational leader.

The “patient carryover crisis”: Why hospital readmissions persist

Rafiat Banwo, OTD
Conditions
January 13, 2026

In hospital boardrooms across America, the “30-day readmission rate” is treated as a financial vital sign. It determines reimbursement levels under the Hospital Readmissions Reduction Program (HRRP); it influences star ratings; and increasingly, under new Department of Justice scrutiny, it serves as a barometer for potential “substandard care” investigations.

Yet, despite decades of regulation and millions spent on discharge planning software, the needle on preventable readmissions barely moves.

The industry is failing …

Read more…

The “patient carryover crisis”: Why hospital readmissions persist

SNF discharge planning: Why documentation is no longer enough

Rafiat Banwo, OTD
Conditions
January 11, 2026

There is a dangerous assumption circulating in skilled nursing facility (SNF) boardrooms: “If it’s documented in the EMR, we are protected.”

For years, this logic held up. Compliance was a game of checkboxes. Did the nurse educate the patient? Check. Did the patient verbalize understanding? Check. Is the care plan signed? Check.

But the regulatory landscape has shifted beneath our feet. The Department of Justice (DOJ) and CMS are no longer just …

Read more…

SNF discharge planning: Why documentation is no longer enough

The patient carryover crisis: Why discharge education fails

Rafiat Banwo, OTD
Conditions
November 28, 2025

I still remember the feeling of relief standing by my uncle’s bedside. The monitors were humming with steady rhythms; the surgical team was congratulating themselves on a textbook procedure. By all clinical metrics, he was a success story. The intervention worked. The pathology was addressed. He was “stable.”

We celebrated his discharge as a victory lap. We trusted that the packet of papers in his hand (filled with appointments, medication schedules, …

Read more…

The patient carryover crisis: Why discharge education fails

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  • Most Popular

  • Past Week

    • Rethinking the role of family physicians vs. specialists

      Ronald L. Lindsay, MD | Physician
    • A humorous parody of medical specialties and the modern patient

      Sidney J. Winawer, MD | Physician
    • Administrative burden is driving severe physician burnout

      Kayvan Haddadan, MD | Physician
    • Pharmacy closures threaten our entire public health system

      Timothy Lesaca, MD | Physician
    • Clinicians are failing at value-based care because no one taught them the system [PODCAST]

      The Podcast by KevinMD | Podcast
    • Artificial general intelligence and the future of surgery

      David Stonko, MD | Tech
  • Past 6 Months

    • The controversy over Maintenance of Certification for grandfathered physicians

      Bernard Leo Remakus, MD | Physician
    • Why clinicians fail at writing expert reports

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    • Rethinking the role of family physicians vs. specialists

      Ronald L. Lindsay, MD | Physician
    • How hindsight bias distorts clinical medicine

      Olumuyiwa Bamgbade, MD | Physician
    • The cost of time constraints in primary care: Why doctors feel rushed

      Ann Lebeck, MD | Physician
    • Health insurance incentives and alternatives to opioids for chronic pain

      Molly Candon, PhD and Daniel Clauw, MD | Conditions
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      Bill Pressey | Conditions
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      The Podcast by KevinMD | Podcast
    • Why listening is the core of patient-centered care

      Claudy Bonne Année, MD | Physician
    • What to expect at your first gynecologic visit

      Callia Georgoulis | Conditions
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