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Preventing Avoidable Readmissions through Transitions. PowerHour Information 03/09/2011. Outline. Background Description Vision Mission Measurements Participation Requirements. Background. 1 in 5 Medicare patients return to the hospital within 30 days of a hospitalization1

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powerhour information 03 09 2011

Preventing Avoidable Readmissions

through Transitions

PowerHour Information

03/09/2011

outline
Outline
  • Background
  • Description
  • Vision
  • Mission
  • Measurements
  • Participation Requirements
background
Background
  • 1 in 5 Medicare patients return to the hospital within 30 days of a hospitalization1
  • Average stay of re-hospitalized patients was 0.6 day longer
  • Medicare cost of unplanned re-hospitalizations was $17.4 billion (2004)
  • Cost of readmissions is being targeted for non-payment - Potential 3% cut to payments for ALL DRGs if readmissions are above expected rate
description
Description
  • Using the reliable systems process, hospitals will review their discharge process; incorporating successful strategies and methodology that have proven to be effective in decreasing avoidable readmissions.
vision
Vision
  • All patients admitted to Georgia Hospitals will receive the necessary tools and information that prepare them for care after the hospital stay.
mission
Mission
  • Improve the overall health outcomes of the patient we serve through a seamless, continuum of care addressing care coordinating efforts and issues.
slide7

Aims

  • Decrease unplanned readmission rates by 30%
  • Increase patient satisfaction scores by 10% relating to discharge planning [Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS)] - specifically:
  • Increase chronic condition self-management through patient/family centered care – successful phone call follow-up
measurements numerators denominators and definitions to be provided upon sign up
Measurements(Numerators , Denominators and definitions to be provided upon sign up)

Number of readmissions within 30 days in the same service line back to the same hospital

Number of readmissions for any reason within 30 days to any hospital for the original point of care.

measurements numerators denominators and definitions to be provided upon sign up1
Measurements(Numerators , Denominators and definitions to be provided upon sign up)

Patients at each hospital who reported that YES, they were given information about what to do during their recovery at home. (Q19)

Patients at each hospital who reported YES, they were given information in writing about what symptoms or health problems to look out for after they left the hospital. (Q20)

Patients who reported that staff "Always" explained about medicines before giving it to them (Q16)

Patients who reported that staff “Always” described possible [medication] side effects in a way they could understand. (Q17)

participation requirements
Participation Requirements
  • Select Model
  • Submit CEO Commitment Letter and Memorandum of Agreement
  • Participate in Reducing Readmission Summit (3/16/11) and monthly education calls
  • Submit self–assessment/Action Improvement Plan
  • Submit quarterly data
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