Slides from: ONC Annual Meeting: MU Training Day

1. Slides from: ONC Annual Meeting: MU Training Day National Quality Strategy/Long Term Post Acute Care Collaborative November 18, 2011

2. Patients Discharged to Post-Acute Care 35% of Medicare beneficiaries discharged from short-term acute hospitals receive post-acute care Lower Higher Intensity of Service HOME HEALTH CARE SKILLED NURSING FACILITIES LONG-TERM ACUTE CARE HOSPITALS SHORT-TERM ACUTE CARE HOSPITALS INPATIENT REHAB OUTPATIENT REHAB Patients’ first site of discharge after acute care hospital stay 2% 10% 41% 9% 37% Patients’ use of site during a 90 day episode 11% 52% 2% 21% 61% Medicare Patients’ Use of Post-Acute Services Throughout an “Episode of Care” * Source: RTI, 2009: Examining Post Acute Care Relationships in an Integrated Hospital System http://aspe.hhs.gov/health/reports/09/pacihs/report.shtml#3.63.6

3. Hospital Readmissions Hospital Readmissions By the Numbers* Reasons for Hospital Readmissions* 20%of Medicare patients are readmitted within 30 days 34%of patients are readmitted within 90 days 56%of patients readmitted within one year 50%of patients readmitted within 30 daysand had NOT visited a physician between discharge and readmission * “Rehospitalizations Among Patients in the Medicare Fee-For Service Program”, Jencks, Williams, and Coleman, New England Journal of Medicine, April 2, 2009