Background for Reference: Aligning Hospital Payment with Hospital Readmission Reduction July 2010. MARYLAND HEALTH SERVICES COST REVIEW COMMISSION. HSCRC Quality Initiatives.
Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.
MARYLAND HEALTH SERVICES COST REVIEW COMMISSION
Quality Based Reimbursement (QBR)Maryland Hospital Acquired Conditions (MHAC)Maryland Preventable Hospital Readmissions (MHPR)
PPR Definition: Hospital Readmission Reduction
A Potentially Preventable Readmission (PPR) is a readmission that is clinically-related to the initial hospital admission that may have resulted from a deficiency in the process of care and treatment or lack of post discharge follow-up
Clinically-related is defined as a requirement that the underlying reason for following a prior hospital readmission be plausibly related to the care rendered during or immediately following a prior hospital admission.PPR-Potentially Preventable Readmissions
- PPR rates consistent between two years
Risk Adjusted = Ah/Eh*9.81