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Beginning in 2013, CMS will penalize hospitals for excess readmission rates. Initial focus will be on readmissions for heart failure, acute myocardial infarction and pneumonia — data that is already reported on the CMS Hospital Compare Web site.
As private payors follow CMS's reimbursement and reporting leads, healthcare organizations are taking bold steps to reduce avoidable readmissions. With the publication of 2011 Benchmarks in Reducing Hospital Readmissions, the Healthcare Intelligence Network continues to report on initiatives in this area and deliver actionable data to help healthcare organizations reduce avoidable readmissions.
Download the executive summary of the 2011 Benchmarks in Reducing Hospital Readmissions.
This 45-page report, now in its second year, quantifies efforts by 90 healthcare organizations to reduce avoidable readmissions in their most vulnerable and high-utilization populations, as reflected by responses to HIN's second annual survey on Reducing Hospital Readmissions, conducted in December 2010.
An all-new follow-up to the best-selling 2010 Benchmarks in Reducing Hospital Readmissions, the 2011 edition is packed with new metrics on current and planned programs to reduce readmissions, presented in more than 40 easy-to-follow graphs and tables.
New in the 2011 edition: Comparative 2010-over-2011 data on key activities, including the single area where efforts to reduce readmissions has doubled and the health professional to which overall responsibility for reducing readmissions has shifted. For the first time, review efforts to reduce readmissions on the part of long-term care providers. Respondents also describe how they're preparing for increased payor scrutiny of 30-day readmissions and PPACA-mandated posting of hospital readmission rates.
This report provides expanded data on:
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Current and planned readmission reduction programs;
- Populations and conditions targeted by readmission reduction efforts;
- Tools and strategies to identify patients most at risk for returning to the hospital;
- Strategies, protocols and policies to help prevent hospital readmissions in vulnerable populations;
- The top tasks performed at hospital discharge to minimize the chances of a patient returning to the hospital as well as other strategies to strengthen the hospital discharge process;
- Roles and responsibilities in readmission avoidance program administration;
- Emerging trends in reimbursement for 30-day readmission rates;
- Overcoming barriers to reducing readmissions and to the launching of programs in this area;
- The impact of hospital readmission management programs on healthcare utilization, member/patient satisfaction and ROI;
- The complete December 2010 Reducing Hospital Readmissions survey tool;
and much more.
Download the executive summary of the 2011 Benchmarks in Reducing Hospital Readmissions.
This industry snapshot is once again enhanced with details from innovative programs — such as those in place at Durham Community Health Network, The Doctors Management Company and other healthcare organizations. They share their top strategies to reduce readmissions — care transition management, case management, medication review and more — all aimed at high-risk, high-cost populations and clinical conditions.
To avoid leaving reimbursement dollars on the table, healthcare organizations will benefit from a review of these metrics from their peers to evaluate and plan programs and compare performance and utilization data.
The 45-page 2011 Benchmarks in Reducing Hospital Readmissions is part of the HIN Healthcare Benchmarking series, which provides continuous qualitative data on industry trends to empower healthcare companies to assess strengths, weaknesses and opportunities to improve by comparing organizational performance to reported metrics.
