What is a preventable readmission?
What is a preventable readmission?
A Potentially Preventable Readmission (PPR) is a readmission (return hospitalization) to an acute care hospital following a prior acute care admission within a specified time interval, for a reason that is clinically related to the initial hospitalization.
Does Medicare cover hospital readmissions?
Medicare counts as a readmission any of those patients who ended up back in any hospital within 30 days of discharge, except for planned returns like a second phase of surgery. A hospital will be penalized if its readmission rate is higher than expected given the national trends in any one of those categories.
What are the 7 conditions that are addressed in the re admission reduction program?
The HRRP tracks readmissions for Medicare patients admitted initially for six targeted conditions: heart attack, heart failure, pneumonia, chronic obstructive pulmonary disease (COPD), elective hip and knee replacement, and coronary artery bypass graft (CABG).
What is the most common reason associated with preventable rehospitalizations?
More than half of these readmissions (140 of 269 cases, 52.0%) were determined to be potentially preventable because of “gaps in care during the initial inpatient stay.” Premature discharge from the hospital was a key factor leading to preventable readmissions.
How often patients were re admitted to the hospital for a potentially preventable condition after discharge from home health?
Findings This cohort study using a weighted sample of 1 937 354 patients found that 18% of readmissions within 90 days of hospital discharge were for a potentially preventable cause. Public insurance, compared with private insurance, was associated with an increased risk of potentially preventable readmission.
What does Hrrp stand for?
The Hospital Readmissions Reduction Program (HRRP) is a Medicare value-based purchasing program that encourages hospitals to improve communication and care coordination to better engage patients and caregivers in discharge plans and, in turn, reduce avoidable readmissions.
What is the Medicare readmission program?
What is the Medicare 30 day rule?
The Medicare 30 day window is in place to allow a beneficiary access to remaining skilled days after a period of non-skilled level without requiring another 3 day qualifying hospital stay.
What counts as a 30-day readmission?
The HRRP 30-day risk standardized unplanned readmission measures include: Unplanned readmissions that happen within 30 days of discharge from the index (i.e., initial) admission. Patients who are readmitted to the same hospital, or another applicable acute care hospital for any reason.
What are the major causes of hospital readmissions?
Health Condition A study conducted by the Agency for Healthcare Research and Quality (AHRQ) on readmissions from 2018 identified septicemia as the top cause of readmissions among Medicare patients, followed by congestive heart failure, COPD, pneumonia and renal failure.