Study Links Discharge Planning to Readmissions
The study identified six areas of possible change to the discharge planning process to reduce instances of unplanned hospital readmissions.
What are the Average 30-Day Readmission Rates Across U.S. Hospitals?
September/October 2024 Issue
SUBSCRIBER CONTENT Readmission rates are critical for hospitals and ACOs as they work to improve patient outcomes and reduce unnecessary healthcare costs through better care coordination and patient education. This article provides critical readmission data related to average readmission rates, condition-specific readmission rates, and hospitals with high and low readmission rates.
6 Ways ACOs are Collecting Information to Track Readmissions
Accountable Care Organizations (ACOs) track 30-day readmissions using a combination of data analytics, electronic health records (EHRs), and care coordination strategies. Here's how they typically do it.
Tackling Alzheimer’s and Dementia Readmissions and ED Visits
May/June 2024 Issue
SUBSCRIBER CONTENT In 2024, approximately 2.4 million individuals with Alzheimer’s dementia are aged 85 or above. Research indicates that patients who receive home health services following hospital discharge have a higher chance of staying in their community for at least 30 days post-discharge, with more significant advantages observed with extended durations of home health care.
High-Risk Readmissions: Skilled Nursing Facility to Home
Readmission after skilled-nursing facility (SNF) discharge following heart failure hospitalization is highest during the first two days home.
16 Key ACO Trends to Know in 2023
March/April 2023 Issue
SUBSCRIBER CONTENT The importance of key ACO trends is to better understand the plan to decrease fee-for-service and increase value-based payments. Growth through three initiatives will be the foundation to reach CMS’s goal of 100% of Medicare into an accountable care program.
ACO Reach Model Expands Home-Based Care Primer
March/April 2023 Issue
SUBSCRIBER CONTENT This article summarizes the major provisions of the new ACO Reach Model and the expanded role of home-based care providers.
30-Day Readmission Trends to Improve Outcomes
January/February 2023 Issue
SUBSCRIBER CONTENT Key studies and data can help providers reduce readmissions, improve outcomes, and increase partnerships.
Do You Know Which Principal Diagnosis Has the Highest Rate of 30-Day Readmissions?
As a home-based care provider, all referral partners have the same goal – how to reduce readmissions and the cost. It’s important to continue to hone in on data that can help your organization better understand your role in preventing readmissions and reducing the cost of care.
Clinical Service Lines that Reduce the Cost of the Top 5 Medical Conditions
New information will help your organization better align clinical services to reduce the cost of the highest medical conditions and their expenditures. The data can be used in conversations with various payer sources to align your organization’s services to reduce the cost of care and readmissions.
Study: Increasing Your Partnership Value with Hospitals
Increase your partnership value with hospitals by leveraging this study, which showed home health vs. no post-acute care was associated with reduced 30-day readmissions and better outcomes.
Action Strategy: High-Risk Readmissions: Skilled Nursing Facility to Home
Patients discharged with heart failure from a skilled-nursing facility to home face the highest risk of readmissions in the first two days after a SNF discharge.
Action Strategy: Timely Care Transitions: Planning the Next Site of Care as The Priority
Achieving a timely transition of care while simultaneously lowering the risk of readmission remains one of the toughest challenges in the quest for value-based outcomes.
Post-Acute Care Transfer to Home Health Reduced Readmissions
May/June 2022 Issue
SUBSCRIBER CONTENT A recent study published in the American Journal of Managed Care showed home health vs. no post-acute care was associated with reduced 30-day readmissions and better outcomes.
Timely Care Transitions: Planning the Next Site of Care as The Priority
March/April 2022 Issue
SUBSCRIBER CONTENT Discharge destinations require established relationships with a network of high-quality post-acute providers, facilities and home health resources in the community.
DataPoint: Readmissions By Payer
March/April 2022 Issue
FREE CONTENT Data Sharing: Number of readmissions, readmission rates, and average cost of readmissions
Is Socioeconomics a Main Influencer of Readmissions?
March/April 2022 Issue
SUBSCRIBER CONTENT Researchers examined the common reasons why some hospitals have more readmissions treating a disproportionate share of patients with low incomes, poor health and other negative circumstances.
30-Day Readmissions: Managing Clinical Conditions to Prevent Readmits
March/April 2022 Issue
SUBSCRIBER CONTENT The federal government’s effort to penalize hospitals for excessive patient readmissions is ending its first decade with Medicare cutting payments to nearly half the nation’s hospitals.
Hospital Readmissions, Ages 65-74, by State
March/April 2022 Issue
FREE CONTENT Percentage of Medicare aged 66-74 enrolled in Medicare fee-for-service within 30-days of hospital discharge.
Which Chronic Conditions Managed by Home Care Services Reduce Medicare Spending?
March/April 2022 Issue
SUBSCRIBER CONTENT A recent analysis determined that Medicare fee-for-service patients who received personal care services experienced a decrease in Medicare expenditures over time.
Discharge Planning Patterns: Care Transitions and Readmissions
March/April 2022 Issue
FREE CONTENT A recent study examined the patterns of Medicare beneficiaries post-acute care transitions among assisted living residents and their outcomes in the first 30 and 60 days after hospital discharge.
Why is It Important to Understand Hospital Stays By Medical Condition?
Your partners – ACOs, payers, commercial insurers, physicians, and health systems – seek ways to reduce hospitalizations and re-hospitalizations. A critical measurement of your value is to show how your organization can reduce the cost of care, decrease re-hospitalizations, and improve outcomes.
The Obesity Crisis and Chronic Illness Attributed to 64% of Hospitalizations
The 18th annual report by Trust for America’s Health on the obesity crisis in the United States has been released. This year, special features highlight the interaction of the COVID-19 pandemic with social, economic, and environmental conditions that impact hospitalizations, social determinants of health (SDOH), and outcomes.
The Ten Most Frequent Diagnoses for Inpatient Stays
September/October 2021 Issue
FREE CONTENT In this article, we discuss the 10 most frequent principal diagnoses and their costs impacting hospital inpatient stays.
Does Your Organization Have the Right Clinical Service Lines to Reduce the Cost of the Top Five Medical Conditions and Expenditures?
March/April 2021 Issue
New information will help your organization better align clinical services to reduce the cost of the highest medical conditions and their expenditures. The data can be used in conversations with various payer sources to align your organization’s services to reduce the cost of care and readmissions.
COVID-19 Readmissions
In this free industry report, The Remington Report provides key data analysis to help your organization mitigate COVID-19 readmissions, along with five action steps for your organizations to explore.
The No. 1 Reason Why Patients are Not Getting Home Health Care After a Hospital Discharge Referral
In this free industry report, The Remington Report unveils the major reason why patients are not getting home health care after a hospital discharge referral, plus four strategies you can use to boost referrals.
Strategy Insight: How To Align Financial and Clinical Incentives with Payers and the Most Costliest Medical Conditions
In this article, we take a look at data reflecting the costliest medical conditions by payers. This becomes an important strategy as payers begin to move more value-based care contracting into the home care space and look to treating higher acuity patients in the home.
DataPoint: Almost 90% of COVID-19 Admissions Involve Comorbidities
July/August 2020 Issue
The hospitalization rate for COVID-19 is 4.6 per 100,000 population, and almost 90% of hospitalized patients have some type of underlying condition, according to the Centers for Disease Control and Prevention (CDC).
Largest Home-Based Cardiac Rehab Reduces Readmissions to Less Than 2%
Kaiser Permanente’s virtual cardiac rehabilitation program has enrolled more than 2,300 patients, making it one of the largest such programs in the U.S.
Fall Prevention: Second-Leading Diagnosis For Readmissions
Falls were the leading reason for readmission among patients whose initial hospital was fall-related and who were discharged to home, even with home care.
Fall Prevention: Second-Leading Diagnosis For Readmissions
Falls were the leading reason for readmission among patients whose initial hospital was fall-related and who were discharged to home, even with home care.
Discharge Planning: Adding Caregivers Reduces Readmissions
Including unpaid caregivers into discharge planning for the elderly patient population reduces readmissions.
Care Management Challenges and Barriers for High-Cost Medicaid Beneficiaries
A GAO report explored the efforts to manage high-expenditure beneficiaries, which are 5% of all Medicaid beneficiaries but nearly half of all expenditures.
Post-Acute Unified Value-Based Incentive Program: 5% Withhold Recommended
A unified value-based incentive program for SNFs, home health services, inpatient rehabilitation facilities, and long-term care hospitals is recommended.
Discharge Planning: Adding Caregivers Reduces Readmissions
Including unpaid caregivers into discharge planning for the elderly patient population reduces readmissions.
Reducing Falls and Falls with Injury in HealthEast Hospice Patient Population
SUBSCRIBER CONTENT Multidisciplinary teams across the care continuum work each day to determine the best ways to identify the highest risk patients.
Hospice Study: Increasing Hospice Decreases Hospital Readmissions Among All Nursing Homes
Increasing hospice services can reduce hospital admissions among all residents of a nursing home, including those not enrolled in hospice.
Third-Leading Cause of Readmissions are Falls
Fall-related injuries are a major reason why seniors are readmitted to the hospital within a month after being discharged, a new study finds.
Community-Based Health Coaches and Care Coordinators Reduce Readmissions Using Information Technology
SUBSCRIBER CONTENT The use of health coaches supported by the tablet-based software significantly reduced readmission rates among at-risk Medicare patients.
Readmission Insights Tied to Patient’s Socio-Demographic Status
CMS is shaping a framework intended to allow better comparisons of post-acute care provided in four different healthcare settings.
Medicare Advantage Beneficiaries Have Fewer Readmissions
Greater use of Medicare Advantage over traditional fee-for-service Medicare has been associated with fewer overall hospitalizations.
Which Patient Populations Cause the Highest Readmissions?
In 2015, the proportion of hospitals receiving a penalty increased to 78% – up from 64% and 66% in 2013 and 2014, respectively.
Discharge Planning Framework Under The IMPACT Act
The IMPACT Act will require hospitals, rehab facilities, and home health agencies to develop a discharge plan based on the goals of each patient.
Patient Activation Measures For High-Risk Patients
Patient "activation scores" can identify those who might benefit from making behavioral changes, helping improve outcomes and prevent unnecessary costs.
Study: Readmission After Ambulatory Surgery for Seniors Leading to 30-Day Readmits
Patients 65 and older who have ambulatory surgery are much more likely to be readmitted to the hospital within 30 days than younger patients.
Analyzing the Readmission Cycle: News Ways to Look at Preventability
Significant studies are questioning whether a 30-day interval for readmissions is the best measurement for Medicare-related penalties.
Best Practice: How Do Post-Discharge Phone Calls Affect Readmissions?
Data on 2,000 patients showed telephone follow-up for older adults following discharge from the emergency department did not affect readmission rates.
A Comprehensive Care Management Model
SUBSCRIBER CONTENT FirstHealth of the Carolinas has developed an innovative care delivery model to effectively manage high-risk patients with chronic disease.
Discharge Planning: The New Focus on Patient Choice and Choosing Post-Acute Providers
SUBSCRIBER CONTENT MedPAC has had recent discussions on current discharge planning procedures, resulting in possible changes in the ways patients are discharged.
Readmission Risks After Surgical Procedures
Older adults are at increased risk for adverse events after surgical procedures. Loss of independence is an important patient-centered outcome measure.
Readmission Data For All Cause 7-Day and 30-Day
30-day readmission rates are widely used to measure hospital penalties. Yet, many question if this is the correct interval by condition.
Telehealth: 5 Things to Know About Payer Reimbursement
Telehealth policy develops much more slowly than the rapidly advancing technology, but incremental changes are taking place.
Readmission Analysis By Payer: 7 & 30 Day By Diagnosis
In 2014, 14% of inpatient stays were readmitted within 30 days. More than one-third of these readmissions occurred within seven days.
Where Do the Highest Risk of Readmissions Come From?
This issue of FutureFocus identifies the highest risk of readmissions that are impacting outcomes in the CMS value-based purchasing program.
Hip and Knee Replacement: Home Discharge Insights
Studies show that patients sent home after knee and hip replacements do not have higher rates of complications than those who went to rehab facilities.
