Managing Unplanned Readmissions 2013

Apollo Managed Care, Inc., January 2013, Pages: 88

Innovative strategies, tools required to improve care while avoiding any need for hospital readmission. Extensive references, resources, web links.

Issues, innovative programs, strategies, resources needed to manage CMS targeted readmission diagnoses and avoid financial penalties.

Preface, Disclaimers

Table of Contents – by section

The Issues

Definitions

Drivers to create innovative changes

Major Quality Indicators

Patient characteristics associated with unplanned readmissions

NCQA HEDIS® measures for readmission rates

Strategies to reduce unplanned or avoidable readmissions

- Advanced Directives
- Health Coaches
- Hospitalists; Medical Extensivists
- Translation/Language Interpreters
- Walk-in Clinics/Urgent Care Centers
- ER care issues may increase hospital readmissions
- Discharge issues
- Discharge dictation – prompt overnight transmission to all providers

Health plan focus on readmissions and preventable adverse events

Care Coordination/Transition of Care Management

- Long-term Care/SNFs

Re-engineered discharge project reduces return trips to the hospital

- SBAR

A Healthier Population … – example program links

Hand-offs or Sign Outs – Managing the Care Transition

Case or Care Management

Readmission Monitor Data Collection Tool

Home Care

- Homebound program

Target the Targets – Target the CMS Targeted Readmissions

- Heart Failure: Readmission Issues/Process of Care Recommendations; Resources
- Acute Myocardial Infarction: Process of Care Recommendations; Resources
- Pneumonia: Issues, Recommendations, Resources

Nosocomial or Iatrogenic Infections

Stroke

Addendum

Never and Avoidable Events – Hospital issues, Health plan policy and resources

30 day readmissions – Health plan policy and resources

References and Resources

Apollo publication list

Product Samples

A sample for this product is available. Please Login/Register to download this sample.

Customers who bought this item also bought

• Guide to Reducing Medicare Readmissions, Vol. II
• Avoiding the Readmissions Penalty Zone: Population Health Management for High-Risk Populations
• Reducing Readmissions: Interventions, Incentives and Infrastructure
• Reducing Hospital Readmissions Toolkit
• Healthcare Performance Improvement: Plans, Policies & Procedures 2013
• Hospital Discharge Improvement Guide: How to Close Six Key Care Gaps and Reduce Readmissions
• The 2012 Healthcare Business Market Research Handbook
• Readmission Penalties in 2013: A Cross-Continuum Approach To Lessen the Financial Impact
• Pay for Performance (P4P) 2013
• Utilization Management and Capitation Strategies (2013 update)