44 Benchmarks on Hospital Readmissions

The following data is from "2012 Healthcare Benchmarks: Reducing Hospital Readmissions" from the Healthcare Intelligence Network.

The report identifies the key strategies, challenges, target populations and health conditions of 119 healthcare organizations to reduce avoidable rehospitalizations. Of those 119 organizations, 66 respondents identified their organization type, and 24 percent were hospitals or health systems. Organizations were surveyed in February.

• Hospitals that have a program in place to reduce readmission rates: 68.8 percent

• Hospitals that don't have a program in place but plan to launch a readmission program in the next 12 months: 80 percent

• Hospitals with contracts that reduce reimbursement for avoidable admissions within 30 days: 33.3 percent

Top conditions hospitals are targeting in readmission reduction efforts:
• Heart failure: 100 percent
• Chronic obstructive pulmonary disease: 63.6 percent
• Heart attack: 45.5 percent
• Cardiovascular disease: 36.4 percent
• Pneumonia: 36.4 percent
• Gastrointestinal: 27.3 percent
• Stroke: 27.3 percent
• Pediatric asthma: 18.2 percent
• Psychoses: 0 percent
• Other: 18.2 percent

Most common tools to identify individuals at risk for readmissions:
• Chart review: 54.5 percent
• Risk stratification: 45.5 percent
• Electronic health record: 45.5 percent
• Health claims: 27.3 percent
• Predictive modeling: 18.2 percent
• Pharmacy claims: 9.1 percent
• Patient registry: 0 percent
• Other: 18.2 percent

Most common strategies to prevent readmissions:
• Improved discharge instructions: 81.8 percent
• Case management: 72.7 percent
• Inpatient coaching: 72.7 percent
• Care transitions management: 63.6 percent
• Community partnerships: 63.6 percent
• Hospitalists: 63.6 percent
• Medication reconciliation: 63.6 percent
• Self-management education: 45.5 percent
•Plan of care: 45.5 percent
• Post-discharge coaching: 36.4 percent
• Telephonic monitoring: 36.4 percent
• Disease management: 36.4 percent
• Pre-admittance coaching: 27.3 percent
• Medical home: 18.2 percent

Responsibility for reducing readmissions:

• Case manager: 27.3  percent
• Hospitalist: 18.2 percent
• Registered nurse: 18.2 percent
• Health coach: 9.1 percent
• Nurse practitioner: 9.1 percent
• Social worker: 9.1 percent
• Medical assistant: 0 percent
• Health navigator: 0 percent
• Physician: 9.1 percent

More Articles on Hospital Readmissions:

8 Tips for Reducing Readmissions Through Better Transitions of Care
Readmissions Roundup: How Much Will Medicare Penalties Cost Individual Hospitals?
3 Must-Haves to Reduce Hospital Heart Attack Readmission Rates


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