Reducing Potentially Preventable Readmissions
Approximately 20 percent of patients are re-hospitalized within 30 days of discharge and 56 percent within one year (Jencks, 2009), reflecting concerns in both quality of care as well as unnecessary expense. More than 13 percent of these readmissions are potentially preventable (Medicare Payment Advisory Committee, 2007), totaling more than $17 billion in healthcare spending (Jencks, 2009). Points of transition, coordination, and communication have been found to be common problems. Current work has studied interventions for three diagnoses tracked by Medicare — heart failure, heart attack, and pneumonia. However, there exists little research on interventions designed for wider implementation irrespective of the diagnosis. Additionally, few studies attempt to use predicted risk of being readmitted to select and implement cost effective post-discharge care plans.
RCHE is applying expertise in statistics and engineering to examine primary data from partners.
RCHE's readmissions research contains several unique aspects that will contribute to the body of knowledge about potential predictors of readmissions and identifying opportunities for interventions.