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Hospital Readmissions

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Hospitalization is disrupting to elderly individuals and puts them at greater risk for complications and infections. Hospitalization also increases the likelihood of reduced functioning on return to the skilled nursing facility.
 
Hospital readmissions not only have the potential for negative physical, emotional and psychological impacts on individuals in skilled nursing care, but also cost the Medicare program billions of dollars.
 
Preventing these events whenever possible is always beneficial to patients and has been identified by policymakers and providers as an opportunity to reduce overall health care system costs through improvements in quality. The issue has become a top priority for CMS and managed care programs over the past several years.
General Resources

Unique Residential Care Center

Washington, D.C.

Watch how Unique learned about the importance of tracking data to improve quality outcomes.

Unique Residential Care Center

Washington, D.C.

Unique went from sending 209 people to the hospital in 2009, to 114 in 2011. Learn more about the benefits they saw in implementing INTERACT.

Share your facility's story on safely reducing hospital readmissions

As of the end of the first Quarter of 2015: 
 
National Progress:  
  • 17.3% of patients were sent back to the hospital within 30 days of their skilled nursing stay in 2015 Q1. 
    • This is a 5.0% decrease from 2011 Q4, which saw an 18.2% rehospitalization rate 
    • About 6,796 readmissions were prevented in 2015 Q1, saving the health care system roughly $70 million 
 
AHCA Member Progress:
  • About 4,857 readmissions in AHCA member centers were prevented in 2015 Q1, saving the health care system roughly $50 million
    • 17.4% of patients in AHCA member centers were sent back to the hospital within 30 days of their skilled nursing stay in 2015 Q1 
    • A 5.4% decrease from 2011 Q4, which saw an 18.3% rehospitalization rate among AHCA members 
  • 34.9% of AHCA members, or 3,217 member centers achieved a 15% reduction in hospital readmissions by 2015 Q1 (since 2011 Q4)
  • 18.0% of AHCA members, or 1,656 member centers achieved a 30% reduction in hospital readmissions or achieved a rehospitlization rate below 10% by 2015 Q1 (since 2011 Q4)
  • In total, under the AHCA Quality Initiative from 2012 Q1 through 2015 Q1 has prevented over 42,700 readmissions and saved over $440 million.
 
The LTC Trend Tracker(sm) tool, a free AHCA member benefit, allows organizations to benchmark their hospital readmission rates using the most current national data available. AHCA uses national MDS 3.0 data from CMS, calculating the 30-day, risk-adjusted readmission rate for all nursing centers using the PointRight® Pro-30™rehospitalization measure. Users also have access to results for third quarter 2012 and prior. 
​DISCLAIMER: The AHCA/NCAL quality programs’ contents, including their goals and standards, represent some preferred practices, but do not represent minimum standards or expected norms for skilled nursing and/or assisted living providers. As always, the provider is responsible for making clinical decisions and providing care that is best for each individual person.
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