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Hospital Readmissions


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 Third Quarter of 2014:
  • AHCA members have reduced 30-day readmissions by 14.2%.
  • 3,856 member centers achieved a 15% reduction in their hospital readmission rates since the launch of the AHCA Quality Initiative
  • Meaning about 40,424 readmissions in AHCA member centers were prevented, saving the health care system roughly $418 million.

DOWNLOAD: 3rd Quarter 2014 Hospital Readmissions Progress Report (pdf)

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.