Readmission Reduction Program
description
Transcript of Readmission Reduction Program
Readmission Reduction Program
• Penalty for “excess” readmissions• Year 1 (FFY 2013): Excess readmission ratio = 0.985• Year 2 (FFY 2014): Excess readmission ratio = 0.947
Post-Acute “view of the landscape”
• Health systems/hospitals taking greater note of PAC!• Readmissions are the clear focus• Huge variability in PAC (73% as per CMS)• Need better data• Need to “un-know” some practices• Need for innovation• “If we don’t do it, others will”• Best days are ahead of us!
CCHS is getting started
• Clinically integrated network• ACO for employees• “IAH”• Medical Home without Walls• CMMI Grant (“Bridge the Divides”)• CMS “Type 2” Bundles-1/15• “TCC”
Post-Acute “Value Add”
• Care transitions and communication• “Rethink” PAC continuum• “Flip” death panels• Develop private pay models• ED as partner• Leverage technology
Home Heath “Value Add”
• Brief transitional visits• Intensive care “bursts”• Low level “long term maintenance” therapy
visits• “PCMH Dialogue”• Virtual Visits
Thank you!
Questions?