HOME I S T HE HUB An I nitia tive to Ac c e le ra te Pro g - - PowerPoint PPT Presentation
HOME I S T HE HUB An I nitia tive to Ac c e le ra te Pro g re ss to Re duc e Re a dmissio ns in Virg inia HOUSE K E E PI NG Slide s we re se nt this mo rning We b ina r is b e ing re c o rde d Ple a se use the te
An I nitia tive to Ac c e le ra te Pro g re ss to Re duc e Re a dmissio ns in Virg inia
Vic e Pre side nt, Qua lity & Pa tie nt Sa fe ty
a se g re s@ vhha .c o m (804) 965-1214
An a sso c ia tio n o f 30 me mb e r he a lth syste ms re pre se nting 107 c o mmunity, psyc hia tric , re ha b ilita tio n a nd spe c ia lty ho spita ls thro ug ho ut Virg inia .
Visio n
T hro ug h the po we r o f c o lla b o ra tio n, the a sso c ia tio n will b e the re c o g nize d driving fo rc e b e hind ma king Virg inia the he a lthie st sta te in the na tio n b y 2020.
Missio n
Wo rking with o ur me mb e rs a nd o the r sta ke ho lde rs, the a sso c ia tio n will tra nsfo rm Virg inia ’ s he a lth c a re syste m to a c hie ve to p-tie r pe rfo rma nc e in sa fe ty, q ua lity, va lue , se rvic e a nd po pula tio n he a lth. T he a sso c ia tio n’ s le a de rship is fo c use d o n: princ iple d, inno va tive a nd e ffe c tive a dvo c a c y; pro mo ting initia tive s tha t impro ve he a lth c a re sa fe ty, q ua lity, va lue a nd se rvic e ; a nd a lig ning fo rc e s a mo ng he a lth c a re a nd b usine ss e ntitie s to a dva nc e he a lth a nd e c o no mic o ppo rtunity fo r a ll Virg inia ns.
1a . Ho spita l-wide 1b . Po st-a c ute tra nsfe rs 1c . T
nfe c tio ns
xpe rie nc e – HCAHPS
ve nts
SCHE DUL E OF E VE NT S
June 16
Re a dmission Re duc tion Hig h L e ve ra g e Stra te g ie s Aug ust 16 - Da ta & Ana lytic s to Support Re a dmissions Re duc tion E fforts Se pte mbe r 8 - Post- Ac ute Re a dmissions Re duc tion Stra te g ie s Oc tobe r 19 - Hig h- Utilize r Re a dmissions Re duc tion Stra te g ie s Nove mbe r T BD- In- Pe rson Workshop with Dr. Boutwe ll *All we binar
s be gin at 10am
Pre side nt
a my@ c o lla b o ra tive he a lthc a re stra te g ie s.c o m
(617) 710-5785
1. De sc rib e the hig h-le ve ra g e ta rg e t po pula tio ns 2. Disc uss me a sure me nt spe c ific a tio ns fo r the ta rg e t po pula tio ns 3. Pre se nt a na lyse s o f VA da ta fo r the ta rg e t po pula tio ns 4. L e a rn a b o ut VHHA a na lytic s suppo rt se rvic e s
re a dmissio n re duc tio n ta rg e t po pula tio ns:
nc o ura g e re a dmissio n re duc tio n te a ms to e xa mine the ir o wn da ta
he se de finitio ns a re re c o mme nda tio ns
al alignme nt with VHHA (a ll pa ye r), VHQC (Me dic a re ) me tho ds
to re duc e ho spita l-wide re a dmissio ns b y 20% b y 2020
he se de finitio ns suppo rt q ua lity impro ve me nt
he y a re no t inte nde d to re plic a te me tho ds use d b y “pe na lty” pro g ra ms
he mo st impo rta nt thing is to pic k a de finitio n, unde rsta nd it, a nd tre nd o ve r time to de mo nstra te impa c t o f yo ur e ffo rts
DAT A-I NF ORME D ST RAT E GI C F OCUS ARE AS
E xpanding o ur fo c us to re duc e re admissio ns b y 20% b y 2020
Y 2016, the re we re $21M in re a dmissio ns pe na ltie s sta te -wide
xpa nsio n o f pe na lty c o nditio ns to COPD, T HR/ T K R sub sta ntia lly inc re a se d impa c t o f pe na ltie s fo r VA ho spita ls
HR/ T K R
HR/ T K R re a dmissio n ra te s
I n re spo nse to the se re a dmissio n sta tistic s, the VHHA Bo a rd ha s se t a g o a l: Re duc e all-paye r r e admissio ns by 20% by 2020
K e y e le me nts o f this g o a l:
: pre pa ring ho spita ls b y lo o king fo rwa rd to the future ma rke t re a litie s
e as: T
HR/ T K R, po st-a c ute , a nd ho spita l-wide re a dmissio ns
AL L CAUSE RE ADMI SSI ONS
So urc e : VA Me dic a re F F S da ta , c o urte sy o f VHQC
T
ac c ount for ~25% of all r e admissions… … missing 75% of oppor tunity by c ase finding for diagnose s
Q1 Q2 Q3 Q4 Home 16.4 16.4 15.5 15.8 HHA 20.2 20 21.3 20.6 SNF 19.9 20.6 20.1 20 State Avg 18.6 18.5 18.7 18.6 10 12 14 16 18 20 22 Axis Title
Medicare FFS Readmission Rates, by Discharge Setting: Home, SNF, HH
20% PAC 15% HOME
So urc e : VA Me dic a re F F S da ta , c o urte sy o f VHQC
HU Re a dmissio n Ra te = 40% No n-HU Re a dmissio n Ra te = 8%
So urc e : 2016 MA All Pa ye r Sta te -wide Re a dmissio n Ana lysis
Re admission r ate HU: 36% Re admission r ate non- HU: 8%
HOW DO WE DE F I NE AND ME ASURE
15-pa rt a ll pa ye r a nd pa ye r-spe c ific re a dmissio n a na lysis. F
se e AHRQ Ho spital
Guide to Re duc ing Me dic aid Re admissio ns
(Da ta a na lysis to o l in Ve rsio n 2 to b e re le a se d Se pte mb e r 9 2016)
DE F I NI T I ON: AL L CAUSE AL L PAYE R RE ADMI SSI ONS
xc lusio ns: disc ha rg e s de c e a se d, tra nsfe rs to a c ute inpa tie nt, a c ute re ha b
DE F I NI T I ON: AL L CAUSE AL L PAYE R RE ADMI SSI ONS
DE F I NI T I ON: AL L CAUSE AL L PAYE R RE ADMI SSI ONS
ve ry disc ha rg e c a n b e fo llo we d b y a re a dmissio n
DE F I NI T I ON: RE ADMI SSI ONS BY DI SCHARGE DI SPOSI T I ON
ypic a lly ho spita ls c a n’ t me a sure re a dmissio ns fro m po st a c ute c a re
he pa tie nt may o r may no t ha ve b e e n re c e iving po st a c ute c a re whe n the y we re re a dmitte d (ma y ha ve re fuse d ho me he a lth, o r le ft the SNF )
T AC)
VA ST AT E
DE AL L PAYE R DI SCHARGE DI SPOSI T I ON, 2015
Disc har ge Disposition Numbe r
ge s % of Disc har ge s
Ho me 264, 289 57% Ho me He a lth 99.135 22% Skille d Nursing F a c ility 76,137 17% Othe r 20,105 4%
So urc e : VHHA a na lysis
DE F I NI T I ON: RE ADMI SSI ONS AMONG HI GH UT I L I ZE RS
hig h pe rc e nta g e o f re a dmissio ns
F
mula E xample
T
A 1000 T
B 150 Ho spita l re a dmissio n ra te =B/ A 15% T
C 400 T
D 80 20% re duc tio n PAC re a dmissio ns = .20 x D 16 Ne w ho spita l re a dmissio ns = B – (.2C) = E 150-16= 134 Ne w ho spita l re a dmissio n ra te = E / A 13.4%
*PAC = Ho me He a lth o r SNF
F
mula E xample
T
A 1000 T
B 150 Ho spita l re a dmissio n ra te =B/ A 15% T
C 250 T
D 100 20% re duc tio n HU re a dmissio ns = .20 x D 20 Ne w ho spita l re a dmissio ns = B – (.2C) = E 150-20= 130 Ne w ho spita l re a dmissio n ra te = E / A 13%
*HU = Pa tie nts with 4 o r mo re a dmissio ns in pa st 12 mo nths
F
mula E xample
T
A 1000 T
B 150 Ho spita l re a dmissio n ra te =B/ A 15% 20% re duc tio n HU re a dmissio ns = .20 x B 30 Ne w ho spita l re a dmissio ns = .8 x B = C 150-30= 120 Ne w ho spita l re a dmissio n ra te = C/ A 12%
SUMMARY
1. E xpa nd yo ur ho spita l’ s re a dmissio n a na lysis to inc lude :
+ HH)
HR/ T K R (a s pe r CMS de finitio ns a nd e xisting VHHA re po rts)
2. Unde rsta nd ho w to de fine a nd me a sure the a b o ve
3. Ca lc ula te wha t suc c e ss lo o ks like
QUE ST I ONS?
VHHA DAT A & ANAL YT I CS T E AM
Barbara Brown, PhD
VP, Data & Analytics
David Vaamonde, MPH
Director of Research
Ian Oommen
Analyst
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