Hospital Readmission Rates
Everyone is aware that the healthcare system for reimbursement is changing rapidly and reimbursement will now be the driver of how we get our business instead of the reward for filling the bed.
Hospitals are penalized for high readmission rates, but you know that. Today's hospital penalty is determined by looking at Medicare beneficiaries leaving an acute care stay with a hospital DRG of heart failure, heart attack or pneumonia. But you know that, too.
According to a recent study by NEHI - a national health policy institute, entitled Improving Medication Adherence and Reducing Hospital Readmissions almost 20% of hospitalized Medicare beneficiaries are readmitted within 30 days - of which over half are potentially avoidable. A significant portion of hospital readmissions are caused by non-compliance to care plans.
The American Health Care Association announced Thursday that it will employ a new, proprietary methodology for calculating case-mix adjusted hospitalization metrics for its members in its national Quality Initiative.
First the good news: Medicare beneficiaries are experiencing shorter hospital stays and lower rates of in-hospital deaths after suffering heart failure. Now the not-so-good news: Out-of-hospital deaths and readmission rates are rising, according to a new study. Discharges to nursing homes also are increasing.