Reducing Readmissions Rates Through a Step-By-Step Admission Review Process
featuring the University of Pittsburgh Medical Center
- Event Date:
- Event Time: 01:00 PM Eastern
- Event Type: Virtual Signature Learning Series
The Centers for Medicare & Medicaid Services (CMS) reports that nearly 18% of Medicare patients are readmitted within 30 days of discharge, resulting in approximately 2 million readmissions each year, which costs the Medicare program roughly $15 billion annually. In addition to some already-in-progress pilot programs and other initiatives focused on reducing readmission rates, the Administration on Aging recently awarded 16 grants to states to continue developing evidence-based care transitions models.
While focusing on ways to reduce readmissions, hospitals must also follow a consistent admission review process to ensure the appropriateness of all readmissions. In this webinar, learn the strategies for building and optimizing this process and gain an in-depth understanding of the importance of medical necessity review, hospital readmission requirements and factors to be considered according to the Quality Improvement Organization (QIO) manual. The University of Pittsburgh Medical Center presents a case study on how it successfully implemented proactive measures to reduce readmission rates.
What You Will Learn:
- Routinely involve admission screening criteria and Physician Advisor review to ensure compliance with applicable regulations
- Differentiate between related and unrelated readmissions and develop appropriate coordinated care plans to avoid potentially preventable linked readmissions
- Develop a daily readmission review process that utilizes trend analysis and comparative Medicare administrative data to ensure compliance with applicable regulations and guidance
- Charleeda Redman RN, MSN, ACM, Executive Director, Care Management Corporate Services, University of Pittsburgh Medical Center
- Ralph Wuebker, MD, MBA, Vice President of Audit, Compliance and Education, Executive Health Resources
- Natasha Goburdhun, Vice President Healthcare Innovation, HRET, American Hospital Association