maintaining patient health after a hospital stay…
TRANSCRIPT
Maintainingpatient health aftera hospital stay…
…so we allsleep morepeacefully.
(Your Hospital Name)
A Committed Participant in the RARE Campaign
RARE Campaign
• Works across the continuum of care to reduce avoidable hospital readmissions in Minnesota
• Seeking commitment from all hospitals in Minnesota
• Engaging other care providers in our community who work with patients post-discharge, as avoidable readmissions are the result of a fragmented health care system
Statewide Triple Aim Goals• Population health
– Prevent 4,000 avoidable readmissions within 30 days of discharge OR, in other words,
– Reduce overall readmissions rate by 20% from 2009 base by 12/31/12
• Care experience– Help patients and their families spend 16,000 more nights
in their own beds instead of in the hospital– Improve by 5% on HCAHPS survey questions on
discharge
• Affordability of care– Save an estimated $30 million for commercially insured
patients; additional savings for Medicare patients
Broad Community Support
• Campaign Operating Partners Role– Manage operations, provide the majority of
staffing and resources to support participating hospitals
• Institute for Clinical Systems Improvement (ICSI)
• Minnesota Hospital Association (MHA)
• Stratis Health
Broad Community Support• Supporting Partners Role
– Provide significant resources and support to develop and implement specific aspects of the campaign
• Minnesota Medical Association• MN Community Measurement
• Community Partners Role– Endorse and actively support the campaign
• A growing list of providers, state health agencies, health plans, home health agencies, nursing homes, patient advocacy groups and other community organizations
The Right Thing to Do
• Likely had a loved one who returned to the hospital soon after discharge
• Causes anxiety, unrest and burden on patients and their families
• Patients prefer to maintain their health and sleep peacefully in their own beds
Our Hospitals Need to Improve
• Nearly 1 in 5 Medicare patients discharged from hospitals in Minnesota is readmitted within 30 days
• Many of these readmissions are avoidable
• 18 states had lower readmissions rates than Minnesota—we can do better!
A Care Delivery System Approach
• Many hospital readmissions are the result of a fragmented health care system
• Addressing this fragmentation across the care continuum will reduce avoidable readmissions and improve care delivery overall
Potential Financial Penalties
• Hospitals with higher than expected risk-adjusted 30-day readmission performance can incur penalties up to 1% of their total inpatient Medicare payments beginning in fiscal year 2013 (i.e., starting Oct. 1, 2012). The penalty increases each year after that.
• CMS will evaluate prior year’s readmissions data, effectively starting the clock ticking on Oct. 1, 2011
Potential Financial Gains
• Affordable Care Act creates readmissions reduction program to help hospitals smooth transitions for patients, and reward hospitals successful in reducing avoidable readmissions
• CMS is developing regulations that will be issued this year
Timing Is Right• Key focus of CMS and its projects
– Quality Improvement Organizations Statement of Work
– Care Transition Project (seeks to improve the patient’s continuum of care after discharge from the hospital and reduce avoidable hospital readmissions)
– Partnerships for Patients program– Community Based Care Transitions program.
• The campaign can make Minnesota the national leader supporting the federal initiatives
Helps Make Health Care Affordable
• Estimated average cost of a readmission ranges from $8,000 to $13,000
• Opportunity to save tens of millions of dollars, helping more people to afford health care
(National Priorities Partnership Compact Action Brief, “Preventing Hospital Readmissions: A $25 Billion Opportunity.”)
We Know It Can Be Done
• Other hospitals have already significantly reduced avoidable readmissions in the past year, one by 30%
• Hospitals with similar successes will share their best practices as part of the campaign
RARE Goals
• Committed to reduce our overall readmissions by 20% from our 2009 base
• Equates to (Insert your hospital’s specific PPR reduction goal—XX) fewer readmissions by Dec. 31, 2012
• This means reducing readmissions by X per month through the end of next year
What We’ve Committed To– Meet our specific readmission reduction goals
– Conduct an organizational assessment of our readmissions
– Commit to improving performance in key areas identified through the organizational assessment
– Share our organizational assessment results and readmissions data with the RARE Operating Partners
– Agree to publicly disclose participation in the campaign to show our support for RARE
Five Focus Areas to Choose From
• Comprehensive Discharge Planning
• Medication Management
• Patient and Family Engagement
• Transition Care Support
• Transition Communications
Support
• Campaign Operating Partners support– RARE Resource Consultant provided to
partner with throughout the campaign
– Will assist us in identifying the areas to focus on that have the greatest opportunity for reducing readmissions
Support for Our Hospital
• Best practice toolkits• Face-to-face sessions• Webinars• Conference calls• Peer coaching• Data reporting• “Innovator” approach
Support for Our Hospital
• Technical assistance on developing an action plan to reduce avoidable readmissions
• Recognized experts in the five focus areas
• Opportunities to network and collaborate with other hospital teams
Progress Will be Measured• MHA will provide our Potentially Preventable
Readmissions (PPR) data quarterly
• We will collect data on a variety of process measures as we do improvement work
• Our 30-day all cause readmission rates for select clinical conditions will be publicly reported on MN HealthScores for hospitals and provider groups in 2012 (currently under development)
Campaign Rollout
• Our initiative starts now• Our hospital RARE team has been formed to lead
this effort– List team lead, physician champion, other team players.– Targeted hospital engagement July/August 2011
• Improvement and monitoring work continues through Dec. 31, 2012
Need Everyone’s Support
Our active participation in RARE and achieving our goals is:
• Right for our hospital
• Right for our community
• Right for our state
• Most importantly, right for our patients and loved ones
Thank you forhelping everyone sleep
more peacefully.
For More Information
• (Add your key internal RARE Campaign contacts’ information here)
• www.RAREreadmissions.org