KnowledgeEdge™ Readmissions Dashboard
Quality of care is a critical healthcare metric and, considering recent legislation, hospital readmissions is gaining importance in the measure of quality. Quality managers, finance teams and clinicians all need to understand how hospital readmissions impact the bottom line.
The Medicare Readmissions Reduction Program launched in October 2012 (Federal Fiscal Year 2013) as part of larger federal legislation called the Affordable Care Act, and imposes penalties for readmissions for heart attack (AMI), heart failure and pneumonia discharges. Hospitals and health systems need to be able to track related metrics to understand their readmissions rates and determine root causes of preventable readmissions to help minimize CMS penalties. Hospital readmissions can also have a ripple effect through the system: patients who come back have a higher likelihood of adverse events (falls, medication errors, or hospital-acquired infections, for example) and lower patient satisfaction scores.
The KnowledgeEdge™ Readmissions dashboard allows users to easily analyze readmission rates by any number of attributes, including by discharging physician, clinical services, diagnosis-related group (DRG), and diagnosis. The dashboard’s overall hospital view shows all readmissions regardless of cause for all payers and specifically for the Medicare population. Quality and health information managers can drill down into specific details at the account level to understand why a readmission occurred and determine where processes can be improved, such as providing more clear discharge instructions. Administrators can also determine if there’s a specific nurse station, physician, or procedure that is affecting readmission rates.
The KnowledgeEdge Readmissions dashboard provides summary, clinical, and readmission detail by payer tabs that include a variety of metrics, including:
- Readmissions by month
- Readmission rate
- Average length of stay – original vs. readmission
- Average days between visits
- CMS readmission rate by month
- Readmission volume and rate by CMS DRG
- Readmissions payer mix
- Top and bottom performers by clinical service, nurse station and discharge physician
Using this actionable knowledge, quality managers and other administrators can determine where process improvements can improve outcomes to minimize unnecessary readmissions.