Tuesday, April 2, 2013

Your Facility’s Best Source for Hospital Readmission Data

The LTC Trend Trackersm tool, a free AHCA member benefit, allows organizations to benchmark their hospital readmission rates using the most current national data available. Announced at this year’s Quality Symposium, LTC Trend Tracker now has the rehospitalization measure OnPoint-30®, which is calculated using MDS 3.0 admission and discharge assessments. And as of late March, users now have access to results for third quarter 2012 and prior.

This risk-adjusted measure is a valuable resource to members for use in discussions with hospitals and other potential referral sources as the focus on of reducing rehospitalization rates continues to increase across the nation.

Through LTC Trend Tracker, organizations can compare their actual, expected and risk-adjusted hospital readmission rates. To use this report, users will want to do the following:
  1. Look at your actual hospital readmission rate
  2. Compare that rate to your expected rate
  3. Now compare the actual and expected rates to your risk-adjusted rates.  
To interpret what the data are telling you about your performance, the key is to look at the relationship between your actual and expected rates:
  • If your actual hospital readmission rate is equal to your expected rate, that means you had the same proportion of hospitalizations that was expected based on your case mix (i.e., the profile of patients in your facility) and the average rehospitalization rate across the country for a similar case mix. Therefore, your risk-adjusted rate will equal the national average.
  • If your actual hospital readmission rate is greater than your expected rate, that means you had more rehospitalizations than expected based on your case mix and the average rehospitalization rate across the country for a similar case mix. Therefore, your actual to expected ratio will be greater than 1.0, and your adjusted rate will be higher than the national average.
  • If your actual hospital readmission rate is less than your expected rate, that means you had fewer rehospitalizations than expected based on your case mix and the average rehospitalization rate across the country for a similar case mix. Therefore, your actual to expected ratio will be less than 1.0 and your adjusted rate will be lower than the national average.
These results will help you determine your action plan. If your data indicate that your re-hospitalization rates are higher than expected, you will want to focus on addressing this in your facility’s quality improvement program. The AHCA Quality Initiative website provides resources that can help you determine how to get started if you are looking for assistance. One of those resources is the INTERACT program, a proven system that has helped many facilities successfully reduce preventable hospitalizations.

The LTC Trend Tracker team has developed a detailed help document to guide you through this report.

LTC Trend Tracker is a free member resource includes data for all certified nursing facilities in the United States. If you are not one of 5,000 AHCA members using this tool, learn more at www.ltctrendtracker.com today! Or contact Peggy Connorton for a live demo.

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