Case Management

News: Keeping readmission rates low with treatment guidelines

Case Management Weekly, February 15, 2012

Low readmission rates are reaching a new level of importance, according to a February 8 HealthLeaders Media article. Beginning in 2013, hospitals with "excess" readmissions will face financial penalties. Those ranking in the highest quartile in the country could lose 1% of their Medicare DRG in the first year, 2% in the second, and 3% in the third. That amounts to about $850 million in the first year.

UPMC Hamot, Lancaster (PA) General Hospital, and Muncie, IN–based Indiana University Health Ball Memorial Hospital, have readmission rates that beat Medicare's HospitalCompare dataset national average in three key areas: 30-day readmission rates for heart attacks, 30-day readmission rates for heart failure, and 30-day readmission rates for pneumonia.

There is a common thread tied to each organization's success: detailed treatment guidelines.

Read more on the HealthLeaders Media website.

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