Early identification for fewer readmissions
Hospital readmissions are a major expense for the U.S. healthcare system. That’s why CMS introduced significant penalties related to high volumes of readmissions within the Hospital Readmission Reduction Program (HRRP). Since CMS began imposing them, the percentage of hospitals penalized for readmissions has increased each year—reaching a high of 78% for FY 2015. Given the trend and the three additional diagnoses recently added, the percentage of hospitals penalized will grow every year.
The Q‑Centrix Readmission Reduction solution delivers real-time risk scores while a patient is still admitted. Early understanding of at-risk patients before discharge, and long before they are detected by other platforms, allows our partners to take action sooner to improve patient outcomes.
Unlike other solutions, our Readmission Reduction solution offers real-time data via an easy-to-read dashboard. In addition, our risk model combines factors of your hospital's unique patient population with LACE and Charleston Comorbidity Index algorithms versus risk-prediction models alone.
How It Works:
Each admission is reviewed by Quality Information Specialists while the patient is still in the hospital.
Patients are evaluated for risk factors and assigned a score based on age, health history, and comorbid conditions.
A hospital’s performance is evaluated based on best practices in care coordination and risk reduction, or on a hospital’s custom care protocols.
The risk score provided enables the hospitals to investigate the underlying causes of readmissions and develop programs to improve patient outcome.
Our solution allows your hospital to:
- Concurrently review patients to identify those at high risk for early readmission
- Guide clinical teams through best practices to reduce readmissions
- Understand the drivers of readmissions for different patient populations and diagnosis groups (HF, AMI, PN, COPD, CABG, hip or knee replacement, sepsis, etc.)
- Coordinate care across any site of care without the need for EHR access or interoperability