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By Ginger - Site Admin on Wednesday, April 27, 2016 8:49 AM
A risk prediction model designed to forecast hospital readmissions based on patients’ electronic health records (EHR) for entire hospital stays was only modestly better than a model based on EHR data for just the day of admission, according to a new AHRQ-funded study. The study on predicting 30-day, all-cause hospital readmissions was based on data from nearly 33,000 hospital stays at six Dallas-Fort Worth hospitals from 2009 to 2010.

The authors stated their model was the first to use comprehensive EHR data from entire hospital stays. That model was shown to be only modestly better at predicting risk of readmission despite including many additional clinically relevant prognostic factors. The authors noted customized models that are disease-specific may be more effective in predicting readmission compared with the common multi-condition, readmission risk prediction model.

The study “Predicting All-Cause Readmissions Using Electronic Health Record Data From the Entire Hospitalization: Model Development...
By Ginger - Site Admin on Tuesday, April 05, 2016 8:18 AM
KHA is hosting a two-part educational webinar program on CMS Quality Based Payment Reform Programs for acute hospitals with content provided by KHA data analytics partner, DataGen. In order to participate in the webinars, you must register in advance using the links below.

Tuesday April 12 3:00 - 4:00 p.m. (ET) DataGen Review of Medicare’s Value-Based Purchasing Program for Kentucky Hospitals https://datagen.webex.com/datagen/onstage/g.php?MTID=ec1dae3260357942e49e688b7b7ed22cb Tuesday April 26 3:00 - 4:00 p.m. (ET) DataGen Review of Medicare’s Readmission Reduction & HAC Programs for Kentucky Hospitals https://datagen.webex.com/datagen/onstage/g.php?MTID=ea3de65d771dfe6dce2ae3e4329f020f0...
By Ginger - Site Admin on Friday, April 24, 2015 7:48 AM
KHA is investigating, as part of its strategic plan, developing an all-payer, all-Kentucky-hospital readmission tracking system. Current reporting is limited, through quality improvement (QI) programs, to readmissions within your hospital. While Centers for Medicare and Medicaid Services (CMS) data does cover all hospitals, it is limited to Medicare patients. The value of creating a state-based system for collection will be to provide a true picture of readmissions and barriers as well as to replace manual, resource-intensive reporting in the future. KHA needs your input on the feasibility of developing a successful program.

KHA would offer aggregated reports to member facilities containing metrics for inpatient readmission. The reports would include all payer classifications within the database (Medicare, Medicaid Fee for Service, Medicaid Managed Care, Commercial, Self-Pay and Charity and Other Payers). The reports would be produced on a quarterly basis, and updated as new quarters of data are submitted.

...
By Ginger - Site Admin on Friday, October 03, 2014 9:57 AM
Medicare has announced the list of hospitals that will receive payment penalties under the Hospital Readmissions Reduction Program. Medicare will apply the penalties to payments for patient stays between October 1, 2014, and September 30, 2015. This is the third year of the penalty program where the maximum penalty will be a 3 percent reduction in Medicare payments.

There will be 2,610 hospitals receiving a readmissions penalty, but only 39 hospitals will receive the full 3 percent penalty. In Kentucky, 66 percent of all hospitals will receive a penalty, with the average penalty being a 1.21 percent reduction in payment. However, Kentucky has a disproportionate share of hospitals receiving the maximum penalty, with nine hospitals, representing 23 percent of the total. As expected, these facilities are located in some of the most impoverished areas in the nation where many factors associated with poverty and poor health influence hospital readmission rates, which are not accounted for in Medicare’s...
By Ginger - Site Admin on Friday, January 31, 2014 8:35 AM
This week, reports showing readmissions trends were sent to to acute care hospital chief executive officers, chief financial officers, chief nursing officers and quality directors.

This analysis is designed to provide hospitals with a comparative review, over time, of the readmissions measures that the Centers for Medicare and Medicaid Services (CMS) is currently/will be evaluating under the Hospital Readmissions Reduction Program. The analysis also provides an in-depth review of actual and projected performance under the Readmissions Reduction Program.

Similar to the Value-Based Purchasing (VBP) Program analysis, this update includes a new report called Performance Scorecard. This report provides a detailed review of hospital performance and the factors that drive performance under the Readmissions Reduction Program for federal fiscal years (FFYs) 2013, 2014 and 2015 using actual and estimated data. Using performance and revenue data critical to the Program, the report uses a series of tables and graphs to highlight exposure areas and the conditions that drive the payment penalties by program year. Each section of the report includes text to describe what is displayed, whether it is actual or estimated, how the data relates to the program and why it is important....
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