Transcript Slides
Understanding your Potentially Preventable Readmissions (PPR) Reports Minnesota Hospital Association Mickey Reid, Patient Safety and Quality Manager December 7, 2012 Today’s Agenda Objectives: • PPR data source • Condense your PPR spreadsheet into usable data • Learn how to filter column data • Understand how to identify patient population based on the DRG PPR Data Source • Patient Claims Data which includes: – Diagnosis – Procedure Codes – Demographic Information • Discharge status PPR Global Exclusions • Admissions for which follow-up care is intrinsically extensive and complex • Major or metastatic malignancies treated medically • Multiple trauma, burns • Discharge status indicates limited hospital & provider control • Left against medical advice • Transferred to another acute care hospital • Neonates • Other exclusions • • Specific eye procedures and infections • • • • Cystic fibrosis with pulmonary diagnoses Obstetrics Transplants Planned Readmission Died – not included as candidate initial admissions (denominator) Examples of a readmission which is not potentially preventable • No clinical relationship to prior discharge – Cholecystectomy two weeks after hip replacement • Discharge status of prior discharge – AMA and transferred to another acute care hospital • Type of prior discharge – Follow-up care is intrinsically complex and extensive • Metastatic malignancies, Multiple trauma, Burns • Longer interval between discharge and readmission – Long time intervals (>30 days) reduce confidence that readmission is causally linked to the prior discharge PPR Data Review • Step by step instructions to make PPR data more useable in understanding your readmissions. – MHA Communication – MHA portal – Spreadsheet Tips Next Steps • Sign on to MHA portal – If you do not have your username/password, please email Bonnie Terveer at [email protected] • Down load your most recent PPR data from the MHA secure portal • Begin to filter your spreadsheet making it more manageable to review using the instructions we followed in the presentation • If you need additional assistance in filtering your data or you would like to set up an individual discussion regarding your data please contact [email protected] Watch for 2013 future webinars… • To suggest future topics for this series, Reducing Avoidable Readmissions Effectively “RARE” Networking Webinars, contact Kathy Cummings, [email protected] Questions ?