Transcript Avoidable Readmissions Update

Potentially Avoidable
Readmissions Workgroup Update
Bree Collaborative
May 29, 2013
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Goals for Today’s Presentation
• Provide update on request to WSHA and Qualis
to semi-publicly publish 30-day, all-cause data
▫ No action needed from the Bree at this time
• Provide update on the status of activities to
promote endorsement of the concept of WSHA
and partners’ tool kit
▫ No action needed from the Bree at this time
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Request to Publish 30-day, All-Cause
Avoidable Readmissions - RECAP
In January the PAR and Bree made the following
request to Qualis and WSHA:
▫ Publish 30-day, all-cause readmission results, by
hospital, in a semi-public manner
▫ Publish results until all-cause data becomes available
from the Puget Sound Health Alliance and CMS in
2013
Purpose: Opportunity to inform PAR strategies, to
look at outliers, give accolades, and identify
opportunities for improvement.
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Response to Date Request - RECAP
Qualis Health
• Supportive but needs to seek CMS approval–
approval could take up to a year
WSHA
• Supportive of increased transparency, but
concerned about publishing data that is not riskadjusted
• Offered to work with Bree on solution
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Next Steps
• The Foundation for Health Care Quality (FHCQ)
obtained CHARS data and analyzed the data
about avoidable readmissions
• A meeting will be convened in June to review
data and initiate an informed discussion
▫ Facilitated by Steve Hill
▫ Invited guests: PAR workgroup, Bree members,
WSHA, WSMA
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Endorsement of WSHA Tool Kit - RECAP
In January 2013, the Bree Collaborative formally
endorsed the concept of the WSHA tool kit and
acknowledged that preventing avoidable
readmissions requires:
1. A community-wide approach
2. Standardization
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Update on Endorsement of Tool Kit
• Currently in hiatus, but the workgroup plans to
pursue two tracks:
1. Wait for the tool kit to be finalized and pilot results
are known, and then work on operationalizing it and
developing incentives to encourage standardized
implementation of it across the state (probably in
September).
2. Payment reform, which will continue to be carried
out by the APM subgroup.
• In the meantime, the group will consider adding
new members and choose a chair