Medicare Readmission Rates By State: Prepared For The .
Medicare Readmission Rates by State:Prepared for the Alliance for Home HealthQuality and InnovationAvalere Health An Inovalon CompanyJanuary, 2016
Medicare FFS Readmissions Among Post-Acute CareUsers, National30-day Readmission Rates for Top 20 Most Common MS-DRGs Discharged from Hospital toSelected Post-Acute Care (PAC) Settings, by Setting, 2014MS-DRGMajor joint replacement or reattachment of lower extremity w/o mccSepticemia or severe sepsis w/o mv 96 hours w mccHeart failure & shock w mccHeart failure & shock w ccHip & femur procedures except major joint w ccKidney & urinary tract infections w/o mccIntracranial hemorrhage or cerebral infarction w cc or tpa in 24 hrsRenal failure w ccSepticemia or severe sepsis w/o mv 96 hours w/o mccSimple pneumonia & pleurisy w mccSimple pneumonia & pleurisy w ccCellulitis w/o mccRenal failure w mccChronic obstructive pulmonary disease w mccPulmonary edema & respiratory failureKidney & urinary tract infections w mccMisc. disorders of nutrition, metabolism, fluids/electrolytes w/o mccEsophagitis, gastroent & misc. digest disorders w/o mccIntracranial hemorrhage or cerebral infarction w mccG.I. Hemorrhage w cc% of Home HealthUsers ReadmittedWithin 30 .51%20.28%18.44%17.65%% of SNF UsersReadmitted Within30 5.19%16.37%20.69%17.78%Source: Avalere Health, analysis of Medicare Standard Analytic Files, 2014*Analysis includes Medicare Part A claims only.Note: FFS is fee-for-service. CC is complication or comorbidity. MCC is major complication or comorbidity. SNF is Skilled Nursing Facilities.2
Medicare FFS Readmissions Among Post-Acute CareUsers, Alaska30-day Readmission Rates for Top 20 Most Common MS-DRGs Discharged from Hospital toSelected Post-Acute Care (PAC) Settings, by Setting, 2014MS-DRGMajor joint replacement or reattachment of lower extremity w/o mccSepticemia or severe sepsis w/o mv 96 hours w mccHeart failure & shock w mccHeart failure & shock w ccHip & femur procedures except major joint w ccKidney & urinary tract infections w/o mccIntracranial hemorrhage or cerebral infarction w cc or tpa in 24 hrsRenal failure w ccSepticemia or severe sepsis w/o mv 96 hours w/o mccSimple pneumonia & pleurisy w mccSimple pneumonia & pleurisy w ccCellulitis w/o mccRenal failure w mccChronic obstructive pulmonary disease w mccPulmonary edema & respiratory failureKidney & urinary tract infections w mccMisc. disorders of nutrition, metabolism, fluids/electrolytes w/o mccEsophagitis, gastroent & misc. digest disorders w/o mccIntracranial hemorrhage or cerebral infarction w mccG.I. Hemorrhage w cc% of Home HealthUsers ReadmittedWithin 30 0%0.00%n/a1% of SNF UsersReadmitted Within30 .00%0.00%1. n/a indicates no cases were discharged to home health for the DRG in 2014Source: Avalere Health, analysis of Medicare Standard Analytic Files, 2014*Analysis includes Medicare Part A claims only.Note: FFS is fee-for-service. CC is complication or comorbidity. MCC is major complication or comorbidity. SNF is Skilled Nursing Facilities.3
Medicare FFS Readmissions Among Post-Acute CareUsers, Alabama30-day Readmission Rates for Top 20 Most Common MS-DRGs Discharged from Hospital toSelected Post-Acute Care (PAC) Settings, by Setting, 2014MS-DRGMajor joint replacement or reattachment of lower extremity w/o mccSepticemia or severe sepsis w/o mv 96 hours w mccHeart failure & shock w mccHeart failure & shock w ccHip & femur procedures except major joint w ccKidney & urinary tract infections w/o mccIntracranial hemorrhage or cerebral infarction w cc or tpa in 24 hrsRenal failure w ccSepticemia or severe sepsis w/o mv 96 hours w/o mccSimple pneumonia & pleurisy w mccSimple pneumonia & pleurisy w ccCellulitis w/o mccRenal failure w mccChronic obstructive pulmonary disease w mccPulmonary edema & respiratory failureKidney & urinary tract infections w mccMisc. disorders of nutrition, metabolism, fluids/electrolytes w/o mccEsophagitis, gastroent & misc. digest disorders w/o mccIntracranial hemorrhage or cerebral infarction w mccG.I. Hemorrhage w cc% of Home HealthUsers ReadmittedWithin 30 43%17.28%16.07%17.28%% of SNF UsersReadmitted Within30 5.11%12.18%22.19%15.00%Source: Avalere Health, analysis of Medicare Standard Analytic Files, 2014*Analysis includes Medicare Part A claims only.Note: FFS is fee-for-service. CC is complication or comorbidity. MCC is major complication or comorbidity. SNF is Skilled Nursing Facilities.4
Medicare FFS Readmissions Among Post-Acute CareUsers, Arkansas30-day Readmission Rates for Top 20 Most Common MS-DRGs Discharged from Hospital toSelected Post-Acute Care (PAC) Settings, by Setting, 2014MS-DRGMajor joint replacement or reattachment of lower extremity w/o mccSepticemia or severe sepsis w/o mv 96 hours w mccHeart failure & shock w mccHeart failure & shock w ccHip & femur procedures except major joint w ccKidney & urinary tract infections w/o mccIntracranial hemorrhage or cerebral infarction w cc or tpa in 24 hrsRenal failure w ccSepticemia or severe sepsis w/o mv 96 hours w/o mccSimple pneumonia & pleurisy w mccSimple pneumonia & pleurisy w ccCellulitis w/o mccRenal failure w mccChronic obstructive pulmonary disease w mccPulmonary edema & respiratory failureKidney & urinary tract infections w mccMisc. disorders of nutrition, metabolism, fluids/electrolytes w/o mccEsophagitis, gastroent & misc. digest disorders w/o mccIntracranial hemorrhage or cerebral infarction w mccG.I. Hemorrhage w cc% of Home HealthUsers ReadmittedWithin 30 .84%23.46%14.29%25.00%% of SNF UsersReadmitted Within30 7.74%19.59%25.45%20.00%Source: Avalere Health, analysis of Medicare Standard Analytic Files, 2014*Analysis includes Medicare Part A claims only.Note: FFS is fee-for-service. CC is complication or comorbidity. MCC is major complication or comorbidity. SNF is Skilled Nursing Facilities.5
Medicare FFS Readmissions Among Post-Acute CareUsers, Arizona30-day Readmission Rates for Top 20 Most Common MS-DRGs Discharged from Hospital toSelected Post-Acute Care (PAC) Settings, by Setting, 2014MS-DRGMajor joint replacement or reattachment of lower extremity w/o mccSepticemia or severe sepsis w/o mv 96 hours w mccHeart failure & shock w mccHeart failure & shock w ccHip & femur procedures except major joint w ccKidney & urinary tract infections w/o mccIntracranial hemorrhage or cerebral infarction w cc or tpa in 24 hrsRenal failure w ccSepticemia or severe sepsis w/o mv 96 hours w/o mccSimple pneumonia & pleurisy w mccSimple pneumonia & pleurisy w ccCellulitis w/o mccRenal failure w mccChronic obstructive pulmonary disease w mccPulmonary edema & respiratory failureKidney & urinary tract infections w mccMisc. disorders of nutrition, metabolism, fluids/electrolytes w/o mccEsophagitis, gastroent & misc. digest disorders w/o mccIntracranial hemorrhage or cerebral infarction w mccG.I. Hemorrhage w cc% of Home HealthUsers ReadmittedWithin 30 .78%24.00%19.23%13.41%% of SNF UsersReadmitted Within30 .38%13.39%23.19%13.79%Source: Avalere Health, analysis of Medicare Standard Analytic Files, 2014*Analysis includes Medicare Part A claims only.Note: FFS is fee-for-service. CC is complication or comorbidity. MCC is major complication or comorbidity. SNF is Skilled Nursing Facilities.6
Medicare FFS Readmissions Among Post-Acute CareUsers, California30-day Readmission Rates for Top 20 Most Common MS-DRGs Discharged from Hospital toSelected Post-Acute Care (PAC) Settings, by Setting, 2014MS-DRGMajor joint replacement or reattachment of lower extremity w/o mccSepticemia or severe sepsis w/o mv 96 hours w mccHeart failure & shock w mccHeart failure & shock w ccHip & femur procedures except major joint w ccKidney & urinary tract infections w/o mccIntracranial hemorrhage or cerebral infarction w cc or tpa in 24 hrsRenal failure w ccSepticemia or severe sepsis w/o mv 96 hours w/o mccSimple pneumonia & pleurisy w mccSimple pneumonia & pleurisy w ccCellulitis w/o mccRenal failure w mccChronic obstructive pulmonary disease w mccPulmonary edema & respiratory failureKidney & urinary tract infections w mccMisc. disorders of nutrition, metabolism, fluids/electrolytes w/o mccEsophagitis, gastroent & misc. digest disorders w/o mccIntracranial hemorrhage or cerebral infarction w mccG.I. Hemorrhage w cc% of Home HealthUsers ReadmittedWithin 30 .43%18.93%18.93%16.70%% of SNF UsersReadmitted Within30 4.45%16.31%20.58%16.91%Source: Avalere Health, analysis of Medicare Standard Analytic Files, 2014*Analysis includes Medicare Part A claims only.Note: FFS is fee-for-service. CC is complication or comorbidity. MCC is major complication or comorbidity. SNF is Skilled Nursing Facilities.7
Medicare FFS Readmissions Among Post-Acute CareUsers, Colorado30-day Readmission Rates for Top 20 Most Common MS-DRGs Discharged from Hospital toSelected Post-Acute Care (PAC) Settings, by Setting, 2014MS-DRGMajor joint replacement or reattachment of lower extremity w/o mccSepticemia or severe sepsis w/o mv 96 hours w mccHeart failure & shock w mccHeart failure & shock w ccHip & femur procedures except major joint w ccKidney & urinary tract infections w/o mccIntracranial hemorrhage or cerebral infarction w cc or tpa in 24 hrsRenal failure w ccSepticemia or severe sepsis w/o mv 96 hours w/o mccSimple pneumonia & pleurisy w mccSimple pneumonia & pleurisy w ccCellulitis w/o mccRenal failure w mccChronic obstructive pulmonary disease w mccPulmonary edema & respiratory failureKidney & urinary tract infections w mccMisc. disorders of nutrition, metabolism, fluids/electrolytes w/o mccEsophagitis, gastroent & misc. digest disorders w/o mccIntracranial hemorrhage or cerebral infarction w mccG.I. Hemorrhage w cc% of Home HealthUsers ReadmittedWithin 30 42%16.39%12.50%16.67%% of SNF UsersReadmitted Within30 6%11.30%14.18%14.81%Source: Avalere Health, analysis of Medicare Standard Analytic Files, 2014*Analysis includes Medicare Part A claims only.Note: FFS is fee-for-service. CC is complication or comorbidity. MCC is major complication or comorbidity. SNF is Skilled Nursing Facilities.8
Medicare FFS Readmissions Among Post-Acute CareUsers, Connecticut30-day Readmission Rates for Top 20 Most Common MS-DRGs Discharged from Hospital toSelected Post-Acute Care (PAC) Settings, by Setting, 2014MS-DRGMajor joint replacement or reattachment of lower extremity w/o mccSepticemia or severe sepsis w/o mv 96 hours w mccHeart failure & shock w mccHeart failure & shock w ccHip & femur procedures except major joint w ccKidney & urinary tract infections w/o mccIntracranial hemorrhage or cerebral infarction w cc or tpa in 24 hrsRenal failure w ccSepticemia or severe sepsis w/o mv 96 hours w/o mccSimple pneumonia & pleurisy w mccSimple pneumonia & pleurisy w ccCellulitis w/o mccRenal failure w mccChronic obstructive pulmonary disease w mccPulmonary edema & respiratory failureKidney & urinary tract infections w mccMisc. disorders of nutrition, metabolism, fluids/electrolytes w/o mccEsophagitis, gastroent & misc. digest disorders w/o mccIntracranial hemorrhage or cerebral infarction w mccG.I. Hemorrhage w cc% of Home HealthUsers ReadmittedWithin 30 .21%17.65%25.71%20.71%% of SNF UsersReadmitted Within30 3.47%16.67%22.18%15.56%Source: Avalere Health, analysis of Medicare Standard Analytic Files, 2014*Analysis includes Medicare Part A claims only.Note: FFS is fee-for-service. CC is complication or comorbidity. MCC is major complication or comorbidity. SNF is Skilled Nursing Facilities.9
Medicare FFS Readmissions Among Post-Acute CareUsers, Washington, D.C.30-day Readmission Rates for Top 20 Most Common MS-DRGs Discharged from Hospital toSelected Post-Acute Care (PAC) Settings, by Setting, 2014MS-DRGMajor joint replacement or reattachment of lower extremity w/o mccSepticemia or severe sepsis w/o mv 96 hours w mccHeart failure & shock w mccHeart failure & shock w ccHip & femur procedures except major joint w ccKidney & urinary tract infections w/o mccIntracranial hemorrhage or cerebral infarction w cc or tpa in 24 hrsRenal failure w ccSepticemia or severe sepsis w/o mv 96 hours w/o mccSimple pneumonia & pleurisy w mccSimple pneumonia & pleurisy w ccCellulitis w/o mccRenal failure w mccChronic obstructive pulmonary disease w mccPulmonary edema & respiratory failureKidney & urinary tract infections w mccMisc. disorders of nutrition, metabolism, fluids/electrolytes w/o mccEsophagitis, gastroent & misc. digest disorders w/o mccIntracranial hemorrhage or cerebral infarction w mccG.I. Hemorrhage w cc% of Home HealthUsers ReadmittedWithin 30 %22.22%20.00%11.11%% of SNF UsersReadmitted Within30 0.00%25.00%23.08%10.34%Source: Avalere Health, analysis of Medicare Standard Analytic Files, 2014*Analysis includes Medicare Part A claims only.Note: FFS is fee-for-service. CC is complication or comorbidity. MCC is major complication or comorbidity. SNF is Skilled Nursing Facilities.10
Medicare FFS Readmissions Among Post-Acute CareUsers, Delaware30-day Readmission Rates for Top 20 Most Common MS-DRGs Discharged from Hospital toSelected Post-Acute Care (PAC) Settings, by Setting, 2014MS-DRGMajor joint replacement or reattachment of lower extremity w/o mccSepticemia or severe sepsis w/o mv 96 hours w mccHeart failure & shock w mccHeart failure & shock w ccHip & femur procedures except major joint w ccKidney & urinary tract infections w/o mccIntracranial hemorrhage or cerebral infarction w cc or tpa in 24 hrsRenal failure w ccSepticemia or severe sepsis w/o mv 96 hours w/o mccSimple pneumonia & pleurisy w mccSimple pneumonia & pleurisy w ccCellulitis w/o mccRenal failure w mccChronic obstructive pulmonary disease w mccPulmonary edema & respiratory failureKidney & urinary tract infections w mccMisc. disorders of nutrition, metabolism, fluids/electrolytes w/o mccEsophagitis, gastroent & misc. digest disorders w/o mccIntracranial hemorrhage or cerebral infarction w mccG.I. Hemorrhage w cc% of Home HealthUsers ReadmittedWithin 30 .00%16.28%31.58%22.64%% of SNF UsersReadmitted Within30 4.81%22.58%27.78%16.98%Source: Avalere Health, analysis of Medicare Standard Analytic Files, 2014*Analysis includes Medicare Part A claims only.Note: FFS is fee-for-service. CC is complication or comorbidity. MCC is major complication or comorbidity. SNF is Skilled Nursing Facilities.11
Medicare FFS Readmissions Among Post-Acute CareUsers, Florida30-day Readmission Rates for Top 20 Most Common MS-DRGs Discharged from Hospital toSelected Post-Acute Care (PAC) Settings, by Setting, 2014MS-DRGMajor joint replacement or reattachment of lower extremity w/o mccSepticemia or severe sepsis w/o mv 96 hours w mccHeart failure & shock w mccHeart failure & shock w ccHip & femur procedures except major joint w ccKidney & urinary tract infections w/o mccIntracranial hemorrhage or cerebral infarction w cc or tpa in 24 hrsRenal failure w ccSepticemia or severe sepsis w/o mv 96 hours w/o mccSimple pneumonia & pleurisy w mccSimple pneumonia & pleurisy w ccCellulitis w/o mccRenal failure w mccChronic obstructive pulmonary disease w mccPulmonary edema & respiratory failureKidney & urinary tract infections w mccMisc. disorders of nutrition, metabolism, fluids/electrolytes w/o mccEsophagitis, gastroent & misc. digest disorders w/o mccIntracranial hemorrhage or cerebral infarction w mccG.I. Hemorrhage w cc% of Home HealthUsers ReadmittedWithin 30 .32%20.00%20.43%18.17%% of SNF UsersReadmitted Within30 6.67%18.46%24.15%19.63%Source: Avalere Health, analysis of Medicare Standard Analytic Files, 2014*Analysis includes Medicare Part A claims only.Note: FFS is fee-for-service. CC is complication or comorbidity. MCC is major complication or comorbidity. SNF is Skilled Nursing Facilities.12
Medicare FFS Readmissions Among Post-Acute CareUsers, Georgia30-day Readmission Rates for Top 20 Most Common MS-DRGs Discharged from Hospital toSelected Post-Acute Care (PAC) Settings, by Setting, 2014MS-DRGMajor joint replacement or reattachment of lower extremity w/o mccSepticemia or severe sepsis w/o mv 96 hours w mccHeart failure & shock w mccHeart failure & shock w ccHip & femur procedures except major joint w ccKidney & urinary tract infections w/o mccIntracranial hemorrhage or cerebral infarction w cc or tpa in 24 hrsRenal failure w ccSepticemia or severe sepsis w/o mv 96 hours w/o mccSimple pneumonia & pleurisy w mccSimple pneumonia & pleurisy w ccCellulitis w/o mccRenal failure w mccChronic obstructive pulmonary disease w mccPulmonary edema & respiratory failureKidney & urinary tract infections w mccMisc. disorders of nutrition, metabolism, fluids/electrolytes w/o mccEsophagitis, gastroent & misc. digest disorders w/o mccIntracranial hemorrhage or cerebral infarction w mccG.I. Hemorrhage w cc% of Home HealthUsers ReadmittedWithin 30 .95%17.46%14.89%22.22%% of SNF UsersReadmitted Within30 6.85%18.50%24.06%17.70%Source: Avalere Health, analysis of Medicare Standard Analytic Files, 2014*Analysis includes Medicare Part A claims only.Note: FFS is fee-for-service. CC is complication or comorbidity. MCC is major complication or comorbidity. SNF is Skilled Nursing Facilities.13
Medicare FFS Readmissions Among Post-Acute CareUsers, Hawaii30-day Readmission Rates for Top 20 Most Common MS-DRGs Discharged from Hospital toSelected Post-Acute Care (PAC) Settings, by Setting, 2014MS-DRGMajor joint replacement or reattachment of lower extremity w/o mccSepticemia or severe sepsis w/o mv 96 hours w mccHeart failure & shock w mccHeart failure & shock w ccHip & femur procedures except major joint w ccKidney & urinary tract infections w/o mccIntracranial hemorrhage or cerebral infarction w cc or tpa in 24 hrsRenal failure w ccSepticemia or severe sepsis w/o mv 96 hours w/o mccSimple pneumonia & pleurisy w mccSimple pneumonia & pleurisy w ccCellulitis w/o mccRenal failure w mccChronic obstructive pulmonary disease w mccPulmonary edema & respiratory failureKidney & urinary tract infections w mccMisc. disorders of nutrition, metabolism, fluids/electrolytes w/o mccEsophagitis, gastroent & misc. digest disorders w/o mccIntracranial hemorrhage or cerebral infarction w mccG.I. Hemorrhage w cc% of Home HealthUsers ReadmittedWithin 30 25.00%0.00%33.33%% of SNF UsersReadmitted Within30 8.57%12.50%9.68%Source: Avalere Health, analysis of Medicare Standard Analytic Files, 2014*Analysis includes Medicare Part A claims only.Note: FFS is fee-for-service. CC is complication or comorbidity. MCC is major complication or comorbidity. SNF is Skilled Nursing Facilities.14
Medicare FFS Readmissions Among Post-Acute CareUsers, Iowa30-day Readmission Rates for Top 20 Most Common MS-DRGs Discharged from Hospital toSelected Post-Acute Care (PAC) Settings, by Setting, 2014MS-DRGMajor joint replacement or reattachment of lower extremity w/o mccSepticemia or severe sepsis w/o mv 96 hours w mccHeart failure & shock w mccHeart failure & shock w ccHip & femur procedures except major joint w ccKidney & urinary tract infections w/o mccIntracranial hemorrhage or cerebral infarction w cc or tpa in 24 hrsRenal failure w ccSepticemia or severe sepsis w/o mv 96 hours w/o mccSimple pneumonia & pleurisy w mccSimple pneumonia & pleurisy w ccCellulitis w/o mccRenal failure w mccChronic obstructive pulmonary disease w mccPulmonary edema & respiratory failureKidney & urinary tract infections w mccMisc. disorders of nutrition, metabolism, fluids/electrolytes w/o mccEsophagitis, gastroent & misc. digest disorders w/o mccIntracranial hemorrhage or cerebral infarction w mccG.I. Hemorrhage w cc% of Home HealthUsers ReadmittedWithin 30 %17.91%17.65%11.43%% of SNF UsersReadmitted Within30 56%17.07%16.67%17.80%Source: Avalere Health, analysis of Medicare Standard Analytic Files, 2014*Analysis includes Medicare Part A claims only.Note: FFS is fee-for-service. CC is complication or comorbidity. MCC is major complication or comorbidity. SNF is Skilled Nursing Facilities.15
Medicare FFS Readmissions Among Post-Acute CareUsers, Idaho30-day Readmission Rates for Top 20 Most Common MS-DRGs Discharged from Hospital toSelected Post-Acute Care (PAC) Settings, by Setting, 2014MS-DRGMajor joint replacement or reattachment of lower extremity w/o mccSepticemia or severe sepsis w/o mv 96 hours w mccHeart failure & shock w mccHeart failure & shock w ccHip & femur procedures except major joint w ccKidney & urinary tract infections w/o mccIntracranial hemorrhage or cerebral infarction w cc or tpa in 24 hrsRenal failure w ccSepticemia or severe sepsis w/o mv 96 hours w/o mccSimple pneumonia & pleurisy w mccSimple pneumonia & pleurisy w ccCellulitis w/o mccRenal failure w mccChronic obstructive pulmonary disease w mccPulmonary edema & respiratory failureKidney & urinary tract infections w mccMisc. disorders of nutrition, metabolism, fluids/electrolytes w/o mccEsophagitis, gastroent & misc. digest disorders w/o mccIntracranial hemorrhage or cerebral infarction w mccG.I. Hemorrhage w cc% of Home HealthUsers ReadmittedWithin 30 7.27%0.00%11.11%% of SNF UsersReadmitted Within30 1.11%21.95%12.12%Source: Avalere Health, analysis of Medicare Standard Analytic Files, 2014*Analysis includes Medicare Part A claims only.Note: FFS is fee-for-service. CC is complication or comorbidity. MCC is major complication or comorbidity. SNF is Skilled Nursing Facilities.16
Medicare FFS Readmissions Among Post-Acute CareUsers, Illinois30-day Readmission Rates for Top 20 Most Common MS-DRGs Discharged from Hospital toSelected Post-Acute Care (PAC) Settings, by Setting, 2014MS-DRGMajor joint replacement or reattachment of lower extremity w/o mccSepticemia or severe sepsis w/o mv 96 hours w mccHeart failure & shock w mccHeart failure & shock w ccHip & femur procedures except major joint w ccKidney & urinary tract infections w/o mccIntracranial hemorrhage or cerebral infarction w cc or tpa in 24 hrsRenal failure w ccSepticemia or severe sepsis w/o mv 96 hours w/o mccSimple pneumonia & pleurisy w mccSimple pneumonia & pleurisy w ccCellulitis w/o mccRenal failure w mccChronic obstructive pulmonary disease w mccPulmonary edema & respiratory failureKidney & urinary tract infections w mccMisc. disorders of nutrition, metabolism, fluids/electrolytes w/o mccEsophagitis, gastroent & misc. digest disorders w/o mccIntracranial hemorrhage or cerebral infarction w mccG.I. Hemorrhage w cc% of Home HealthUsers ReadmittedWithin 30 .91%17.27%21.18%21.52%% of SNF UsersReadmitted Within30 4.52%18.14%21.95%18.62%Source: Avalere Health, analysis of Medicare Standard Analytic Files, 2014*Analysis includes Medicare Part A claims only.Note: FFS is fee-for-service. CC is complication or comorbidity. MCC is major complication or comorbidity. SNF is Skilled Nursing Facilities.17
Medicare FFS Readmissions Among Post-Acute CareUsers, Indiana30-day Readmission Rates for Top 20 Most Common MS-DRGs Discharged from Hospital toSelected Post-Acute Care (PAC) Settings, by Setting, 2014MS-DRGMajor joint replacement or reattachment of lower extremity w/o mccSepticemia or severe sepsis w/o mv 96 hours w mccHeart failure & shock w mccHeart failure & shock w ccHip & femur procedures except major joint w ccKidney & urinary tract infections w/o mccIntracranial hemorrhage or cerebral infarction w cc or tpa in 24 hrsRenal failure w ccSepticemia or severe sepsis w/o mv 96 hours w/o mccSimple pneumonia & pleurisy w mccSimple pneumonia & pleurisy w ccCellulitis w/o mccRenal failure w mccChronic obstructive pulmonary disease w mccPulmonary edema & respiratory failureKidney & urinary tract infections w mccMisc. disorders of nutrition, metabolism, fluids/electrolytes w/o mccEsophagitis, gastroent & misc. digest disorders w/o mccIntracranial hemorrhage or cerebral infarction w mccG.I. Hemorrhage w cc% of Home HealthUsers ReadmittedWithin 30 .54%29.75%8.57%20.18%% of SNF UsersReadmitted Within30 4.82%14.29%19.73%18.31%Source: Avalere Health, analysis of Medicare Standard Analytic Files, 2014*Analysis includes Medicare Part A claims only.Note: FFS is fee-for-service. CC is complication or comorbidity. MCC is major complication or comorbidity. SNF is Skilled Nursing Facilities.18
Medicare FFS Readmissions Among Post-Acute CareUsers, Kansas30-day Readmission Rates for Top 20 Most Common MS-DRGs Discharged from Hospital toSelected Post-Acute Care (PAC) Settings, by Setting, 2014MS-DRGMajor joint replacement or reattachment of lower extremity w/o mccSepticemia or severe sepsis w/o mv 96 hours w mccHeart failure & shock w mccHeart failure & shock w ccHip & femur procedures except major joint w ccKidney & urinary tract infections w/o mccIntracranial hemorrhage or cerebral infarction w cc or tpa in 24 hrsRenal failure w ccSepticemia or severe sepsis w/o mv 96 hours w/o mccSimple pneumonia & pleurisy w mccSimple pneumonia & pleurisy w ccCellulitis w/o mccRenal failure w mccChronic obstructive pulmonary disease w mccPulmonary edema & respiratory failureKidney & urinary tract infections w mccMisc. disorders of nutrition, metabolism, fluids/electrolytes w/o mccEsophagitis, gastroent & misc. digest disorders w/o mccIntracranial hemorrhage or cerebral infarction w mccG.I. Hemorrhage w cc% of Home HealthUsers ReadmittedWithin 30 1.43%20.93%19.05%15.25%% of SNF UsersReadmitted Within30 57%18.46%10.46%17.68%Source: Avalere Health, analysis of Medicare Standard Analytic Files, 2014*Analysis includes Medicare Part A claims only.Note: FFS is fee-for-service. CC is complication or comorbidity. MCC is major complication or comorbidity. SNF is Skilled Nursing Facilities.19
Medicare FFS Readmissions Among Post-Acute CareUsers, Kentucky30-day Readmission Rates for Top 20 Most Common MS-DRGs Discharged from Hospital toSelected Post-Acute Care (PAC) Settings, by Setting, 2014MS-DRGMajor joint replacement or reattachment of lower extremity w/o mccSepticemia or severe sepsis w/o mv 96 hours w mccHeart failure & shock w mccHeart failure & shock w ccHip & femur procedures except major joint w ccKidney & urinary tract infections w/o mccIntracranial hemorrhage or cerebral infarction w cc or tpa in 24 hrsRenal failure w ccSepticemia or severe sepsis w/o mv 96 hours w/o mccSimple pneumonia & pleurisy w mccSimple pneumonia & pleurisy w ccCellulitis w/o mccRenal failure w mccChronic obstructive pulmonary disease w mccPulmonary edema & respiratory failureKidney & urinary tract infections w mccMisc. disorders of nutrition, metabolism, flu
Jan 21, 2016 · Renal failure w cc 22.44% 19.63% Septicemia or severe sepsis w/o mv 96 hours w/o mcc 16.82% 16.75% Simple pneumonia & pleurisy w mcc 20.52% 21.39% Simple pneumonia & pleurisy w cc 17.16% 16.82% Cellulitis w/o mcc 13.22% 13.55% Renal failure w mcc 25.42% 23.16% Chro
Centers for Medicare & Medicaid Services National Train‐the‐Trainer Workshops Instructor Information Sheet Module 1: Understanding Medicare Module Description Original Medicare, Medicare Advantage and Other Medicare Health Plans, and Medicare Prescription Drug Coverage are choices in the Medicare program.
Medicare 101: The Basics of Medicare. . Original Medicare, Medicare Advantage, and Medicare Cost plans Other COVID-19 related benefits are available if Medicare guidelines are met Those who are in a Medicare Advantage Plan should check . PowerPoint Presentation Author:
A Project to Reengineer Discharges Reduces 30-Day Readmission Rates A Texas hospital achieves improvement in its readmission rate by implementing Project RED. T he problem of hospital readmissions— admissions that occur within 30 days of a patient's discharge—has been a long-standing concern. Since October 2012, the concern has only
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Medicare Readmission Penalties By Hospital, Year 4 Medicare will apply these readmissions penalties to reimbursements from Oct. 1, 2015, through Sept. 30, 2016,
The Politics of Negotiating EU Readmission Agreements: Insights from Morocco and Turkey Sarah Wolff School of Politics and International Relations, Queen Mary University of London, Mile End Road, London E1 4NS, UK e-mail: s.wolff@qmul.ac.uk Abstract The subject of this article is the politics of instrumentation of EU Readmission
MSBI within 30 days post-discharge after using OPAT. Risk factors and predictors associated with readmission were assessed. The rate of 30-day readmission for those discharged with midlines compar
