Potentially Preventable Hospitalizations

Potentially preventable hospitalizations are both common and costly. According to an AHRQ study, nearly 4.4 million hospital admissions for acute illnesses or worsening chronic conditions totaled $30.8 billion in hospital costs. These patients might not have required hospitalization had their conditions been managed successfully in outpatient settings.

By harnessing the power of predictive analytics, patients at risk for hospitalization can be identified in a timely manner. Healthcare providers can turn this insight into action by implementing targeted care management strategies, such as improved ambulatory care, enhanced access to effective treatment, or the adoption of healthy behaviors. Helping patients avoid hospitalizations can lead to better health outcomes and contribute to containing—or decreasing—healthcare costs.

Did you know...

1 of every 10

dollars in total hospital expenditures is spent on potentially preventable hospitalizations

4.4 Million

hospitalizations are estimated to be potentially preventable annually

60%

of the potentially preventable hospital stays are from patients age 65 and older

See How ClosedLoop Can Help Prevent Avoidable Hospitalizations

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Total Risk

The top 5% of all patients account for 50% of the total U.S. healthcare expenditures. Identify which patients have the highest overall risk in the next 6 months or year.

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Readmissions

There were approximately 3.3 million adult 30-day all-cause hospital readmissions in the U.S. in 2011, and they were associated with about $41.3 billion in hospital costs.

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Medication Adherence

50% of patients do not take their medications, causing 125,000 deaths per year. Identify patients most likely to stop taking medications or to not refill their prescriptions.

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Avoidable ED Utilization

$8.3 billion a year is spent on ED visits that are not classified as emergent. Identify patients likely to use/overuse the ED for non-emergent and primary-care treatable visits.

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