Potentially Preventable Hospitalizations

“Which of my patients are likely to be hospitalized and can it be avoided?”

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

$30.8 Billion

is spent annually on potentially preventable hospitalizations

See How ClosedLoop Can Help Prevent Avoidable Hospitalizations

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Total Risk

According to the AHRQ, the top 5% of all patients account for 50% of total U.S. healthcare expenditures, and the costliest 1% of patients account for 21% of healthcare expenditures.

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Readmissions

According to AHRQ, 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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Hospital Acquired Conditions & Infections

Annually, approximately 2 million patients suffer with HAIs in the U.S., and nearly 90,000 are estimated to die. The overall direct cost hospitals incur due to HAIs is estimated to be as high as $45 billion annually.

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Chronic Disease—Onset or Progression

Heart disease, cancer, and diabetes are not only the leading cause of death and disability in the U.S., they make up 90% of the nation’s $3.3 trillion annual healthcare costs.

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