Readmissions

“Which of my patients are most likely to return to the hospital following a discharge?”

The numbers associated with hospital readmissions are staggering. 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. Medicare had the largest share of total readmissions (55.9 percent) and associated costs for readmissions (58.2 percent), followed by Medicaid (20.6 percent and 18.4 percent, respectively). The remainder fell to privately or uninsured patient readmissions.

Many factors can contribute to costly hospital readmissions. By using predictive analytics, healthcare systems can proactively identify patients likely to be readmitted to the hospital within 30 days post-discharge. With this valuable knowledge in hand, care teams can implement targeted interventions with patients and caregivers to reduce the risk of readmission. These interventions can have a profound impact on patients’ health outcomes and quality of life, as well as the healthcare system’s financial wellbeing.

Did you know...

40%

of patients are discharged with test results pending

55.9%

of total readmissions in 2011 were Medicare patients

20%

of Medicare patients are rehospitalized within 30 days of discharge

ClosedLoop Helps Medicare Provider Accurately Predict Readmissions

In only four weeks, Oak Street Health was able to integrate data from their EMR, medical and prescription claims, scheduling, and other systems into the ClosedLoop platform and create comprehensive risk profiles for each patient. Compared to their old scoring methods, the new ClosedLoop predictions were 37% more accurate.

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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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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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Opioid Addiction

Over 130 deaths per day result from the misuse of opioid. Predicting which patients are likely to get addicted and overuse medication can help physicians write alternative scripts or offer different treatment plans.

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Appointment No-Shows

Costing more than $150B a year, patient no-shows and late-cancels are a major problem for health systems. Reduce scheduling and operational difficulties that cause for wasted medical resources and increased healthcare costs.

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See How ClosedLoop Can Help Reduce Readmission Rates and the Total Cost of Care

Get in touch today to see a readmissions model on the ClosedLoop Platform.

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