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Understanding your Potentially Preventable Readmissions (PPR) Reports

Understanding your Potentially Preventable Readmissions (PPR) Reports . Minnesota Hospital Association Mickey Reid, Patient Safety and Quality Manager December 7, 2012 . Today’s Agenda . Objectives: PPR data source Condense your PPR spreadsheet into usable data

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Understanding your Potentially Preventable Readmissions (PPR) Reports

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  1. Understanding your Potentially Preventable Readmissions (PPR) Reports Minnesota Hospital Association Mickey Reid, Patient Safety and Quality Manager December 7, 2012

  2. Today’s Agenda Objectives: • PPR data source • Condense your PPR spreadsheet into usable data • Learn how to filter column data • Understand how to identify patient population based on the DRG

  3. PPR Data Source • Patient Claims Data which includes: • Diagnosis • Procedure Codes • Demographic Information • Discharge status

  4. PPR Global Exclusions • Admissions for which follow-up care is intrinsically extensive and complex • Major or metastatic malignancies treated medically • Multiple trauma, burns • Discharge status indicates limited hospital & provider control • Left against medical advice • Transferred to another acute care hospital • Neonates • Other exclusions • Specific eye procedures and infections • Cystic fibrosis with pulmonary diagnoses • Obstetrics • Transplants • Planned Readmission • Died – not included as candidate initial admissions (denominator)

  5. Examples of a readmission which is not potentially preventable • No clinical relationship to prior discharge • Cholecystectomy two weeks after hip replacement • Discharge status of prior discharge • AMA and transferred to another acute care hospital • Type of prior discharge • Follow-up care is intrinsically complex and extensive • Metastatic malignancies, Multiple trauma, Burns • Longer interval between discharge and readmission • Long time intervals (>30 days) reduce confidence that readmission is causally linked to the prior discharge

  6. PPR Data Review • Step by step instructions to make PPR data more useable in understanding your readmissions. • MHA Communication • MHA portal • Spreadsheet Tips

  7. Next Steps • Sign on to MHA portal • If you do not have your username/password, please email Bonnie Terveer at bterveer@mnhospitals.org • Down load your most recent PPR data from the MHA secure portal • Begin to filter your spreadsheet making it more manageable to review using the instructions we followed in the presentation • If you need additional assistance in filtering your data or you would like to set up an individual discussion regarding your data please contact kolson@mnhospital.org

  8. Watch for 2013 future webinars… • To suggest future topics for this series, Reducing Avoidable Readmissions Effectively “RARE” Networking Webinars, contact Kathy Cummings, kcummings@icsi.org

  9. Questions ?

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