Readmission Explorer Analytics Accelerator

1. The Challenge

Details

2. Our Approach

Details

3. Benefits

Details
Technical

The Readmission Explorer analytics accelerator provides data and visualizations to help health systems understand and improve performance against a broad spectrum of readmission metrics—supporting teams in their efforts to improve patient care, increase satisfaction, and lower costs.

The Challenge

Health systems that have acquired ambulatory care practices—and independent ambulatory practices alike—face tremendous financial pressures and challenges to financial sustainability. If you’re an ambulatory care leader, you’re looking to improve the efficiency of the services you provide and find cost savings without negatively impacting patient outcomes, the community, or the integrity of the organization. Yet it can be difficult to access data that brings actionable insights to inform decisions to improve patient access, panel management, provider productivity, referral management, or quality scores.

Our Approach

The Readmission Explorer application delivers an efficient and accurate means of evaluating your hospital readmissions. Providing a range of metrics for all-cause readmissions, the application allows users to select predefined CMS-based cohorts or to define their own cohorts. Users can access additional insight by refining cohorts via patient demographics, discharge status, provider, and other metrics. The result? A clear and credible account of where readmissions—a proxy for poor patient care—might be improved and a means of gauging progress toward goals.

Benefits

  • Quickly identify the direction your performance is headed. The application highlights trends associated with readmissions and reveals areas where readmissions could be reduced. By addressing negative trends early on, your organization may be able to avoid CMS penalties.
  • Focus where it matters most. The application supports a focus on CMS-specific readmission conditions—AMI, Heart Failure, Pneumonia, Total Hip/Total Knee, CABG and COPD—and also allows you to define other groups of interest. The application is flexible and allows you to look at a specialty cohort, use the Health Catalyst-supplied Clinical Hierarchy content, or define custom cohorts by ICD-10 diagnosis and/or procedure codes. And regardless of the starting point for analysis, each cohort and/or method can be further refined by patient demographics, discharge status, provider, and other metrics.
  • Do more than monitor: understand. Besides providing a broad spectrum of readmission metrics for all-cause readmissions, the application allows you to perform meaningful investigation of factors (e.g., care variables, complications, pre-existing conditions) associated with readmission and their implications for specific groups of patients across the health system.
  • Support data transparency and sharing. The application increases the efficiency and accuracy of readmission data reporting by consolidating data in near real-time and automating preferred visualizations. It provides a single source of truth regarding readmission data—and is simple enough for self-service analysis. By providing the right data at the right time to the right audience, Readmissions Explorer is a powerful tool for collaboration and improvement.

Proven Outcomes

View All