Population Health Worksheet (include all that are appropriate)
Current length of stay
Admissions per year
Discharges per year
# observation patients per month
Length of stay of observation patients
% of admissions from home
% of admissions from home care
% of admissions from long term care
% of admissions from assisted living
% of discharges go home
% of discharges go home with home care
% of discharges go to long-term care
% of discharges go to assisted living
% of readmissions from home
% of readmissions from home care
% of readmissions from long-term care
% of readmissions from assisted living
Top 4 ICD-9 codes for patients readmitted
Average # of medications prescribed for
readmitted patients
Average time for discharge summary to be
available for next care provider post-discharge
% of patients without an attributed primary
care provider on discharge
% readmissions by individual practioner/clinic
% Readmissions with behavioral health as a
factor/comorbidity
Readmission rates at different time frames
(such as 7, 30, 60, or 90 days)
RARE Campaign www.rarereadmissions.org