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
• Learn how to filter column data
• Understand how to identify patient
population based on the DRG
PPR Data Source
• Patient Claims Data which includes:
– Diagnosis
– Procedure Codes
– Demographic Information
• Discharge status
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)
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
PPR Data Review
• Step by step instructions to make PPR
data more useable in understanding your
readmissions.
– MHA Communication
– MHA portal
– Spreadsheet Tips
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
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
Questions ?