Maintaining
patient health after
a hospital stay…
…so we all
sleep more
peacefully.
(Your Hospital Name)
A Committed Participant in the
RARE Campaign
RARE Campaign
• Works across the continuum of care to reduce
avoidable hospital readmissions in Minnesota
• Seeking commitment from all hospitals in
Minnesota
• Engaging other care providers in our community
who work with patients post-discharge, as
avoidable readmissions are the result of a
fragmented health care system
Statewide Triple Aim Goals
• Population health
– Prevent 4,000 avoidable readmissions within 30 days of
discharge OR, in other words,
– Reduce overall readmissions rate by 20% from 2009 base
by 12/31/12
• Care experience
– Help patients and their families spend 16,000 more nights
in their own beds instead of in the hospital
– Improve by 5% on HCAHPS survey questions on
discharge
• Affordability of care
– Save an estimated $30 million for commercially insured
patients; additional savings for Medicare patients
Broad Community Support
• Campaign Operating Partners Role
– Manage operations, provide the majority of
staffing and resources to support participating
hospitals
• Institute for Clinical Systems Improvement (ICSI)
• Minnesota Hospital Association (MHA)
• Stratis Health
Broad Community Support
• Supporting Partners Role
– Provide significant resources and support to develop and
implement specific aspects of the campaign
• Minnesota Medical Association
• MN Community Measurement
• Community Partners Role
– Endorse and actively support the campaign
• A growing list of providers, state health agencies,
health plans, home health agencies, nursing homes,
patient advocacy groups and other community
organizations
The Right Thing to Do
• Likely had a loved one who returned to the
hospital soon after discharge
• Causes anxiety, unrest and burden on
patients and their families
• Patients prefer to maintain their health and
sleep peacefully in their own beds
Our Hospitals Need to Improve
• Nearly 1 in 5 Medicare patients discharged
from hospitals in Minnesota is readmitted
within 30 days
• Many of these readmissions are avoidable
• 18 states had lower readmissions rates
than Minnesota—we can do better!
A Care Delivery System Approach
• Many hospital readmissions are the result
of a fragmented health care system
• Addressing this fragmentation across the
care continuum will reduce avoidable
readmissions and improve care delivery
overall
Potential Financial Penalties
• Hospitals with higher than expected riskadjusted 30-day readmission performance
can incur penalties up to 1% of their total
inpatient Medicare payments beginning in
fiscal year 2013 (i.e., starting Oct. 1, 2012).
The penalty increases each year after that.
• CMS will evaluate prior year’s readmissions
data, effectively starting the clock ticking on
Oct. 1, 2011
Potential Financial Gains
• Affordable Care Act creates readmissions
reduction program to help hospitals
smooth transitions for patients, and reward
hospitals successful in reducing avoidable
readmissions
• CMS is developing regulations that will be
issued this year
Timing Is Right
• Key focus of CMS and its projects
– Quality Improvement Organizations Statement of
Work
– Care Transition Project (seeks to improve the
patient’s continuum of care after discharge from
the hospital and reduce avoidable hospital
readmissions)
– Partnerships for Patients program
– Community Based Care Transitions program.
• The campaign can make Minnesota the
national leader supporting the federal
initiatives
Helps Make Health Care Affordable
• Estimated average cost of a readmission
ranges from $8,000 to $13,000
• Opportunity to save tens of millions of
dollars, helping more people to afford
health care
(National Priorities Partnership Compact Action Brief, “Preventing
Hospital Readmissions: A $25 Billion Opportunity.”)
We Know It Can Be Done
• Other hospitals have already significantly
reduced avoidable readmissions in the
past year, one by 30%
• Hospitals with similar successes will share
their best practices as part of the
campaign
RARE Goals
• Committed to reduce our overall
readmissions by 20% from our 2009 base
• Equates to (Insert your hospital’s specific
PPR reduction goal—XX) fewer
readmissions by Dec. 31, 2012
• This means reducing readmissions by X
per month through the end of next year
What We’ve Committed To
– Meet our specific readmission reduction goals
– Conduct an organizational assessment of our
readmissions
– Commit to improving performance in key areas
identified through the organizational assessment
– Share our organizational assessment results and
readmissions data with the RARE Operating
Partners
– Agree to publicly disclose participation in the
campaign to show our support for RARE
Five Focus Areas to Choose From
•
•
•
•
•
Comprehensive Discharge Planning
Medication Management
Patient and Family Engagement
Transition Care Support
Transition Communications
Support
• Campaign Operating Partners support
– RARE Resource Consultant provided to
partner with throughout the campaign
– Will assist us in identifying the areas to focus
on that have the greatest opportunity for
reducing readmissions
Support for Our Hospital
•
•
•
•
•
•
•
Best practice toolkits
Face-to-face sessions
Webinars
Conference calls
Peer coaching
Data reporting
“Innovator” approach
Support for Our Hospital
• Technical assistance on developing an
action plan to reduce avoidable
readmissions
• Recognized experts in the five focus areas
• Opportunities to network and collaborate
with other hospital teams
Progress Will be Measured
• MHA will provide our Potentially Preventable
Readmissions (PPR) data quarterly
• We will collect data on a variety of process
measures as we do improvement work
• Our 30-day all cause readmission rates for
select clinical conditions will be publicly reported
on MN HealthScores for hospitals and provider
groups in 2012 (currently under development)
Campaign Rollout
• Our initiative starts now
• Our hospital RARE team has been formed to lead
this effort
– List team lead, physician champion, other team players.
– Targeted hospital engagement July/August 2011
• Improvement and monitoring work continues
through Dec. 31, 2012
Need Everyone’s Support
Our active participation in RARE and
achieving our goals is:
• Right for our hospital
• Right for our community
• Right for our state
• Most importantly, right for our patients and
loved ones
Thank you for
helping everyone sleep
more peacefully.
For More Information
• (Add your key internal RARE Campaign
contacts’ information here)
• www.RAREreadmissions.org
• kathy.cummings@icsi.org
• tdaniels@mnhospitals.org
• kweng@stratishealth.org