Potentially Avoidable Readmissions Workgroup Update Bree Collaborative May 29, 2013

Goals for Today’s Presentation Provide update on request to WSHA and Qualis to semi-publicly publish 30-day, all-cause data No action needed from the Bree at this time Provide update on the status of activities to promote endorsement of the concept of WSHA and partners’ tool kit

Request to Publish 30-day, All-Cause Avoidable Readmissions - RECAP In January the PAR and Bree made the following request to Qualis and WSHA: Publish 30-day, all-cause readmission results, by hospital, in a semi-public manner Publish results until all-cause data becomes available from the Puget Sound Health Alliance and CMS in 2013 Purpose: Opportunity to inform PAR strategies, to look at outliers, give accolades, and identify opportunities for improvement.

Response to Date Request - RECAP Qualis Health Supportive but needs to seek CMS approval– approval could take up to a year WSHA Supportive of increased transparency, but concerned about publishing data that is not risk- adjusted Offered to work with Bree on solution

Next Steps The Foundation for Health Care Quality (FHCQ) obtained CHARS data and analyzed the data about avoidable readmissions A meeting will be convened in June to review data and initiate an informed discussion Facilitated by Steve Hill Invited guests: PAR workgroup, Bree members, WSHA, WSMA

Endorsement of WSHA Tool Kit - RECAP In January 2013, the Bree Collaborative formally endorsed the concept of the WSHA tool kit and acknowledged that preventing avoidable readmissions requires: A community-wide approach Standardization

Update on Endorsement of Tool Kit Currently in hiatus, but the workgroup plans to pursue two tracks: Wait for the tool kit to be finalized and pilot results are known, and then work on operationalizing it and developing incentives to encourage standardized implementation of it across the state (probably in September). Payment reform, which will continue to be carried out by the APM subgroup. In the meantime, the group will consider adding new members and choose a chair