Collaborative on Reducing Readmissions in Florida January 30, 2009

Agenda iPOD Drawing!! 9:00-9:20 Overview of Day and Updates 9:20-10:05 Setting the AIM 10:05-11:15 Readmission Trail Blazers 11:15-Noon Early Work on Interventions LUNCH 12:30-1:45 Setting the Focus Cardiac Medical – Regency D Major Surgical – Regency F Followup – Regency E 1:45-2:15 QIO Care Transition Project 2:15- 3:00 Planning for Action iPOD Drawing!!

Meeting Objectives Agree on AIM for Collaborative and begin work on individual hospital AIM statements Learn about interventions and begin thinking of how to implement Increased awareness of other initiatives on readmissions

Data Reports Revised data reports Which patients are readmitted Payer Location from which they were initially discharged to Number of times readmitted To same/different hospital Why patient was readmitted Financial impact

Other Readmission Initiatives CMS QIO Program – Care Transitions IHI/Commonwealth initiative (May) Medicare Calculating 30 day risk adjusted readmission rates for CHF, AMI and Pneumonia (July 1, 2007 through June 30, 2008 Incentives to reduce avoidable readmissions Direct adjustment to individual patient payments Use of a performance based payment Public reporting

Other Readmission Initiatives American Hospital Association Elder Care Project –Panhandle LIP- funded Readmission project with 11 county health departments Others???

Readmission Collaborative Check out Web site (new materials will be posted next week) – http://collab.fha.org/ Send in tools, forms, plans for sharing with others Post a question/share a learning collabshare@listserv.fha.org Comments/questions will be posted on web page under “Shared Learnings” Post keyword in Subject line Next Webinars (TBA)