1. Texas Regional Template: Readmissions Workgroup Organization: Covenant Children’s

2. The Texas Regional Hospitals
Baylor Scott & White McLane Children’s Medical Center
Children’s Health, Children’s Medical Center
Children’s Memorial Hermann Hospital
Cook Children’s Medical Center
Covenant Children’s
Dell Children’s Medical Center of Central Texas
Driscoll Children’s Hospital
Medical City Children’s Hospital
Texas Children’s Hospital (Houston)
The Children’s Hospital of San Antonio

3. Readmissions Bundle Elements
Work in progress
follow-up phone calls in 72 hours
PDSA/Pilot work
Physician Notification of Readmission
daily report of 30 day readmissions automatically populated
forward to the lead hospitalist (biggest volume)
Still working on closing the loop

4. Readmission Data Collection Methods
Population- all
Trigger Tools- Daily alerts of readmissions triggered off of days since last admission
Chart Review Tools- none

5. Readmission Interventions

6. Readmission Rate Current rate (rolling 12 months) Exclusions
7day day- 6.2
Exclusions
neonates(<30days)
do the neonates as a separate report for the Neonatologist and Newborn Pediatricians
Planned readmission (Chemo, ect)

7. Readmission Best Practice Recommendations
We have done discharge phone calls for years, but the 72 hour turn around has made huge difference

8. Readmission Requests for Assistance
Any help/advice is welcomed

9. Questions?