1. Maximizing HHQI Resources to Reduce Readmissions: Part 2 Presented by Cindy Sun, HHQI RN Project Coordinator

2. www.homehealthquality.org

3. Screenshot of Data Reports Portal

4. Screen cap of Data Access Site

5. Screen Cap of ACH Report

6. ACH Data Reports

7. ACH Monthly Report

8. Patient Self- Hospitalization Risk Assessment

9. Hospitalizations by days of the week

10. Reason for Hospitalizations

12. Tools

13. Top 10 Reasons to follow up with your Physician

14. ACH Monthly Report – by Age Groups

15. By Race Groups

16. By Payment Source Groups

17. By Falls Prevention

18. Transfers/discharges

19. Questions??

20. Oral Medication Improvement Data Reports

21. Oral Meds

22. Case Study

23. Drug Regimen Review

24. Oral Meds

25. Medication Intervention

26. Sample Letter

27. Oral Meds

28. PIM in Older Adults

29. Drug Education

30. Medication Cards

31. Oral Meds

33. www.homehealthquality.org hhqi@wvmi.org csun@wvmi.org

34. Questions??

35. This material was prepared by the West Virginia Medical Institute, the Quality Improvement Organization supporting the Home Health Quality Campaign, under contract with the Centers for Medicare & Medicaid Services (CMS), an agency of the U.S. Department of Health and Human Services. The views presented do not necessarily reflect CMS policy. 10SOW-WV-HH-BK-100412. App. 10/12. Thank You