About Readmissions

HIIN includes Readmissions as a core topic. Readmissions, both all cause 30-day all payer and all cause 30 day Medicare FFS are part of a larger task of Improving Care Transitions. The goal of improving care transitions is to help patients heal without complications and to decrease preventable complications during a transition from one care setting to another so that all 30 day hospital readmissions would be reduced by 12% as a population-based measure (readmissions per 1,000 people).

Improving Care Transitions to Reduce Readmissions - Care transitions refer to the movement of patients from one health care provider or setting to another. For people living with serious and complex illnesses, transitions in setting of care (from hospital to home or nursing home, for example) are prone to errors. For example, one in five patients discharged from the hospital to home experience an adverse event within three weeks of discharge, when an adverse event is defined as an injury resulting from medical management rather than the underlying disease. The most common adverse events are medication related; they often can be avoided or mitigated. The current rate for hospital readmissions among Medicare beneficiaries within 30 days of discharge, one indicator of the appropriateness of the transition process, is nearly 20%, contributing to lower patient satisfaction and rising health care costs.

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