1. Understanding your Potentially Preventable Readmissions (PPR) Reports Minnesota Hospital Association Mickey Reid, Patient Safety and Quality Manager December 7, 2012

2. Todays Agenda Objectives: PPR data source Condense your PPR spreadsheet into usable data Learn how to filter column data Understand how to identify patient population based on the DRG

3. PPR Data Source Patient Claims Data which includes: –Diagnosis –Procedure Codes –Demographic Information Discharge status

4. PPR Global Exclusions Admissions for which follow-up care is intrinsically extensive and complex Major or metastatic malignancies treated medically Multiple trauma, burns Discharge status indicates limited hospital & provider control Left against medical advice Transferred to another acute care hospital Neonates Other exclusions Specific eye procedures and infections Cystic fibrosis with pulmonary diagnoses Obstetrics Transplants Planned Readmission Died – not included as candidate initial admissions (denominator)

5. Examples of a readmission which is not potentially preventable No clinical relationship to prior discharge –Cholecystectomy two weeks after hip replacement Discharge status of prior discharge –AMA and transferred to another acute care hospital Type of prior discharge –Follow-up care is intrinsically complex and extensive Metastatic malignancies, Multiple trauma, Burns Longer interval between discharge and readmission –Long time intervals (>30 days) reduce confidence that readmission is causally linked to the prior discharge

6. PPR Data Review Step by step instructions to make PPR data more useable in understanding your readmissions. –MHA Communication –MHA portal –Spreadsheet Tips

7. Next Steps Sign on to MHA portal –If you do not have your username/password, please email Bonnie Terveer at bterveer@mnhospitals.orgbterveer@mnhospitals.org Down load your most recent PPR data from the MHA secure portal Begin to filter your spreadsheet making it more manageable to review using the instructions we followed in the presentation If you need additional assistance in filtering your data or you would like to set up an individual discussion regarding your data please contact kolson@mnhospital.orgkolson@mnhospital.org

8. Watch for 2013 future webinars… To suggest future topics for this series, Reducing Avoidable Readmissions Effectively RARE Networking Webinars, contact Kathy Cummings, kcummings@icsi.orgkcummings@icsi.org

9. Questions ?