Maintaining patient health after a hospital stay…

1. Maintainingpatient health aftera hospital stay…

2. …so we allsleep morepeacefully.

3. (Your Hospital Name) A Committed Participant in the RARE Campaign

4. RARE Campaign • Works across the continuum of care to reduce avoidable hospital readmissions in Minnesota • Seeking commitment from all hospitals in Minnesota • Engaging other care providers in our community who work with patients post-discharge, as avoidable readmissions are the result of a fragmented health care system

5. Statewide Triple Aim Goals • Population health • Prevent 4,000 avoidable readmissions within 30 days of discharge OR, in other words, • Reduce overall readmissions rate by 20% from 2009 base by 12/31/12 • Care experience • Help patients and their families spend 16,000 more nights in their own beds instead of in the hospital • Improve by 5% on HCAHPS survey questions on discharge • Affordability of care • Save an estimated $30 million for commercially insured patients; additional savings for Medicare patients

6. Broad Community Support • Campaign Operating Partners Role • Manage operations, provide the majority of staffing and resources to support participating hospitals • Institute for Clinical Systems Improvement (ICSI) • Minnesota Hospital Association (MHA) • Stratis Health

7. Broad Community Support • Supporting Partners Role • Provide significant resources and support to develop and implement specific aspects of the campaign • Minnesota Medical Association • MN Community Measurement • Community Partners Role • Endorse and actively support the campaign • A growing list of providers, state health agencies, health plans, home health agencies, nursing homes, patient advocacy groups and other community organizations

8. The Right Thing to Do • Likely had a loved one who returned to the hospital soon after discharge • Causes anxiety, unrest and burden on patients and their families • Patients prefer to maintain their health and sleep peacefully in their own beds

9. Our Hospitals Need to Improve • Nearly 1 in 5 Medicare patients discharged from hospitals in Minnesota is readmitted within 30 days • Many of these readmissions are avoidable • 18 states had lower readmissions rates than Minnesota—we can do better!

10. A Care Delivery System Approach • Many hospital readmissions are the result of a fragmented health care system • Addressing this fragmentation across the care continuum will reduce avoidable readmissions and improve care delivery overall

11. Potential Financial Penalties • Hospitals with higher than expected risk-adjusted 30-day readmission performance can incur penalties up to 1% of their total inpatient Medicare payments beginning in fiscal year 2013 (i.e., starting Oct. 1, 2012). The penalty increases each year after that. • CMS will evaluate prior year’s readmissions data, effectively starting the clock ticking on Oct. 1, 2011

12. Potential Financial Gains • Affordable Care Act creates readmissions reduction program to help hospitals smooth transitions for patients, and reward hospitals successful in reducing avoidable readmissions • CMS is developing regulations that will be issued this year

13. Timing Is Right • Key focus of CMS and its projects • Quality Improvement Organizations Statement of Work • Care Transition Project (seeks to improve the patient’s continuum of care after discharge from the hospital and reduce avoidable hospital readmissions) • Partnerships for Patients program • Community Based Care Transitions program. • The campaign can make Minnesota the national leader supporting the federal initiatives

14. Helps Make Health Care Affordable • Estimated average cost of a readmission ranges from $8,000 to $13,000 • Opportunity to save tens of millions of dollars, helping more people to afford health care (National Priorities Partnership Compact Action Brief, “Preventing Hospital Readmissions: A $25 Billion Opportunity.”)

15. We Know It Can Be Done • Other hospitals have already significantly reduced avoidable readmissions in the past year, one by 30% • Hospitals with similar successes will share their best practices as part of the campaign

16. RARE Goals • Committed to reduce our overall readmissions by 20% from our 2009 base • Equates to (Insert your hospital’s specific PPR reduction goal—XX) fewer readmissions by Dec. 31, 2012 • This means reducing readmissions by X per month through the end of next year

17. What We’ve Committed To • Meet our specific readmission reduction goals • Conduct an organizational assessment of our readmissions • Commit to improving performance in key areas identified through the organizational assessment • Share our organizational assessment results and readmissions data with the RARE Operating Partners • Agree to publicly disclose participation in the campaign to show our support for RARE

18. Five Focus Areas to Choose From • Comprehensive Discharge Planning • Medication Management • Patient and Family Engagement • Transition Care Support • Transition Communications

19. Support • Campaign Operating Partners support • RARE Resource Consultant provided to partner with throughout the campaign • Will assist us in identifying the areas to focus on that have the greatest opportunity for reducing readmissions

20. Support for Our Hospital • Best practice toolkits • Face-to-face sessions • Webinars • Conference calls • Peer coaching • Data reporting • “Innovator” approach

21. Support for Our Hospital • Technical assistance on developing an action plan to reduce avoidable readmissions • Recognized experts in the five focus areas • Opportunities to network and collaborate with other hospital teams

22. Progress Will be Measured • MHA will provide our Potentially Preventable Readmissions (PPR) data quarterly • We will collect data on a variety of process measures as we do improvement work • Our 30-day all cause readmission rates for select clinical conditions will be publicly reported on MN HealthScores for hospitals and provider groups in 2012 (currently under development)

23. Campaign Rollout • Our initiative starts now • Our hospital RARE team has been formed to lead this effort • List team lead, physician champion, other team players. • Targeted hospital engagement July/August 2011 • Improvement and monitoring work continues through Dec. 31, 2012

24. Need Everyone’s Support Our active participation in RARE and achieving our goals is: • Right for our hospital • Right for our community • Right for our state • Most importantly, right for our patients and loved ones

25. Thank you forhelping everyone sleepmore peacefully.

26. For More Information • (Add your key internal RARE Campaign contacts’ information here) • www.RAREreadmissions.org • kathy.cummings@icsi.org • tdaniels@mnhospitals.org • kweng@stratishealth.org