Download
1 / 4
40 likes | 55 Views
This article discusses the issue of preventable readmissions for mental health conditions and how they are treated from a preventability perspective. It explores the difference in the actual to expected calculation for mental health and substance abuse services, taking into account the higher rates of readmissions for these patients.
E N D
Who gets the “credit” for a preventable readmission • The hospital that is the locus of the initial admission
PPRs and Mental Health • Readmissions for mental health conditions are treated no differently, from a preventability point of view, than any other chronic condition such as diabetes. • For example, all patients who have diabetes and are readmitted for virtually any chronic medical condition (e.g. CHF) are considered to have had a preventable readmission
The Actual To Expected Calculation IS Different for Mental Health/ Substance Abuse Services • The Actual To Expected calculation is adjusted for the presence/absence of principal and/or secondary diagnoses of MH/SA. • The reason is that patients with mental health conditions in the initial admission historically have had higher rates of readmissions. • Those institutions that take on larger numbers of MH/SA patients will have greater protection because the A/E computation adjustment takes into account the higher rates of readmissions for patients with significant MH/SA conditions.
