150 likes | 247 Views
The Nevada Partnership for Value Driven Healthcare. So, What About the Data? Emily Sim, MS Healthcare Analyst HealthInsight. Data Source. Center for Health Information Analysis (CHIA) at UNLV. Inpatient data submitted by all Nevada Hospitals Time Frame: June 1, 2009 – May 31, 2010.
E N D
The Nevada Partnership for Value Driven Healthcare So, What About the Data? Emily Sim, MS Healthcare Analyst HealthInsight
Data Source • Center for Health Information Analysis (CHIA) at UNLV. • Inpatient data submitted by all Nevada Hospitals • Time Frame: June 1, 2009 – May 31, 2010
Data Inclusions • All-Payer • Acute Care and Critical Access Hospitals
Data Exclusions • Children (<18 years) • Rehab Admits (Billing MS-DRGs 945, 946) • Transfers – coded as a single visit
Readmission Rate Calculation Readmission Rate = Number of Readmissions Number of Index Admissions
Definitions • All hospital admissions are coded as one of the following: • Index Admission • Readmission • Not a Readmission
Definitions (cont.) • Index Admission • First admission for each patient • The next admission occurring greater than 30 days after the discharge date of the previous Index Admission • The following cannot be Index Admissions • An admission in which a patient dies • An admission in which the patient leaves Against Medical Advice (AMA)
Definitions (cont.) • Readmission • The first admission within 30 days of an Index Admission • Not a Readmission • An admission that is neither an Index Admission nor a Readmission • An admission that occurs after a Readmission, but before another Index Admission
Baseline Readmission Rate Number of Readmissions Number of Index Admissions
Perhaps… Interventions that focus on the patient, not on the condition, will be most effective.
Rate Reduction Goal • Reduce Readmissions by 10% • Current Rate is 10.6% • Goal is 9.5%