Q-Centrix conducted an anonymous survey of 320 C-suite, senior-level and quality professionals from hospitals around the country to learn their perceptions of the current state of readmissions at their hospitals and their strategies for readmission reduction.

Most commonly-used strategies

55% Expect tobe penalized

Completing a medication reconciliation process

Educating patients and patient caregivers pre-discharge

Conducting phone calls or other communication post-discharge

Less than 1 in 5 use technology specifically designed to manage readmission risk.

Conducting in-home visits post-discharge92%

87%

84%

26%Using technology specifically designed to manage readmission risk

No formal strategy

18%

3%

Least commonly-used strategies

Penaltyof <1%

47%40%Penalty

of 1-1.9%

9%Penalty

of 2-2.9%

4%Penaltyof 3%

Anticipated PenaltyPercentage*

*Of non-exempt hospitals expecting a penalty

23% 15%

and, on average, are employing 4.5 different reduction strategies...

of C-Suites= Extremely Confident

of Quality Professionals= Extremely Confident

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FY 13 FY 14 FY 15 Survey

64% 66%

78%

55%

Hospitals are confident in their ability to reduce readmissions...

but the percentage expecting penalties may be too low.

Nearly three-quarters of hospitals describe themselves as “somewhat” or “extremely” confident in their ability to reduce readmissions.74%

VS

When it comes to readmission penalties, the survey data shows that hospitals are overconfident and underprepared. The percentage of hospitals penalized for readmissions has increased each year since CMS began imposing them—reaching a high of 78% for FY 2015. Yet three-quarters of hospitals feel confident in their ability to reduce readmissions and only 55% of them anticipate receiving a penalty for this year. Given the historical trend and the three additional diagnoses recently added, the percentage of hospitals penalized will likely be much higher than 55%. And though hospitals are applying multiple different reduction strategies, less than 1 in 5 utilize technology that's specific to reducing their readmissions, so they may not be doing all that they can.

% of Hospitals Penalized FY '13-FY '15* vs. % of Surveyed Hospitals Expecting Penalty for this Year

*Source: Kaiser Family Foundation analysis of CMS Final Rules and Impact files for the HIPPS