understanding your potentially preventable readmissions (ppr) reports minnesota hospital association...
TRANSCRIPT
![Page 1: Understanding your Potentially Preventable Readmissions (PPR) Reports Minnesota Hospital Association Mickey Reid, Patient Safety and Quality Manager December](https://reader036.vdocuments.us/reader036/viewer/2022082917/5514bf0b55034693478b46b2/html5/thumbnails/1.jpg)
Understanding your Potentially Preventable Readmissions
(PPR) Reports
Minnesota Hospital AssociationMickey Reid, Patient Safety and
Quality Manager December 7, 2012
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Today’s 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
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PPR Data Source
• Patient Claims Data which includes:– Diagnosis– Procedure Codes– Demographic Information
• Discharge status
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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)
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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
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PPR Data Review
• Step by step instructions to make PPR data more useable in understanding your readmissions.– MHA Communication– MHA portal– Spreadsheet Tips
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Next Steps• Sign on to MHA portal
– If you do not have your username/password, please email Bonnie Terveer at [email protected]
• 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 [email protected]
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Watch for 2013 future webinars…
•To suggest future topics for this series, Reducing Avoidable Readmissions Effectively “RARE” Networking Webinars, contact Kathy Cummings, [email protected]
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Questions ?