Medicare Fee-For-Service (FFS) Community Readmission ... · Community Readmission Report: Q3 2015–Q2 2016 State of California ... (ICPC) Quarterly Scorecard and the most recent

Medicare Fee-For-Service (FFS) Community Readmission Report:

Q3 2015–Q2 2016

State of California Ventura County Coordinated Care Alliance

Please contact Michelle Pastrano via email at [email protected] or by phone at 818.265.4648 for additional information.

Ventura County Coordinated Care Alliance Readmission Report

January 2017 (Q3 2015–Q2 2016)

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Ventura County Coordinated Care Alliance Overview

Table 1: All-Cause 30-Day Readmission Rates—Q3 2015-Q2 2016

Readmits 30-Day Readmits to

Same Hospital 30-Day Readmits to Different Hospital

Days to Readmission

Setting 30-Day Within 0-3 Days 4-7 Days 8-14 Days 15-21 Days 22-30 Days Group Discharged To Readmit Rate Discharges 30 Days N % N % N % N % N % N % N %

Your Community

Home 16.3% 10,828 1,766 1,305 73.9% 461 26.1% 322 18.2% 344 19.5% 409 23.2% 331 18.7% 360 20.4% SNF* 22.4% 4,462 1,001 736 73.5% 265 26.5% 151 15.1% 197 19.7% 241 24.1% 198 19.8% 214 21.4% HHA** 19.4% 4,612 896 700 78.1% 196 21.9% 150 16.7% 176 19.6% 237 26.5% 164 18.3% 169 18.9% Hospice 2.5% 647 16 12 75.0% 4 25.0% 3 18.8% 4 25.0% 6 37.5% 2 12.5% 1 6.3% Other 20.8% 1,543 321 201 62.6% 120 37.4% 88 27.4% 44 13.7% 59 18.4% 56 17.4% 74 23.1% Total 18.1% 22,092 4,000 2,954 73.9% 1,046 26.2% 714 17.9% 765 19.1% 952 23.8% 751 18.8% 818 20.5%

California

Home 17.3% 351,219 60,742 40,790 67.2% 19,952 32.8% 10,837 17.8% 11,939 19.7% 14,985 24.7% 11,513 19.0% 11,468 18.9% SNF 21.4% 173,575 37,201 25,271 67.9% 11,930 32.1% 5,399 14.5% 6,789 18.2% 9,581 25.8% 7,575 20.4% 7,857 21.1% HHA 19.3% 135,845 26,177 19,784 75.6% 6,393 24.4% 4,386 16.8% 5,034 19.2% 6,680 25.5% 5,171 19.8% 4,906 18.7% Hospice 3.4% 18,189 616 390 63.3% 226 36.7% 133 21.6% 115 18.7% 137 22.2% 121 19.6% 110 17.9% Other 21.9% 49,785 10,899 5,800 53.2% 5,099 46.8% 2,850 26.1% 1,810 16.6% 2,391 21.9% 1,800 16.5% 2,048 18.8% Total 18.6% 728,613 135,635 92,035 67.9% 43,600 32.1% 23,605 17.4% 25,687 18.9% 33,774 24.9% 26,180 19.3% 26,389 19.5%

*Skilled nursing facility (SNF) **Home health agency (HHA)

Figure 1: 30-Day All-Cause Readmission Rates1

1 National data are obtained from the Integrated Care for Populations and Communities (ICPC) Quarterly Scorecard and the most recent data available are through March 31, 2016.


January 2017 (Q3 2015–Q2 2016)

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Table 2: All-Cause 30-Day Readmission Rates by Quarter—Q3 2015-Q2 2016

Readmits Within 30-Day Readmits to Same Hospital 30-Day Readmits to Different Hospital Quarter 30-Day Readmit Rate Discharges 30 Days N % N % Q3 2015 18.0% 5,279 950 711 74.8% 239 25.2% Q4 2015 17.7% 5,340 947 694 73.3% 253 26.7% Q1 2016 18.4% 5,831 1,073 791 73.7% 282 26.3% Q2 2016 18.3% 5,642 1,030 758 73.6% 272 26.4%

Total 18.1% 22,092 4,000 2,954 73.9% 1,046 26.2%

Table 3: All-Cause 30-Day Readmission Rates by Calendar Year (CY) by Discharge Setting—Q1 2012-Q2 2016

Readmits Within 30-Day Readmits to Same Hospital 30-Day Readmits to Different Hospital Group Setting Discharged to 30 Days Discharges 30-Day Readmit Rate N % N %

Your Community 2012

Home 1,519 10,373 14.6% 1,147 75.5% 372 24.5% SNF 866 3,935 22.0% 637 73.6% 229 26.4% HHA 745 4,177 17.8% 595 79.9% 150 20.1% Hospice 10 554 1.8% 6 60.0% 4 40.0% Other 229 1,035 22.1% 144 62.9% 85 37.1% Total 3,369 20,074 16.8% 2,529 75.1% 840 24.9%

Your Community 2013


Your Community 2014


Your Community 2015


Your Community 2016

Home 915 5,517 16.6% 679 74.2% 236 25.8% SNF 500 2,250 22.2% 362 72.4% 138 27.6% HHA 497 2,531 19.6% 389 78.3% 108 21.7% Hospice 9 345 2.6% 6 66.7% 3 33.3% Other 182 830 21.9% 113 62.1% 69 37.9% Total 2,103 11,473 18.3% 1,549 73.7% 554 26.3%


January 2017 (Q3 2015–Q2 2016)

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Table 4: All-Cause 30-Day Readmissions and Admissions per 1,000 Beneficiaries by Year

Group FFS Beneficiaries All-Cause Readmissions

Readmissions per 1,000 Beneficiaries Readmissions RIR* All-Cause Admissions Admissions per 1,000

Beneficiaries Admissions RIR

Your Community 2012 89,192 3,369 37.8 Baseline 20,868 234 Baseline

Your Community 2013 91,389 3,407 37.3 1.3% 20,695 226.4 3.2%

Your Community 2014 93,454 3,378 36.1 4.3% 20,239 216.6 7.4%

Your Community 2015 97,006 3,822 39.4 -4.3% 22,242 229.3 2.0% *Relative improvement rate (RIR)

Figure 2: All-Cause 30-Day Readmissions per 1,000 Beneficiaries2

Table 5: Physician Follow-up Visits from Patients Discharged from Hospital Directly to Home—Q3 2015–Q2 2016

Number of Patients

Discharged From Hospital to Home

Number of Patients Completing Physician Follow-Up in 30 Days

% of Discharged Patients Completing Physician

Follow-Up Visits

Were Patients Readmitted?

Number of Patients Completing Physician

Follow-Up Visit

Days to Completion of Physician Follow-

Up Visit Count %

Your Community 8,669 6,044 69.7%

No 7,306 5,386 73.7% 0 to 14 4,283 79.5%

15 to 30 1,103 20.5%

Yes 1,363 658 48.3% 0 to 14 613 93.2%

15 to 30 45 6.8%

2 National data are obtained from the ICPC Quarterly Scorecard and the most recent data available are through March 31, 2016.


January 2017 (Q3 2015–Q2 2016)

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Table 6: Discharge Distribution after Inpatient Hospitalization for Acute Myocardial Infarction (AMI)—Q3 2015–Q2 20163



Days to Readmission

Setting 30-Day Within 0–3 Days 4–7 Days 8–14 Days 15–21 Days 22–30 Days Group Discharged To Readmit Rate Discharges 30 Days N % N % N % N % N % N % N %

Your Community

Home 14.5% 269 39 25 64.1% 14 35.9% 8 20.5% 7 17.9% 12 30.8% 5 12.8% 7 17.9% SNF 19.0% 58 11 8 72.7% 3 27.3% 1 9.1% 1 9.1% 4 36.4% 1 9.1% 4 36.4% HHA 15.6% 64 10 6 60.0% 4 40.0% 3 30.0% 4 40.0% 2 20.0% 1 10.0% 0 0.0% Hospice 0.0% 11 0 0 ND 0 ND 0 ND 0 ND 0 ND 0 ND 0 ND Other 35.3% 34 12 8 66.7% 4 33.3% 6 50.0% 3 25.0% 2 16.7% 0 0.0% 1 8.3% Total 16.5% 436 72 47 65.3% 25 34.7% 18 25.0% 15 20.8% 20 27.8% 7 9.7% 12 16.7%

California

Home 15.6% 9,286 1,448 957 66.1% 491 33.9% 336 23.2% 283 19.5% 345 23.8% 231 16.0% 253 17.5% SNF 23.5% 2,558 601 392 65.2% 209 34.8% 102 17.0% 108 18.0% 142 23.6% 127 21.1% 122 20.3% HHA 21.7% 2,512 546 393 72.0% 153 28.0% 123 22.5% 107 19.6% 128 23.4% 106 19.4% 82 15.0% Hospice 2.1% 378 8 6 75.0% 2 25.0% 3 37.5% 1 12.5% 3 37.5% 0 0.0% 1 12.5% Other 23.0% 1,058 243 115 47.3% 128 52.7% 83 34.2% 43 17.7% 42 17.3% 39 16.0% 36 14.8% Total 18.0% 15,792 2,846 1,863 65.5% 983 34.5% 647 22.7% 542 19.0% 660 23.2% 503 17.7% 494 17.4%

Figure 3: 30-Day AMI Readmission Rates4

Table 7: Discharge Distribution after Inpatient Hospitalization for AMI by Quarter—Q3 2015–Q2 2016

Readmits Within 30-Day Readmits to Same Hospital 30-Day Readmits to Different Hospital Quarter 30-Day Readmit Rate Discharges 30 Days N % N % Q3 2015 17.4% 92 16 13 81.3% 3 18.8% Q4 2015 18.7% 107 20 12 60.0% 8 40.0% Q1 2016 16.2% 130 21 13 61.9% 8 38.1% Q2 2016 14.0% 107 15 9 60.0% 6 40.0%

Total 16.5% 436 72 47 65.3% 25 34.7% 3 An entry of “ND,” or missing data point, indicates that data were unavailable for the specified time period. 4 National data are obtained from the Hospital Compare website and are calculated using the 30-day risk adjustment standardized methodology for the CMS Hospital Readmission

Reduction Program. The most recent data available are through June 30, 2015.


January 2017 (Q3 2015–Q2 2016)

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Table 8: Discharge Distribution after Inpatient Hospitalization for Heart Failure (HF)—Q3 2015–Q2 20165



Days to Readmission


Your Community

Home 23.2% 526 122 101 82.8% 21 17.2% 22 18.0% 20 16.4% 24 19.7% 26 21.3% 30 24.6% SNF 32.0% 178 57 43 75.4% 14 24.6% 3 5.3% 10 17.5% 19 33.3% 15 26.3% 10 17.5% HHA 26.0% 304 79 62 78.5% 17 21.5% 13 16.5% 13 16.5% 22 27.8% 15 19.0% 16 20.3% Hospice 0.0% 36 0 0 ND 0 ND 0 ND 0 ND 0 ND 0 ND 0 ND Other 33.3% 48 16 8 50.0% 8 50.0% 4 25.0% 4 25.0% 2 12.5% 4 25.0% 2 12.5% Total 25.1% 1,092 274 214 78.1% 60 21.9% 42 15.3% 47 17.2% 67 24.5% 60 21.9% 58 21.2%

California

Home 24.6% 17,807 4,381 3,147 71.8% 1,234 28.2% 600 13.7% 726 16.6% 1,144 26.1% 1,005 22.9% 906 20.7% SNF 27.8% 7,177 1,996 1,437 72.0% 559 28.0% 263 13.2% 334 16.7% 547 27.4% 431 21.6% 421 21.1% HHA 26.6% 8,988 2,390 1,837 76.9% 553 23.1% 353 14.8% 437 18.3% 606 25.4% 471 19.7% 523 21.9% Hospice 3.7% 1,179 44 30 68.2% 14 31.8% 7 15.9% 10 22.7% 9 20.5% 6 13.6% 12 27.3% Other 34.3% 1,828 627 348 55.5% 279 44.5% 155 24.7% 122 19.5% 150 23.9% 108 17.2% 92 14.7% Total 25.5% 36,979 9,438 6,799 72.0% 2,639 28.0% 1,378 14.6% 1,629 17.3% 2,456 26.0% 2,021 21.4% 1,954 20.7%

Figure 4: 30-Day HF Readmission Rates6

Table 9: Discharge Distribution after Inpatient Hospitalization for HF by Quarter—Q3 2015–Q2 2016


Total 25.1% 1,092 274 214 78.1% 60 21.9% 5 An entry of “ND,” or missing data point, indicates that data were unavailable for the specified time period. 6 National data are obtained from the Hospital Compare website and are calculated using the 30-day risk adjustment standardized methodology for the CMS Hospital Readmission



January 2017 (Q3 2015–Q2 2016)

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Table 10: Discharge Distribution after Inpatient Hospitalization for Coronary Artery Bypass Graft (CABG)—Q3 2015–Q2 20167


Same Hospital 30-Day Readmits to Different Hospital Days to Readmission


Your Community

Home 5.7% 35 2 2 100.0% 0 0.0% 0 0.0% 2 100.0% 0 0.0% 0 0.0% 0 0.0% SNF 30.0% 10 3 3 100.0% 0 0.0% 0 0.0% 0 0.0% 1 33.3% 0 0.0% 2 66.7% HHA 2.3% 43 1 1 100.0% 0 0.0% 1 100.0% 0 0.0% 0 0.0% 0 0.0% 0 0.0% Hospice ND 0 0 0 ND 0 ND 0 ND 0 ND 0 ND 0 ND 0 ND Other 30.8% 13 4 4 100.0% 0 0.0% 0 0.0% 1 25.0% 1 25.0% 0 0.0% 2 50.0% Total 9.9% 101 10 10 100.0% 0 0.0% 1 10.0% 3 30.0% 2 20.0% 0 0.0% 4 40.0%

California

Home 11.4% 990 113 81 71.7% 32 28.3% 10 8.8% 31 27.4% 42 37.2% 18 15.9% 12 10.6% SNF 20.6% 783 161 105 65.2% 56 34.8% 26 16.1% 34 21.1% 43 26.7% 22 13.7% 36 22.4% HHA 11.8% 1,408 166 125 75.3% 41 24.7% 36 21.7% 41 24.7% 45 27.1% 25 15.1% 19 11.4% Hospice 0.0% 6 0 0 ND 0 ND 0 ND 0 ND 0 ND 0 ND 0 ND Other 21.0% 357 75 49 65.3% 26 34.7% 9 12.0% 9 12.0% 17 22.7% 21 28.0% 19 25.3% Total 14.5% 3,544 515 360 69.9% 155 30.1% 81 15.7% 115 22.3% 147 28.5% 86 16.7% 86 16.7%

Figure 5: 30-Day CABG Readmission Rates8

Table 11: Discharge Distribution after Inpatient Hospitalization for CABG by Quarter—Q3 2015–Q2 2016


Total 9.9% 101 10 10 100.0% 0 0.0% 7 An entry of “ND,” or missing data point, indicates that data were unavailable for the specified time period. 8 National data are obtained from the Hospital Compare website and are calculated using the 30-day risk adjustment standardized methodology for the CMS Hospital Readmission



January 2017 (Q3 2015–Q2 2016)

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Table 12: Discharge Distribution after Inpatient Hospitalization for Pneumonia (PNE)—Q3 2015–Q2 20169



Days to Readmission


Your Community

Home 14.2% 571 81 65 80.2% 16 19.8% 17 21.0% 16 19.8% 10 12.3% 20 24.7% 18 22.2% SNF 25.9% 359 93 77 82.8% 16 17.2% 12 12.9% 17 18.3% 22 23.7% 21 22.6% 21 22.6% HHA 23.5% 307 72 62 86.1% 10 13.9% 16 22.2% 13 18.1% 17 23.6% 13 18.1% 13 18.1% Hospice 1.2% 81 1 1 100.0% 0 0.0% 0 0.0% 1 100.0% 0 0.0% 0 0.0% 0 0.0% Other 27.9% 68 19 17 89.5% 2 10.5% 6 31.6% 1 5.3% 4 21.1% 4 21.1% 4 21.1% Total 19.2% 1,386 266 222 83.5% 44 16.5% 51 19.2% 48 18.0% 53 19.9% 58 21.8% 56 21.1%

California

Home 16.7% 18,091 3,029 2,239 73.9% 790 26.1% 558 18.4% 537 17.7% 731 24.1% 598 19.7% 605 20.0% SNF 25.0% 14,922 3,737 2,651 70.9% 1,086 29.1% 543 14.5% 653 17.5% 1,008 27.0% 734 19.6% 799 21.4% HHA 21.5% 9,166 1,973 1,550 78.6% 423 21.4% 340 17.2% 371 18.8% 508 25.7% 407 20.6% 347 17.6% Hospice 2.6% 2,383 62 37 59.7% 25 40.3% 15 24.2% 15 24.2% 14 22.6% 8 12.9% 10 16.1% Other 20.0% 3,579 715 385 53.8% 330 46.2% 169 23.6% 105 14.7% 147 20.6% 114 15.9% 180 25.2% Total 19.8% 48,141 9,516 6,862 72.1% 2,654 27.9% 1,625 17.1% 1,681 17.7% 2,408 25.3% 1,861 19.6% 1,941 20.4%

Figure 6: 30-Day PNE Readmission Rates10

Table 13: Discharge Distribution after Inpatient Hospitalization for PNE by Quarter—Q3 2015–Q2 2016


Total 19.2% 1,386 266 222 83.5% 44 16.5% 9 An entry of “ND,” or missing data point, indicates that data were unavailable for the specified time period. 10 National data are obtained from the Hospital Compare website and are calculated using the 30-day risk adjustment standardized methodology for the CMS Hospital Readmission



January 2017 (Q3 2015–Q2 2016)

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Table 14: Discharge Distribution after Inpatient Hospitalization for Chronic Obstructive Pulmonary Disease (COPD)—Q3 2015–Q2 201611



Days to Readmission


Your Community

Home 18.8% 324 61 52 85.2% 9 14.8% 12 19.7% 8 13.1% 16 26.2% 14 23.0% 11 18.0% SNF 31.5% 89 28 21 75.0% 7 25.0% 5 17.9% 7 25.0% 7 25.0% 7 25.0% 2 7.1% HHA 27.2% 125 34 29 85.3% 5 14.7% 5 14.7% 7 20.6% 10 29.4% 7 20.6% 5 14.7% Hospice 0.0% 24 0 0 ND 0 ND 0 ND 0 ND 0 ND 0 ND 0 ND Other 33.3% 24 8 6 75.0% 2 25.0% 3 37.5% 1 12.5% 0 0.0% 2 25.0% 2 25.0% Total 22.4% 586 131 108 82.4% 23 17.6% 25 19.1% 23 17.6% 33 25.2% 30 22.9% 20 15.3%

California

Home 21.8% 12,172 2,651 1,989 75.0% 662 25.0% 445 16.8% 425 16.0% 653 24.6% 556 21.0% 572 21.6% SNF 26.8% 4,214 1,131 777 68.7% 354 31.3% 162 14.3% 202 17.9% 287 25.4% 241 21.3% 239 21.1% HHA 25.1% 4,708 1,182 937 79.3% 245 20.7% 183 15.5% 198 16.8% 305 25.8% 253 21.4% 243 20.6% Hospice 5.2% 498 26 19 73.1% 7 26.9% 2 7.7% 3 11.5% 6 23.1% 6 23.1% 9 34.6% Other 25.5% 1,407 359 211 58.8% 148 41.2% 86 24.0% 55 15.3% 79 22.0% 56 15.6% 83 23.1% Total 23.3% 22,999 5,349 3,933 73.5% 1,416 26.5% 878 16.4% 883 16.5% 1,330 24.9% 1,112 20.8% 1,146 21.4%

Figure 7: 30-Day COPD Readmission Rates12

Table 15: Discharge Distribution after Inpatient Hospitalization for COPD by Quarter—Q3 2015–Q2 2016


Total 22.4% 586 131 108 82.4% 23 17.6%

11 An entry of “ND,” or missing data point, indicates that data were unavailable for the specified time period. 12 National data are obtained from the Hospital Compare website and are calculated using the 30-day risk adjustment standardized methodology for the CMS Hospital Readmission



January 2017 (Q3 2015–Q2 2016)

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Table 16: Discharge Distribution after Inpatient Hospitalization for Total Hip/Knee Replacement (THA/TKA)—Q3 2015–Q2 201613



Days to Readmission


Your Community

Home 2.7% 223 6 5 83.3% 1 16.7% 3 50.0% 1 16.7% 0 0.0% 1 16.7% 1 16.7% SNF 5.7% 229 13 10 76.9% 3 23.1% 4 30.8% 2 15.4% 3 23.1% 3 23.1% 1 7.7% HHA 4.4% 597 26 16 61.5% 10 38.5% 2 7.7% 5 19.2% 5 19.2% 8 30.8% 6 23.1% Hospice ND 0 0 0 ND 0 ND 0 ND 0 ND 0 ND 0 ND 0 ND Other 7.6% 66 5 4 80.0% 1 20.0% 3 60.0% 0 0.0% 0 0.0% 1 20.0% 1 20.0% Total 4.5% 1,115 50 35 70.0% 15 30.0% 12 24.0% 8 16.0% 8 16.0% 13 26.0% 9 18.0%

California

Home 2.8% 7,822 218 140 64.2% 78 35.8% 44 20.2% 42 19.3% 49 22.5% 38 17.4% 45 20.6% SNF 6.1% 7,150 439 317 72.2% 122 27.8% 77 17.5% 78 17.8% 102 23.2% 87 19.8% 95 21.6% HHA 3.2% 15,150 489 317 64.8% 172 35.2% 103 21.1% 104 21.3% 107 21.9% 99 20.2% 76 15.5% Hospice 0.0% 7 0 0 ND 0 ND 0 ND 0 ND 0 ND 0 ND 0 ND Other 6.5% 1,295 84 59 70.2% 25 29.8% 14 16.7% 14 16.7% 20 23.8% 18 21.4% 18 21.4% Total 3.9% 31,424 1,230 833 67.7% 397 32.3% 238 19.3% 238 19.3% 278 22.6% 242 19.7% 234 19.0%

Figure 8: 30-Day THA/TKA Readmission Rates14

Table 17: Discharge Distribution after Inpatient Hospitalization for THA/TKA by Quarter—Q3 2015–Q2 2016


Total 4.5% 1,115 50 35 70.0% 15 30.0%

13 An entry of “ND,” or missing data point, indicates that data were unavailable for the specified time period. 14 National data are obtained from the Hospital Compare website and are calculated using the 30-day risk adjustment standardized methodology for the CMS Hospital Readmission



January 2017 (Q3 2015–Q2 2016)

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Table 18: Top 10 Index Admission Diagnosis Related Groups (DRGs) Associated with Discharges for your Community—Q3 2015–Q2 201615

DRG Code Description N %

871 SEPTICEMIA OR SEVERE SEPSIS W/O MV >96 HOURS W MCC 1,431 6.5%

470 MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W/O MCC 1,229 5.6%

885 PSYCHOSES 581 2.6%

291 HEART FAILURE & SHOCK W MCC 538 2.4%

872 SEPTICEMIA OR SEVERE SEPSIS W/O MV >96 HOURS W/O MCC 522 2.4%

392 ESOPHAGITIS, GASTROENT & MISC DIGEST DISORDERS W/O MCC 449 2.0%

690 KIDNEY & URINARY TRACT INFECTIONS W/O MCC 404 1.8%

292 HEART FAILURE & SHOCK W CC 327 1.5%

378 G.I. HEMORRHAGE W CC 323 1.5%

683 RENAL FAILURE W CC 281 1.3%

Table 19: Top 10 DRGs Associated with Readmissions for your Community—Q3 2015–Q2 201616

DRG Code Description N %

871 SEPTICEMIA OR SEVERE SEPSIS W/O MV >96 HOURS W MCC 387 9.7%

885 PSYCHOSES 196 4.9%

291 HEART FAILURE & SHOCK W MCC 153 3.8%

392 ESOPHAGITIS, GASTROENT & MISC DIGEST DISORDERS W/O MCC 87 2.2%

872 SEPTICEMIA OR SEVERE SEPSIS W/O MV >96 HOURS W/O MCC 83 2.1%

189 PULMONARY EDEMA & RESPIRATORY FAILURE 82 2.1%

292 HEART FAILURE & SHOCK W CC 73 1.8%

690 KIDNEY & URINARY TRACT INFECTIONS W/O MCC 72 1.8%

682 RENAL FAILURE W MCC 70 1.8%

378 G.I. HEMORRHAGE W CC 66 1.7%

15 Hospitalizations with DRG code of ‘000’ are excluded. 16 Ibid.


January 2017 (Q3 2015–Q2 2016)

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Table 20: Your Community HHA Readmission Rates—Q3 2015–Q2 201617

Rank Discharges to HHA with a 30-Day Hospital Readmission Number of Discharges to HHA Readmission Rate

1 28 152 18.4%

2 15 91 16.5%

3 20 132 15.2%

4 89 598 14.9%

5 20 135 14.8%

6 106 738 14.4%

7 13 92 14.1%

8 18 135 13.3%

9 56 439 12.8%

10 7 56 12.5%

11 31 249 12.4%

12 8 65 12.3%

13 51 445 11.5%

14 74 656 11.3%

15 16 144 11.1%

16 13 120 10.8%

17 8 74 10.8%

18 19 179 10.6%

19 10 99 10.1%

20 7 73 9.6%

17 Data are for the top 20 HHAs with 50 or more discharges.


January 2017 (Q3 2015–Q2 2016)

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Table 21: Your Community SNF Readmission Rates—Q3 2015–Q2 201618

Rank Discharges to SNF with a 30-Day Hospital Readmission Number of Discharges to SNF Readmission Rate

1 66 282 23.4%

2 31 136 22.8%

3 59 263 22.4%

4 62 296 20.9%

5 24 124 19.4%

6 51 297 17.2%

7 70 414 16.9%

8 19 113 16.8%

9 52 321 16.2%

10 45 285 15.8%

11 8 51 15.7%

12 12 89 13.5%

13 10 78 12.8%

14 20 157 12.7%

15 32 274 11.7%

16 8 70 11.4%

17 17 167 10.2%

18 16 174 9.2%

18 Data are for the top 20 SNFs with 50 or more discharges.

Readmission Report Page | A

Appendix

Settings Included in the “Other” Category The “Other” category in the tables throughout the report includes discharges to the following settings:

• Psychiatric hospital • Long-term care hospital • Rehabilitation facility • Federal government-operated healthcare facility • Intermediate care facility • Short-term general hospital • Critical access hospital • Left against medical advice • Other institutions

This material was prepared by Health Services Advisory Group, the Medicare Quality Improvement Organization for California, under contract with the Centers for Medicare & Medicaid Services (CMS), an agency of the U.S. Department of Health and Human Services. The contents presented do not necessarily reflect CMS policy. Publication No. CA-11SOW-C.3-03012017-15

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Medicare Fee-For-Service (FFS) Community Readmission ... · Community Readmission Report: Q3 2015–Q2 2016 State of California ... (ICPC) Quarterly Scorecard and the most recent