1. Assessing Patient Readmission for Improving
Quality of Healthcare:
By: Manali Shah
Preceptors: Dolores VanPelt and Karen Hempworth
To analyze and evaluate patient
knowledge about disease and discharge
instruction which can result in and affect
hospital readmission
• Hospital Readmission Reduction Program
(HRRP) which lets Centers for Medicare
and Medicaid Services (CMS) reduce
payments it gives to a hospital with
surplus readmissions rate
• Under HRRP, hospitals with high
readmissions rates have 3% of their
financial aid withheld (Brown)
• Hunterdon Healthcare is reevaluating the
program and gathering data on factors
that contribute to patients’ readmission
• Changes to the discharge process may
reduce readmission, thus reducing
hospital penalties.
• The readmissions team monitors this data
monthly to see if interventions are
working.
• A drop in readmission rate will determine
the extent of a successful project
PURPOSE OUTCOMES
SIGNIFICANCE
EVALUATION
ACKNOWLEDGEMENTS
METHODOLOGY
I would like to thank my preceptors
Dolores VanPelt and Karen Hempworth
for everything they has done for me and
for providing guidance throughout this
internship .
Photo by Flickr user Brandon Bartosek
• The evaluation will be based on 30day
readmission criteria among 57 patients
• A 15 open-ended questions survey mixed
with yes/no responses
• The methodology was to review 30 day
readmission reports, create the
questionnaire, interview patients, and
compile data to look for trends
Yes
18%No
82%
Did Patients Follow with
Physician After First Discharge
57%
19% 15% 9%
Transportation Social Support Environment Nothing at all
What Contributed to Readmission?
45%
26%
20%
9%
Not sure
Chest pain
Diet
Other
How Do you Think you Became
Sick Enough for Readmission?
•Patients are not able to obtain a
follow-up appointment with the
primary care physician
Potential
Pattern 1
•Factors like transportation, lack of
social support contribute to
patient’s readmission
Potential
Pattern
2
•Patients cannot state how they
became sick enough for
readmission
Potential
Pattern 3
Photo by Flickr user John Burke