83% of the 3,000 hospitals evaluated by CMS for FY 2020 received a penalty*.
Organizations need to know exactly why hospital readmissions are happening. Quantros Outcomes Analytics spotlights both expected and unexpected readmissions and pinpoints likely drivers that will identify a clear path to enact measurable change for reducing hospital readmissions.
Identify Readmission Risks
Zero-in on areas where CMS levies the greatest penalties:
Acute Myocardial Infarction • Chronic Obstructive Pulmonary Disease • Coronary Artery Bypass Graft Surgery • Heart Failure • Pneumonia • Joint Replacement • Sepsis • Stroke
Highlight Poor Performance
Focus time, energy, and resources only on areas that have true performance improvement opportunities using our advanced algorithms and methodology. Customize readmissions reports by clinical cohorts (service lines or DRGs); and uncover variance drivers (physician specialties, physicians, principal diagnoses, or procedures).
Isolate Affected Populations
Identify greatest patient population hospital readmissions risk with transparency to patient age, gender, payer class and discharge status — even race and zip code. Assess if there are equity-of-care gaps based on the outcomes of these various populations.
Enact Measurable Change
Once your organization has identified the variance drivers, your Quantros team will develop a measurable plan for actionable change. Get quarterly business reviews with x-ray vision views into custom reports that gauge your progress and identify emerging areas of concern.
*in the Hospital Readmission Reduction Program
Southeast Georgia Health System is using Quantros’ Outcomes Analytics solutions to measure, manage, and monitor their healthcare delivery nearly two years ahead of the release of CMS data. By having this data in closer to real-time they are able to understand performance challenges and address those in advance of CMS releasing performance and assessing penalties.