Jersey Community Hospital, Jerseyville
Reducing All-Cause Readmissions by Improving Coordination Across the Care Continuum
With baseline data from the Centers for Medicare & Medicaid Services (CMS) showing an all-cause readmission rate of 16% and a CMS Star Quality Rating of 3, a project team set out to decrease the all-cause readmissions rate to below 10% and to increase our CMS Star Quality Rating to 4. Using Lean Six Sigma methodologies, the team formulated a multi-faceted improvement plan, which included post-acute care partners, home health agencies and skilled nursing facilities.
Readmission reduction strategies included the development of a hospitalist team and improvements in:
- Coordination with post-acute care agencies;
- Multidisciplinary rounding;
- Discharge planning; and
- Patient follow-up protocols.
As a result, the all-cause readmission rate dropped from 16% to 7% with an estimated 63 readmissions prevented over a 12-month period and a total cost savings of $455,600.