Complimentary from the publisher

Complimentary from the publishers of Care Analytics News

January 2020

"One potential strategy to achieve more effective care management entails a better understanding of how social determinants drive – or inhibit – continued quality improvement. By leveraging new sources of real-time data that extend beyond what is available in claims data, health plans may gain different perspectives on patient challenges and risks, and better insight into the non-clinical social barriers that may play a role in a patient’s frequent hospital readmissions or ED utilization."
- Matt Gagalis, Head of Payer Market Development, CarePort.

"Specifically, we found that the group of participants who reported all of their social service needs met cost $2,443 (10%) less a year in health expenditures to the managed care organization, on average, compared to those whose social needs remained unmet...We found that the odds of 30-day readmission for those reporting a social care need were 68% higher than those who did not report a need."

Excerpted from: Care Analytics News, Care Intervention Edition, Volume 13, Number 1, January 2020, "Using Social Determinants of Health to Predict Readmissions," by Zachary Pruitt.

Rachelle Ehlert: The Top 5 Reasons for Hospital Readmission of Seniors

1. Failure to Follow Hospital Discharge Orders.
2. Recurrence of a preexisting infection: 5% of seniors end up readmitted to the hospital for this reason.
3. Poor Coordination of Care After Discharge: nearly one-half of Medicare patients fail to see a primary care provider within 2 weeks of discharge from the hospital.
4. Fall-Related Injuries
5. Pneumonia: 30-day readmission for pneumonia occurs in approximately 17% to 25% of seniors

Source: Caring Senior Service

check out more lists on healthsprocket . "What's on your list?"

Reducing Preventable Hospital Readmissions: Targeted Strategies for Improving Care Transitions

The objectives of this webinar are to share successful strategies in use by Virginia hospitals and health systems to improve care transitions to reduce hospital readmissions, and to increase transparency and facilitate networking among Virginia hospitals, health systems and community partners.

Reduce Health Costs By Nurturing The Sickest? A Much-Touted Idea Disappoints
Kaiser Health News, January 8, 2020

Which patients are at high risk of hospital readmission?
Besler blog, January 5, 2020

The Top 5 Reasons for Hospital Readmission
Caring Senior Service, January 2020

Post-discharge care & outcomes following readmission reduction initiatives
The British Medical Journal, January 15, 2020

Predicting Non-elective hospital readmission or Death in Elderly Inpatients
BMC Geriatrics, January 14, 2020

The importance of sex as a risk factor for readmissions due to pulmonary

Impact of Pharmacist-led Discharge Counseling on Readmission & ED Visits
Journal of Hospital Medicine, January 2020

Health Care Hotspotting — A Randomized, Controlled Trial
The New England Journal of Medicine, abstract only, January 9, 2020

Temporal Trends in Racial Differences in Readmission After Acute MI
JAMA Cardiology, January 8, 2020

The HRRP: Nationwide Perspectives and Recommendations
Journal of Clinical Medicine Research, January 2020

A Dashboard Prototype for Tracking the Impact of Diabetes on Readmissions
Journal of Clinical Medicine Research, January 2020

Using Social Determinants of Health to Predict Readmissions by Zachary Pruitt
AI and Predictive Analytics Reduce Payer Costs Through Early ID of Patients Considering Elective Surgeries by David Billigmeier
Does the Absence of Medical Claims Mean a Person Is Healthy? Maybe Not... by Emmet O'Gara
Thought Leaders' Corner: "What are the arguments for Medicare for All and Mandated Long-Term Care?"
Catching Up With Matt Gagalis

In the previous Analytics Technology edition of Care Analytics News:

Using Predictive, Prescriptive Analytics to Avoid Unmanaged Risk, by Jason Cooper
Surveys & Trends with briefs regarding Chilmark Research; XIFIN; CHiME; Blackbook Market Research
E Healthcare 'Expands Intelligent Health Ecosystem' with Program to Ease Providers AI Adoption
Accolades: KLAS: Arcadia.io Care Management Solution 'Scores Highly for IDing, Closing Gaps'
Industry News with briefs regarding Fair Health; XSOLIS
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