How One Point-of-Care Strategy Cuts Readmissions

Margaret Dick Tocknell, for HealthLeaders Media , September 12, 2012

The services provided included:

  • Appointment scheduling and reminders
  • Follow up for missed appointments
  • Needs assessment for community services
  • Skills for communicating with healthcare providers
  • Indentify red flags for readmission
  • Indentify barriers to meeting treatment or medication plans
  • Medication reconciliation

The baseline group had a 30-day readmission rate of 17%, which Gillespie says is consistent with the industry average. The readmission rate for the pilot group was 12%. The total number of readmissions per member was reduced by almost 37% and the total number of hospitalized days was reduced by 43%.

The total cost of those readmissions for the base group was $673,103. For the intervention group the cost was $640,505. The $32,598 cost differential was more than enough to cover the monthly salaries and benefits of the five-member intervention team.

Although EmblemHealth set out to measure the effect on hospital readmissions, the intervention team’s physical presence in the physician office produced other, unanticipated advantages.

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