Guide to Reducing Medicare Readmissions

Guide to Health Risk Assessment and Stratification

Reimbursement models shaped by the Patient
Protection and Affordable Care Act reward the
reduction of fragmented care and unwarranted
utilization. Much avoidable use of healthcare
services is attributed to Medicare beneficiaries.

The Guide to Reducing Medicare Readmissions,
Vol. II
examines innovative interventions to reduce
preventable admissions, rehospitalizations and ER
visits by high-utilizing Medicare beneficiaries. This
guide looks at four multidisciplinary collaborative
interventions aimed at key factors fueling readmissions
in this population and that support an accountable care vision.

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The profiled programs are designed to shore up the critical patient
handoffs of hospital-to-home and hospital-to-skilled nursing facility
(SNF); identify functional decline in the elderly (a harbinger of
high utilization); and enlist the help of community pharmacists in
improving medication adherence. They are the result of innovation
by HealthCare Partners Medical Group, Fallon Community Health Plan,
Summa Health System, Highmark, University of Pittsburgh School
of Pharmacy and Rite Aid pharmacies.

This guide also provides a complete set of 2011 benchmarks in
reducing readmissions from nearly 100 healthcare organizations.

Chapter 1: 2011 Benchmarks in Reducing Readmissions
Chapter 2: Identifying Functional Decline
Chapter 3: Improving SNF-Hospital Handoffs
Chapter 4: Multidisciplinary Post-Discharge Support
Chapter 5: Improving Medication Adherence
Chapter 6: Q&A

To learn more or to order your copy today, contact HIN at 888-446-3530
or visit online at:

Available in Single or Multi-User Licenses

A multi-user license will provide you with the right to install and use
this information on your company's computer network for an unlimited
number of additional workstations within your organization for a
one-time fee. To have this valuable resource on your network, or to
inquire about ordering bulk copies in print or Adobe PDF, please
e-mail or call 888-446-3530.

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