Post on 27-Mar-2015
Understanding your Potentially Preventable Readmissions
(PPR) Reports
Minnesota Hospital AssociationMickey Reid, Patient Safety and
Quality Manager December 7, 2012
Today’s Agenda
Objectives:
•PPR data source
•Condense your PPR spreadsheet into usable data
•Learn how to filter column data•Understand how to identify patient population based on the DRG
PPR Data Source
• Patient Claims Data which includes:– Diagnosis– Procedure Codes– Demographic Information
• Discharge status
PPR Global Exclusions
• Admissions for which follow-up care is intrinsically extensive and complex• Major or metastatic malignancies treated medically• Multiple trauma, burns
• Discharge status indicates limited hospital & provider control• Left against medical advice• Transferred to another acute care hospital
• Neonates
• Other exclusions• Specific eye procedures and infections
• Cystic fibrosis with pulmonary diagnoses • Obstetrics • Transplants• Planned Readmission
• Died – not included as candidate initial admissions (denominator)
Examples of a readmission which is not potentially preventable• No clinical relationship to prior discharge
– Cholecystectomy two weeks after hip replacement
• Discharge status of prior discharge– AMA and transferred to another acute care hospital
• Type of prior discharge– Follow-up care is intrinsically complex and extensive
• Metastatic malignancies, Multiple trauma, Burns
• Longer interval between discharge and readmission– Long time intervals (>30 days) reduce confidence that
readmission is causally linked to the prior discharge
PPR Data Review
• Step by step instructions to make PPR data more useable in understanding your readmissions.– MHA Communication– MHA portal– Spreadsheet Tips
Next Steps• Sign on to MHA portal
– If you do not have your username/password, please email Bonnie Terveer at bterveer@mnhospitals.org
• Down load your most recent PPR data from the MHA secure portal
• Begin to filter your spreadsheet making it more manageable to review using the instructions we followed in the presentation
• If you need additional assistance in filtering your data or you would like to set up an individual discussion regarding your data please contact kolson@mnhospital.org
Watch for 2013 future webinars…
•To suggest future topics for this series, Reducing Avoidable Readmissions Effectively “RARE” Networking Webinars, contact Kathy Cummings, kcummings@icsi.org
Questions ?