EM/HM Integration, Improved Communication Drops Readmission Rates

Hospital Challenges

Readmission rates at a central California hospital exceeded the CMS Quality benchmark stipulated by the Affordable Care Act, resulting in a near 1.5 million dollar potential revenue loss from Medicare reimbursements in 2017. This facility sought the help of Envision Physician Services to address the source of these excessive readmission rates and create a solution to avoid penalties and achieve a more patient-centered care model.

Envision’s integrated model between emergency and hospital medicine was critical to improve interdepartmental communication and reduce readmission rates.

RESULTS

55% reduction in 30-Day Readmissions, from 11.69% to 5.21%

Integrated Emergency Medicine/Hospital Medicine (EM/HM) Services model ensured alignment across care continuum

Implemented RAP&GO software to improve EM/HM communication and patient handoffs

Revenue loss savings of 1.5 million dollars from Medicare reimbursement penalties