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Rehospitalization - QAPI - Jennifer Gross - HCANJ

3/13/201311 Reducing Your RehospitalizationRate the qapi Way Jennifer Gross BSN RN BC RAC CTSenior Healthcare Specialist PointRight Inc. 2 Session Objectives Review why and how Rehospitalization is on the forefront of our industry s consciousness Understand the 5 key elements of Quality Assurance Performance Improvement ( qapi ) in Nursing Homes Understand best practices for achieving compliance with qapi standards Describe three key steps needed to apply qapi elements to your Facility s RehospitalizationReduction Program3/13/201323 The Issue Cost of Rehospitalization is around $17 billion for Medicare recipients Almost 20% of all Medicare hospital stays result in readmission within 30 days of discharge 20 40% of re hospitalizations are avoidable Rehospitalization is a symptom of care fragmentation Current momentum for change, including legislation is in place4A Little History Lesson on Medicare Payment Advisory Commission (MedPAC)

3/13/2013 6 11 Three Conditions Targeted for FY 2013 and Expanded in FY 2015 FY 2013 • Acute Myocardial Infarction • Heart Failure

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