New NCQA Measure Helps Health Plans Reduce Preventable Hospital Readmissions

A new report from the National Committee for Quality Assurance (NCQA) provides a detailed look at a new measure designed to help purchasers and health plans reduce hospital readmissions, improve care and reduce costs.

Reducing Readmissions: Measuring Health Plan Performance, provides a detailed look at NCQA’s Plan All-Cause Readmissions HEDIS® measure – from development to results – and explains why this measure is such an important tool for health plans working towards reducing unnecessary readmissions.

It outlines how they can work with hospitals to improve discharge and transition procedures, and coordinate better post-discharge planning, care coordination and chronic care management.

Studies show that up to 20 percent of Medicare patients discharged from the hospital will be readmitted within 30 days, disrupting the lives of patients and their families, and leading to increased morbidity and healthcare costs.

This reportis the latest publication in the Insights for Improvement series, which assists health plans, employers, payors and providers in improving healthcare quality by exploring quality trends associated with specific NCQA evaluation standards and metrics.

NCQA’s performance measures are based on input from diverse healthcare experts and address key areas of care. NCQA continually collects quality data from health plans—information that forms the basis of NCQA reports, rankings and other quality initiatives, including NCQA Health Plan and ACO Accreditation.

Source: NCQA, November 14, 2012

2012 Healthcare Benchmarks: Reducing Hospital Readmissions

2012 Healthcare Benchmarks: Reducing Hospital Readmissions

This 48-page report identifies the key strategies, challenges, target populations and health conditions of 119 healthcare organizations to reduce avoidable rehospitalizations.

This entry was posted in Avoidable Hospitalization, Health Insurance, Healthcare Utilization, Improving Patient Care and tagged , , . Bookmark the permalink.
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