Readmission Reduction

Reduce Readmissions with Care Guidance

According to a recent HFMA article, 2,545 hospitals will face FY21 Hospital Readmissions Reduction Program (HHRRP) penalties. These penalties have come under scrutiny as researchers have uncovered that up to 12 percent of the hospitals penalized under the program should not have been. This is particularly problematic for smaller hospitals that have fewer resources, fewer discharges, and fewer options to correct the problem.
Guideway care delivers a turn-key solution that helps target and reduce readmissions proactively. Keeping patients from an avoidable readmission not only improves care, it avoids the costly possibility of a misclassification and the significant lag time it takes to correct these mistakes. The typical return on investment is between 3-6x depending on the population, rate of readmissions, and type of readmission targeted.

Why Care Guidance Works against Readmissions

Guideway Care supports and extends your care team, reaching your patients beyond the facility walls to improve their experiences and outcomes, reducing clinical strain and burnout, and reducing or eliminating your current readmission penalties.
Building an effective, economically feasible guidance program that bridges the gaps patients experience in their care journey has proven difficult for many hospitals. In addition, traditional patient navigation models that use costly clinical resources and technology platforms have failed to drive patient behavioral change and uncover and address the barriers hidden within social determinants of health. As readmission rates stagnate or even rise and opportunities to improve patient satisfaction are superseded by competing priorities, hospitals are burdened with rising readmission penalties under the HRRP and are falling further and further behind in preparing for other looming value-based reimbursement requirements.
Guideway Care offers a proven, technology-enabled care guidance program that integrates with your current care team and unifies patient data from across the system, allowing you to quickly and efficiently extend individualized, disease-specific support to patients outside facility walls. The gains made in the areas of care transitions, collaboration, and knowledge gaps will lead to rapid improvements in patient outcomes and satisfaction, as well as readmission rates.

Average Hospital
Readmission Penalties

as a reduction of Medicare payments for inpatient admissions per financial year
Data from the Kaiser Family Foundation

Tailored Programs

Guideway offers care guidance programs tailored for each of the conditions/disease states covered under HRRP, with effective, evidence-based protocols for AMI, CABG, COPD, Heart Failure, Pneumonia, and THA/TKA.
In fact, out of the 47 top readmission factors for these conditions combined, Guideway’s program can directly impact 34 factors with non-clinical interventions. Guideway Care’s care guidance services are the lever your organization needs to reduce or remove your readmission penalties.