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Original Release Date: 04/22/2021
Review Date: 06/01/2022
Credit claim for this activity will end at 11:59 PM 06.31.2024
You can improve accuracy of your hospital’s expected orthopedic readmission rate by ensuring complete capture of comorbidities which may contribute to risk adjustment.
Medicare pay for performance program that reduces payments to hospitals with excess readmissions. Expected readmission rate is based on physician documentation which is often incomplete due to lack of physician education in this area.
In contrast to how clinicians use documentation within the medical recorded, payers’ and governmental agencies’ use documentation within the medical record to ensure resources were utilized appropriately and to evaluate the quality of care provided. This perspective and system to evaluate care through documentation are not taught in medical school and too often are not taught in residency
No commercial support was received for this activity.
Physicians, Fellows, Residents, Physician Assistants, Nurse Practitioners, Pharmacists across the system.
After participating in this activity, the learner should be able to:
- Outline the Hospital Readmissions Reduction Program (HRRP) and why it is important
- Review the definitions of observed vs expected readmissions and how they interrelate
- Identify how you can impact the expected readmission rate through documentation