General Medicine, The Post-Hospitalist Company Achieves Readmission Rates Better than 95% of CMS National Peer Group
Partner facilities of General Medicine, The Post-Hospitalist Company, attained an average hospital readmission rate of 4.8% for all of 2013, according to the Centers for Medicare and Medicaid Services (CMS). The 2013 Quality and Resource Use Report—compiled by CMS and finalized late 2014—found that General Medicine, The Post-Hospitalist Company, achieved readmission rates 70% lower than all providers within its national peer group. With the peer group’s average rate coming in at 16.4%, this puts General Medicine in the top five percent of post-hospitalist/SNFist providers nationwide.
CMS’s report corroborates similar findings made by the University of Illinois Chicago (UIC) in a 2013 review of the performance of the State of Illinois’ Integrated Care Plan in its first year. As the designated post-hospitalist/SNFist Program Provider for this plan, General Medicine has streamlined much of the state’s care for elderly patients.
UIC’s independent study identified an 18% reduction in the rate of hospital admissions/readmissions coupled with a 25% decrease in hospital lengths of stay. Additionally, UIC reported a 39% decrease in the percentage of high frequency emergency department usage and a 15% decrease in the rate of ER visits resulting in an inpatient hospital admission. Physicians and nurse practitioners provided through General Medicine were responsible for the overall care of all of the plan’s enrollees/members during this initial operational year.
CMS’s report also established General Medicine’s quality metrics to be 48.4% better than its peer group, when comparing data relevant to the organization’s medical services. The following quality metrics were considered in these measurements: falls plan of care, advance care plan, high blood pressure screening and follow up, influenza immunization, diabetic foot exam, colorectal cancer screening, and CAD antiplatelet therapy. This rating by CMS places General Medicine, The Post-Hospitalist Company in the top 5% for quality metrics among its peer group.
This data is indicative of General Medicine, The Post-Hospitalist Company’s continued efforts to improve post-hospital care while decreasing overall spending.
About General Medicine, The Post-Hospitalist Company:
General Medicine, The Post-Hospitalist Company, specializes in the care of patients living in post-acute and long-term care settings. Post-hospitalists hold regular, on-site office hours and pride themselves on quickly responding to calls and improving quality of care. With low staff turnover and 24/7 service, General Medicine, The Post-Hospitalist Company, helps facilities decrease hospital readmission rates and unnecessary ER visits.
Specific Benefits of General Medicine, the Post-Hospitalist Company’s Services Include:
- Reduced Readmission Penalties.
- Reduced frequency of potentially avoidable hospital (PAH) admissions and readmissions.
- Reduced unnecessary ER utilization
- Reduced length of hospital stays.
- Reduced overall health care spending.
- Improved patient health outcomes.
- Improved process of transitions between inpatient hospitals, post-acute facilities and home.
Key Successes of General Medicine, The Post-Hospitalist Company:
- Quality of care is 48.4% higher than peer group performance, according to CMS
- Proactive care plans provided to more than 80,000 patients nationwide.
- Contracts with nine of the top 10 MCOs in the nation.
- Achieved top 10% audited Health Care Effectiveness Data and Information Set (HEDIS) Rate results for 2013.
- Staff recruitment and retention in top 10% of the industry
For questions or comments contact Thomas M. Prose, MD, MHA, MBA, President, General Medicine, The Post-Hospitalist Company, 21333 Haggerty Road, Suite 150, Novi, Michigan 48375, or call 800-979-9595. Information regarding General Medicine, The Post-Hospitalist Company is available online at www.generalmedicine.com.