2018 Reducing Hospital Readmissions Congress

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Thursday, March 22, 2018 • 5:30 p.m. – 7:30 p.m.

Incorporating Effective Strategies on Hospital Readmission Reduction – Examining Current Regulations and Value-Based Initiatives

As healthcare continues to transform from volume to value, Hospital Readmission Rates continue to be an area of focus. As we scan the healthcare landscape, how might today's learnings "inform" the tactics and strategies your organization should consider?

During this workshop we will discuss the 2018 fiscal year impact of the Centers for Medicare and Medicaid Services (CMS) and 2018 fiscal year penalties. CMS continues to withhold a 3% penalty for higher-than-expected number of readmissions within 30-days of discharge for six conditions: chronic lung disease, coronary artery bypass graft surgery, heart attacks, heart failure, hip/knee replacements, and pneumonia. HRRP will reduce reimbursement for 80% of hospitals (2,573 hospitals for fiscal year (FY) 2018) which represents withhold $564 million in payments over the next year.

Teams will be prompted to share experiences with Clinically Integrated Networks, Accountable Care Organizations, and Meaningful Use. These programs have demonstrated favorable drops in readmissions yielding hopeful results in value-based care models. Finally, teams will touch on Collaboratives that are developing across the country to engage patients, acute care and post-acute care teams thereby reducing readmissions.

In this workshop, we will discuss some leading tactics and strategies that have been reported over the last few years and get a glimpse at what top performing organizations are doing. We are looking forward to hearing your story and enhancing your readmission reduction journey.

Lisa Bragg, RN, BSN, MBA, CSSGB is a Director of Healthcare-Performance Excellence Services at Navigant. A seasoned healthcare professional with over 25 years of healthcare experience; with 23 years dedicated to the continuum of care management, including: case management, discharge planning, utilization review, application of clinical criterion, and clinical documentation management. Lisa serves as the vertical leader for Case Management at Navigant Consulting.

Prior to joining Navigant Consulting, Lisa held high level leadership and executive roles in the industry. Her breath and scope of knowledge also includes senior services product development, strategic planning, discharge planning redesign, current and future state workflow analysis, design and implementation of triage and access call centers. Lisa has also participated in teams designed to improve observation billing, patient class assignment, revenue cycle work flow and process.