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Preventable Readmissions Initiative

Check this page often for updated tools and resources from the NYSPFP Readmissions Initiative.

Action Planning
Action Planning Worksheets for Best Practice Recommendations:
The following tools and resources are intended to support hospitals in identifying the underlying causes of their readmissions, facilitate the design and implementation of a hospital-specific work plan, and provide education on successful strategies that hospitals can apply to reduce preventable readmissions. NYSPFP Preventable Readmissions Action Planning Resource Guide:
This resource is designed to guide hospitals through the process of planning and implementing a targeted, individualized preventable readmissions reduction program.
Readmissions Pilot Project
As part of the Readmissions Pilot Project, hospitals are expected to identify a high-acuity, medically complex unit and identify patients on admission who are at risk for readmission. The Mitigating Risk Factors for Readmission Patient Tracking Sheet is a patient risk assessment tool to identify high-risk patients in need of post-hospital care and discharge planning.
Communications and Campaigns
Accelerating Improvement: Patient Safety Commitments:
NYSPFP has provided a framework to support hospitals as they continue to advance their performance improvement accomplishments. This framework includes specific patient safety commitments toward which hospitals will work and that focus on cross-cutting practices to improve safety that have the ability to impact a number of clinical conditions. NYSPFP Unit-Based Safety Posters:
The NYSPFP Unit-Based Safety laminated posters can be used at the unit or departmental level for frontline staff to track and document the number of days since the last harm event, as well as provide some strategies for reducing harm. The poster below is available for professional printing. It is 12"x18" (Full Bleed).
Data Tracking and Measurement
NYSPFP Data Analyses:
Hospital participants also receive hospital-specific and comparative data analyses to inform their medication safety improvement efforts. Hospital-specific diagnostic readmission reports can be accessed and downloaded online.* Click on the following link to access the NYSPFP data portal for measure definitions and comparative analyses. *These reports are interactive, Excel®-based tools that use the 3M Potentially Preventable Readmission (PPR) Software and Statewide Planning and Research Cooperative System (SPARCS) data. The reports identify readmissions attributable to each hospital, whether they occurred in that hospital or another, and drill down to the readmissions by service line, Diagnosis-Related Group, admission source, discharge status, payer, and case level.
Educational Resources
Preventable Readmissions Action Planning Resource Guide:
This resource is designed to guide hospitals through the process of planning and implementing a targeted, individualized preventable readmissions reduction program. By focusing on key drivers of readmissions, hospitals can organize their approach to assessing risk for readmission, prioritizing areas for intervention, and developing and applying strategies for prevention. The Role of the Hospitalist in Reducing Readmissions Report:
This report defines the hospitalist’s role in reducing readmissions and describes the opportunities for hospitalists to participate in readmission reduction efforts.
Partnering with Patients and Care Partners to Reduce Readmissions
Recognizing the positive impact of care partner integration into discharge planning on healthcare costs, resource utilization, and patient satisfaction, the NYSPFP Readmissions Team is focusing its efforts to strengthen systems, process, and practices related to family and care partners. During the regional sessions, evidence-based, best practice materials and resources were presented by Dr. Amy Boutwell, MD, MPP, of Collaborative Healthcare Strategies, and Beverly Johnson, President of the Institute for Patient and Family-Centered Care, and can be accessed below.
My ReportsLatest News
This is the latest Preventable Readmissions News
My ReportsUpcoming Events
These are the upcoming Preventable Readmissions Events
My ReportsMy Reports
These are the Preventable Readmissions Reports
 
Persons with disabilities having problems accessing any NYSPFP materials or resources for this initiative may call 518-431-7685 or email Nancy Landor.
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