Reducing avoidable hospital readmissions with care coordination technology

July 23, 2021 by Becker's Hospital Review

In recent years, readmissions have become a priority for skilled nursing providers due to value-based purchasing models that cut Medicare fee-for-service rates if providers fail to meet readmissions requirements. These penalties affected nearly 75 percent of skilled nursing facilities (SNFs) in 2019.

Marquis/Consonus Companies owns and maintains a network of post-acute, rehabilitation, and residential care facilities throughout Oregon, California, and Nevada. In 2018, Marquis rolled out Collective’s platform at three Oregon facilities with a combined readmission rate as high as 19 percent in certain months.

Armed with data that extended beyond the four walls of an individual SNF, Marquis staff were able to receive an instant notification if a former resident sought treatment at a nearby hospital. Staff could then work with the hospital to determine if a patient could return to the Marquis facility for treatment—avoiding a costly hospital readmission.

Being able to track patients across care settings helped Marquis decrease readmissions by 60 percent at the three Oregon facilities in less than six months. This drop allowed Marquis to avoid penalties and earn nearly $115,000 in reimbursements.

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