Preventing Hospital Readmission After Discharge 2023-24 Edition




Learn more about these ratings.

Why is it important to prevent returning to the hospital?

There are many patients who have to go back to the hospital soon after being discharged. In many of these cases, the return trip to the hospital could have been prevented. Return hospital trips should be avoided because they can often lead to more serious or new health problems. With return hospital visits, there are also more hospital bills and more time away from work.

How should your doctor and the hospital staff help you avoid another hospital stay?

A good discharge plan is important. Hospital staff should work or communicate with your doctor on the discharge plan before you leave the hospital. Hospital staff should discuss the care instructions with you and your family member or caregiver. Be sure to ask questions if you don’t understand the instructions. If you can’t follow the discharge instructions, be sure to ask for help or alternatives. Different resources may be available such as in-home care services, transportation assistance or the possibility of transferring to a different type of care facility.

For more information to help you and your caregivers manage your care after a hospital stay, visit OPA’s Preventing Hospital Readmissions webpage.

What do the stars mean?

The scores show how well each health plan did at making sure patients did not return to the hospital for the same or a different health condition within 30 days after a hospital visit. The higher score means more patients got the right care at the right time.

The scores are based on information from at least 30 PPO member administrative records in 2015.

When comparing plans, small differences between scores are expected. The larger differences are important.

Preventing Hospital Readmission After Discharge

  • (Worse)
    0%
  • (Better)
    100%

Data Disclaimer  
The data source for data for the Report Cards is Quality Compass® 2023 and is used with the permission of the National Committee for Quality Assurance (NCQA). Quality Compass® 2023 includes Healthcare Effectiveness Data and Information Set (HEDIS®) and Consumer Assessment of Healthcare Providers and Systems (CAHPS®) data. Any data display, analysis, interpretation, or conclusion based on these data is solely that of the authors. NCQA specifically disclaims responsibility for any such display, analysis, interpretation, or conclusion. Quality Compass and HEDIS are registered trademarks of NCQA. CAHPS® is a registered trademark of the Agency for Healthcare Research and Quality (AHRQ).

Users of the data shall not have the right to alter, enhance, or otherwise modify the data. Anyone who wants to use or reproduce the data without modification for a noncommercial purpose may do so without obtaining any approval from NCQA. All commercial uses must be approved by NCQA and are subject to a license at the discretion of NCQA. Use by healthcare providers in connection with their own practices is not commercial use. A "commercial use" refers to any sale, license, or distribution of the data for commercial gain, or incorporation of the data into any product or service that is sold, licensed, or distributed for commercial gain, even if there is no actual charge for inclusion of the data. ©2004-2023 National Committee for Quality Assurance, all rights reserved.

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