Readmission Reduction Dashboard
Track progress on reducing 7-day readmission rates. Data based on analysis of 138 patient readmissions within 30 days of discharge.
Total Episodes Analyzed
138
30-day readmissions
7-Day Readmissions
41
30% of total readmissions
Median Days to Return
8
IQR: 4-17 days
Follow-up Impact
47%
Reduction with scheduled appt
Top Readmission Themes
Number of cases by clinical category (n=138)
Preventable Readmission Rates
Percentage flagged as preventable by cluster
Follow-up Pipeline Gap
The critical opportunity for improvement
PCP Identified76%
105 of 138 patients
Appt Made13%
18 of 138 patients
PCP Visited18%
25 of 138 patients
Key Finding: Scheduling follow-up reduces 7-day readmissions by 47%
7-day readmission rate: 16.7% with appointment vs 31.7% without
87
Emergency Readmissions
63% of all readmissions
42
Device-Related
30.4% of readmissions
69
PCP Coverage Barriers
50% of cases noted barriers