MedFollow ™ Readmission Reduction Service

The Problem:

• One out of five discharged hospital patients is readmitted within 30-days, costing payers billions and under utilizing hospital beds and resources
• Starting October 2012, hospitals will be at risk for reimbursement reductions from CMS for excessive heart failure, acute myocardial infarction, and pneumonia readmissions
• Reimbursement penalties are based on a rolling three year history – the clock has already started ticking!
• Studies have shown that preventable readmissions can largely be attributed to medication non-compliance, lack of timely Primary Care Provider visits, and discharge instruction non-compliance – issues that are largely outside of the traditional hospital domain.
• Hospital resources for post-discharge patient monitoring are simply not available.

The Solution: Pareto Health’s MedFollow ™ Service provides personal post-discharge outreach to targeted patients at risk of readmission.

• Improve patient satisfactions and publicly reported HCAHPS scores
• Avoid CMS reimbursement reductions
• Increase available bed capacity for more profitable patients
• Focus limited hospital staff and resources on inpatient care
• Reduce length of stay and cost of readmissions that cannot be avoided
• Reduce avoidable hospital readmissions

Contact Us to learn more about how Pareto Health’s MedFollow ™ service nurses and pharmacists can extend the reach of your organization’s readmission reduction programs by providing patient outreach for medication reconciliation, medication adherence, discharge instruction compliance, PCP coordination, and social services needs.