1. Analysis of the Factors Contributing to High
Rates of 30-day Readmissions
By: Jason Rojas
Preceptor: Cortney Panzarino
• To identify leading causes of 30-day
readmissions in Meridian Health’s
hospitals.
• Analyze 30-day readmission rates of
four Meridian Hospitals.
• Propose an intervention for the leading
cause of 30-day readmissions.
• Limiting avoidable readmissions is
critical for meeting Medicare
benchmarks.
 Conditions that lead 30-day
readmissions are among the
most costly to treat.
 Lowers costs and improve
quality of care for patients.
• Meeting quality benchmarks improves
potential for shared savings.
• Better quality of care by improving
post-discharge follow up.
 Post-discharge interventions
tend to decrease 30-day
readmissions.
• Chose four Meridian Hospitals, named
Hospitals A-D.
• Readmission data used was from
August 2014 to August 2015
 Via Crimson Population Risk
Management software.
• Gathered readmission data organized
by Diagnosis Related Group (DRG).
• Top two DRGs based on total 30-day
readmission was found for each
hospital.
 This is used to determine
highest priority.
I would like to thank my
preceptor, Cortney Panzarino
and Jojy Cheriyan, and my fellow
team members, Ann Stanley,
Leigh Romano, and Dr. Navneet
Kathuria for guidance throughout
this internship.
Purpose
Intervention
Significance
Method
Evaluation
Outcome
Acknowledgement
Top Two DRG by 30-day Readmission
• Team of 3 case
managers
required.
Follow up call
within 3 days
• Meet with
Primary care
Physician 7 days
after discharge.
Check up
within 7 days
• Weekly in-office
visits to maintain
stability of
condition.
Weekly visits
for 4 weeks
• HF was chosen for the
intervention because it was
most prevalent.
• Patient records will be pulled
from an EMR to ensure
interventions are being
followed through.
• A control group can be used to
test effectiveness of
intervention.
Fig. 1: Count of top disease 30-day readmissions by
hospital facility
Fig. 2: Most prevalent Diagnosis Related Group for each
Hospital.
Fig. 3: Readmissions for the top two most prevalent DRGs