EM/HM Integration, Improved Communication Drops Hospital Readmission Rates by 55 Percent

Integrating emergency medicine (EM) and hospital medicine (HM) services promotes collaboration and engagement between disciplines. Within an integrated EM/HM model, EM clinicians and hospitalists share accountability for streamlining admissions processes and achieving lower average length of stay, reduced readmissions and improved patient experience.

At one Central California hospital, readmission rates exceeded the CMS Quality benchmark stipulated by the Affordable Care Act, resulting in a near 1.5 million dollar potential revenue loss from Medicare reimbursements in 2017. This facility sought the help of Envision Physician Services to address the source of these excessive readmission rates and create a solution to avoid Medicare penalties.

With Envision’s integrated EM/HM care model, the hospital reduced its 30-day readmission rate from 11.69 percent to 5.21 percent, ultimately avoiding 1.5 million dollars in revenue loss from Medicare reimbursements and creating a more patient-centric care model.

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