The Problem of Hospital Readmissions

Reducing hospital readmission rates has become a priority to policymakers because readmissions are common, costly and (at least in theory) a reasonable fraction of them should be preventable. Policymakers therefore believe that reducing readmission rates represents a unique opportunity to simultaneously improve quality of care and reduce costs. As part of the Affordable Care Act (ACA), Congress directed the Centers for Medicare and Medicaid Services (CMS) to penalize hospitals with "worse than expected" 30-day readmission rates. This part of the ACA has motivated hospitals, health systems, professional societies and independent organizations to invest substantial resources into finding and implementing solutions for the "readmissions problem".

Avixena provides unique Readmission Risk Assessment Survey tools which were developed after reviewing more than 60,000 inpatient Medicare FFS, Medicare Advantage, D-SNP, and Managed Medicaid admissions.

The cost of a single readmission to a hospital averages $13,000. Avixena easily pays for itself by avoiding a single readmission.

The scoring methodology and analysis was based on review of 7,000 readmissions. These apps are the most advanced assessment tool in their class with >90% specificity and >90% sensitivity. The apps have a scoring system, and also allow for automatic generation of options (such as a discharge plan). In addition, these apps incorporate and quantify the effect of social determinant of health (availability of transportation, housing or social support system) or type of health insurance on readmissions. The cost of a single readmission to a hospital averages $13,000. Avixena pays for itself by avoiding a single readmission.

Readmission Risk Assessment
The most advanced assessment tool in its class and is designed to identify patient's readmission risk status, has a scoring system, and allows for generation of options (such as a discharge plan).
Readmission Root Cause Analysis
Designed to assess root causes and contributing factors that have resulted in readmissions and automatically creates an action plan to mitigate and manage the identified issues.
ECF Transfer
This Tool is designed to alert and assist extended care facilities with managing high- risk patients prior to transfer from the acute care setting. The same methodology was used to develop and validate its effectiveness as was used for the Readmission Risk Analysis app.
Behavioral Health Readmission Assessment
Starts with the features in the adult Readmission Risk Assessment app, and is also the only tool of its kind which identifies and incorporates the impact of age, previously diagnosed behavioral health diagnoses, and discharge destination.
Pediatrics Readmission Risk Assessment
All the features of our Readmission Risk Assessment but also incorporates and quantifies the effect of issues limited to pediatric population, including impact of pre-term birth and genetic conditions.