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{"sheet":"Directions","index":0,"n_rows":26,"n_cols":2,"rows_kept":26,"cut":false,"hidden":false,"merged":[[7,1,23,13],[2,1,4,13],[1,1,1,13],[6,1,6,13],[25,1,29,8]]}
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[null,"30-Day Readmissions Chart Review Audit Tool"]
[null,"This audit tool allows staff members to review a list of factors commonly attributed to preventable hospital readmissions and obtain insight into why a readmission occurred and how it could have been avoided. It will help identify patterns and trends in readmitted patients, existing gaps in the organization’s current discharge processes, and opportunities for performance improvement."]
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[null,"Directions for using this tool:"]
[null,"\nThe audit can be completed by performing a brief chart review of the first admission and the readmission, and/or through an interview of the patient, family member, or clinicians involved in the patient’s care. Additional assessment can be obtained by contacting the patient’s primary care provider, home health agency, or mental health provider.\n \nEnter the information from your audit into this workbook as accurately and completely as possible.\n\nThe results entered into this workbook  automatically feed into graphs on the Readmissions Dashboard tab which can be used to visualize and trend the aggregate data in this tool.\n\nYou can use this dashboard and aggregated data from the audits of readmitted patients to identify any patterns or trends in your data which may necessitate further investigation. Based on this investigation, you can implement focused process improvement efforts that close the gaps found.\n\n\n\nNote: This file is intended to record secure facility data. Do not email dashboard information.\n\n"]
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[null,"This material was prepared by Health Services Advisory Group (HSAG), a Hospital Quality Improvement Contractor (HQIC) under contract with the Centers for Medicare & Medicaid Services (CMS), an agency of the U.S. Department of Health and Human Services (HHS). Views expressed in this material do not necessarily reflect the official views or policy of CMS or HHS, and any reference to a specific product or entity herein does not constitute endorsement of that product or entity by CMS or HHS. Publication No. XS-HQIC-RDM-07172023-01"]

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["Index Admission Information",null,null,null,null,null,null,null,null,null,"Readmission Information",null,null,null,null,null,null,null,null,"Readmission Factors",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Audit Information"]
["Patient ID","Index Admission Date (MM/DD/YYYY)","Index Discharge Date (MM/DD/YYYY)","Discharge Day of the Week","Length of Stay","Discharge Time of Day","Discharge Dx","If other, list dx below","Discharge Secondary Dx","COVID-19+ on Admission","Readmission Dx","If other, list dx below:","Readmission Date (MM/DD/YYYY)","Readmission Month","Readmission Day of the Week","Is this readmission related to the previous admission?","If no, is readmission reason listed as a comorbid condition on the index admission?","What is the readmission source?","How many days between discharge and readmission?","How many times was the patient in the hospital in the last 6 months?","How many times was the patient in the ED in the last 6 months?","Is the patient on a high-risk medication?","If yes, select all that apply","Discharged on seven or more medications?","What is the reason for readmission?"," If other, list reason below","Did patient have a validated primary care physician (PCP) assignment at previous discharge?","If yes, was a follow-up appointment made with patient’s PCP or specialist at previous discharge and documented in discharge instructions?","Did patient keep scheduled follow up appointment?","If no, why not?","If other, list reason below","Did patient comply with medication orders after discharge?","If no, why not? "," If other, list reason below ","Discharge Unit","Hospitalist Group","Discharging Physician","Was an evaluation of discharge needs documented by case management on the index admission?","Were there emergency room or observation visits between the index admission and readmission?","Completed by","Completion Date (MM/DD/YYYY)","Recommended follow-up action","Notes/Additional Comments"]
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{"sheet":"Readmissions Dashboard","index":2,"n_rows":1,"n_cols":1,"rows_kept":1,"cut":false,"hidden":false,"merged":[[0,0,1,33]]}
["30-Day Readmissions Dashboard"]

{"sheet":"Pivot Tables","index":3,"n_rows":49,"n_cols":8,"rows_kept":49,"cut":false,"hidden":true,"merged":[]}
[]
["Row Labels","Count of What is the readmission source?",null,"Row Labels","Count of What is the reason for readmission?",null,"Row Labels","Count of Readmission Dx"]
["Home",null,null,"Exacerbation of Chronic Condition",null,null,"Acute MI"]
["HHA",null,null,"Post-op complication",null,null,"Heart Failure"]
["SNF",null,null,"Post-discharge challenges",null,null,"COPD"]
["Hospice",null,null,"Did not understand discharge instructions",null,null,"CABG"]
["Long-Term Acute Care",null,null,"Refused HHA or SNF",null,null,"Elective TKA/THA"]
["IPF",null,null,"Discharge services not followed through by provider",null,null,"Sepsis"]
["IRF",null,null,"Patient left AMA from previous admission",null,null,"Pneumonia"]
["Other",null,null,"Other",null,null,"Other"]
["Grand Total",null,null,"Grand Total",null,null,"Grand Total"]
[]
[]
["Row Labels","Count of How many days between discharge and readmission?",null,"Row Labels","Count of Discharge Day of the Week",null,"Row Labels","Count of Discharge Time of Day"]
["0-3",null,null,"Mon",null,null,"00:01-04:00"]
["4-7",null,null,"Tue",null,null,"04:01-08:00"]
["8-14",null,null,"Wed",null,null,"08:01-12:00"]
["15-21",null,null,"Thu",null,null,"12:01-16:00"]
["21-30",null,null,"Fri",null,null,"16:01-20:00"]
["Grand Total",null,null,"Sat",null,null,"20:01-00:00"]
[null,null,null,"Sun",null,null,"Grand Total"]
[null,null,null,"Grand Total"]
[]
[]
["Row Labels","Count of If yes, select all that apply",null,"Row Labels","Count of If yes, was a follow-up appointment made with patient’s PCP or specialist at previous discharge and documented in discharge instructions?",null,"Row Labels","Count of Did patient keep scheduled follow up appointment?"]
["Anticoagulant",null,null,"Yes",null,null,"Yes"]
["Opioid",null,null,"No",null,null,"No"]
["Diabetic Agent",null,null,"Grand Total",null,null,"Grand Total"]
["Anticoagulant and Opioid"]
["Anticoagulant and Diabetic Agent"]
["Opioid and Diabetic Agent"]
["Anticoagulant and Opioid and Diabetic Agent"]
["Grand Total"]
[]
[]
["Row Labels","Count of Is this readmission related to the previous admission?",null,"Row Labels","Count of Readmission Month"]
["Yes",null,null,"2022 July"]
["No",null,null,"2022 August"]
["Grand Total",null,null,"2022 September"]
[null,null,null,"2022 October"]
[null,null,null,"2022 November"]
[null,null,null,"2022 December"]
[null,null,null,"2023 January"]
[null,null,null,"2023 February"]
[null,null,null,"2023 March"]
[null,null,null,"2023 April"]
[null,null,null,"2023 May"]
[null,null,null,"2023 June"]
[null,null,null,"Grand Total"]