The IHC Drumbeat is a bi-weekly email to the hospitals participating in the IHC Hospital Engagement Network featuring hospital success stories, recorded IHC webcasts, and local/national educational resources.
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Hospital Spotlight: Trinity Regional Medical Center - Fort Dodge, IA

The readmission work at Trinity Regional Medical Center started before 2011 with an emphasis on all readmissions with a Heart Failure diagnosis. The hospital based improvement work was fragmented care coordination, at best. The rolling 12 month all cause readmission rate was 12%. Click here to find out their interventions used and successful results...

This Issue's "Takeaway" Resource

The latest CMS HEN Takeways slide captures top strategies and resources for working with patients and families to reduce readmissions and eliminate patient harm. Click here for the Patient & Family Engagement Takeaway slide...

Readmissions Metric Definition 

The hospital-wide 30-day readmissions measure displays observed readmission rates using the CMS (Yale) methodology. Credit for developing the ability to return results for this measure goes to the Wisconsin Hospital Association in conjunction with the Iowa Hospital Association. Acute to Acute readmissions to any hospital counts are produces when applying methodology to the all-payer statewide database. 

Denominator: Index admission counts determine denominator populations. Exclusions to inclusion as an index acute admission include: 1) cancer discharges; 2) psychiatric discharges; 3) distinct unit medical rehab discharges; 4) planned procedures; 5) patients transferred to another acute care facility; 6) patients who have in-hospital death; 7) patients discharged against medical advice; and 8) pediatric patients (<18 yr old.)

Numerator: Readmission records are scanned for inclusion/exclusion to determine if a planned procedure is documented as part of the return to any hospital. 

There are differences between how CMS vs IHC HEN apply the Yale methodology. IHC is unable to risk stratify due to the absence of access to all claims or the ability to determine insurance eligibility. This methodology is being applied to all payers and all participating IHC HEN hospitals (including CAHs) where data is available (Iowa hospitals only as of May 2014). Email with any questions.

Register Today for June LC and Care Coordination Conference on June 3rd and 4th

This LC will feature a presentation from Paul Moore, Senior Health Policy Advisor with Health Resources and Services Administration (HRSA) and Dr. Paul Mulhausen, Telligen's Medical Director. Breakout tracks are on Data, Healthcare-associated Infections, and Health Literacy/Population Disparities. 

Click Here to Register
Click Here to Download Brochure

IHC's Care Coordination Conference will be held at The Meadows Events & Conference Center in Altoona. Julie Ginn Moretz, Assistant Vice Chancellor, University of Arkansas for Medical Sciences will kick off the day discussing partnership with patients and families to enhance quality and safety. Followed by Dr. William Doucette, Professor and Division Head of Health Services Research Division at the University of Iowa College of Pharmacy, and Mercy Medical Center - North Iowa's recent success in community collaboration. Breakout tracks include Community-Team Based Care, Electronic Health Records, and IPOST.

Click Here to Register
Click Here to Download Brochure


NEW Recording: 
William Peters Webcast: Appreciating Variation in Data

Next IHC What's Up Call for HEN Hospitals:

June 10, 2014
10:00 A.M.
For dial in information, email

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