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Readmission Prevention Strategies and Solutions for Hospitals and Skilled Nursing Facilities with Dr. Ahzam Afzal Puzzle Healthcare TRANSCRIPT
Manage episode 411588068 series 2949197
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Dr. Ahzam Afzal, Co-Founder and CEO of Puzzle Healthcare, aims to reduce readmission rates to hospitals and skilled nursing facilities by focusing on discharge planning and post-acute care. High readmission rates can result in financial penalties and are often caused by the complexity of the patient's condition and social determinants of health. Puzzle is working with health systems and SNFs to implement a readmission prevention program that includes physiatry and care coordination 90 days after discharge.
Ahzam explains, "Hospital readmissions have become a focal point for our healthcare systems for several reasons. First and foremost, they are a key indicator of the quality of care being provided by these facilities. High readmission rates often suggest that patients may not be receiving the comprehensive care they need during their hospital stay or the necessary support post-discharge. This could be due to inadequate discharge planning, insufficient patient education on their conditions, or a lack of effective follow-up care."
"Additionally, readmissions place a substantial financial burden on healthcare facilities. Under the Affordable Care Act, hospitals with higher than expected readmission rates for certain conditions face significant penalties including reduced Medicare reimbursements. This policy was also extended to skilled nursing facilities through the Skilled Nursing Facility Value-Based Purchasing program, which penalizes SNF facilities based on their readmission rates starting in 2024."
#PuzzleHealthcare #ReadmissionPrevention #Hospitals #SkilledNursingFacilities #ValueBasedCare #PostAcuteCare #SDOH
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