Why does it matter?
What year did HRRP start?
What is 2012?
True or False.
Hospital readmissions occur for a variety of reasons. Some are avoidable and some are unavoidable. Thus, the cause of readmissions is important to CMS.
False.
HRRP does not segment by cause of readmission. It incentives hospitals to revamp discharge processes, improve compliance and optimize treatment for all patients.
What does HRRP stand for?
Hospital Readmissions Reduction Program
The purpose of this program is to motivate acute care hospitals to reduce the number of Medicare patients readmitted within 30 days of having been discharged.
What is the purpose of HRRP?
What age group accounts for the highest number of 30 day readmissions?
What are 75-84 year olds?
What is HRRP penalty timeline and why does it matter?
3 years
Hospitals need to make a better long term commitment to reduce readmissions, whether that's through better discharge planning or broader pop health initiatives.
True or False.
HRRP is motivated to reduce the number of Medicare patients being admitted to acute care hospitals within 45 days?
False
30 days
True or False.
HRRP incentivizes providers to focus on care not just in acute settings, but across the care continuum.
True
_____% of hospitals received penalties under HRRP in FY 2020 which equated to ____ million in Medicare payment penalties.
83% of hospitals received penalties under HRRP in FY 2020 which equated to 563 million in Medicare payment penalties.
True or False.
HRRP is an optional program and only penalizes hospitals that participate in it.
False.
It is a mandatory program
True or False.
Unlike Value-Based Purchasing, another Medicare P4P program, the HRRP does not offer monetary rewards for high performance. The HRRP only levies a penalty for under-performing hospitals.
True
Name a resource that you can look up a hospital's HRRP data.
What is Medicare.gov Hospital Compare, DRG, DH?
What is the maximum % penalty hospitals can face for Medicare payments under HRRP?
What is 3%?
Name 3 of the 7 conditions or procedures that HRRP considers readmissions rates for?
An extra 100 points if you can name all 7.
What is acute myocardial infarction (ARI), heart failure, pneumonia, chronic obstructive pulmonary disease (COPD), elective total hip and/or knee replacement and for coronary artery bypass graft (CAPG)?
_____ Number of patients are readmitted to the hospital each year which costs Medicare _________.
2 million
26 billion