HEDIS measure focuses on helping prevent unnecessary hospital readmissions

Readmission to the hospital within 30 days of discharge is frequently avoidable and can lead to adverse patient outcomes and higher costs, according to the Centers for Medicare & Medicaid Services.

The Plan All-Cause Readmissions (PCR) HEDIS^® measure — which is also a Medicare Star Ratings measure — assesses the percentage of acute inpatient and observation stays during the measurement year that were followed by an unplanned acute readmission for any diagnosis within 30 days and the predicted probability of an acute readmission.

Coordinating care from the hospital to home and ensuring a follow-up visit with the patient’s primary care provider can help avoid a readmission.

Read this tip sheet to learn more about this measure, including information about exclusions, best practices and tips for success when talking with patients.  

HEDIS^®, which stands for Healthcare Effectiveness Data Information Set, is a registered trademark of the National Committee for Quality Assurance, or NCQA.