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Background Information
The Centers for Medicare and Medicaid (CMS) set a target percentage readmission rate for various types of patients, including Total Joint Replacement. The target rate for Total Joint Replacement is 4% for the current year.
The Problem
The readmission rate for Total Joint Replacement at Global Memorial Hospital is 10.42%, with 50 out of 480 Total Joint Replacement patients being readmitted within the past six months. This rate is 6.42% higher than the CMS target and will result in the hospital paying the penalty to CMS. The breakdown of cases by the surgeon is as follows:
Dr. Chill - 41 cases
Dr. Hugs - 146 cases
Dr. Wagoner - 105 cases
Dr. Franks - 188 cases
Total = 480 Cases
The Service Line Director of Orthopaedics has contacted the Director of Health Information Management for assistance.
The Project
The Director of Health Information Management had a coder review each chart to determine the reason for readmission. Download the HI230 Unit 4 Assignment 2 Data Set to access the data for this assignment. Using this data, review only those patients who were readmitted, and complete an analysis of the following:
By Readmission ReasonBy SurgeonBy Financial ClassBy BMIBy AgeCreate a professional presentation outlining your findings (including graphs) to the Director of Health Information Management.
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