The Hospital Readmissions Reduction Program (HRRP) penalizes hospitals by withholding up to 3% of regular reimbursements if they have a higher than expected number of readmissions within 30 days of discharge for six specific conditions. Social determinants health - where people live, work, their mode of transportation – are critical data points that can be integrated into care management workflows to provide actionable data at the point of care and to enhance discharge planning.
Taking that data in real-time to formulate a readmission risk score can help identify patients who may have SDOH barriers like transportation or housing instability risks. Care Management teams that have this information when a patient is admitted for care can appropriately plan & tailor their discharge plans to account for SDOH barriers before a patient leaves their facility. Download our most recent white paper to find out more about how your health system can reduce hospital readmission risk using social determinants of health data and advanced analytics.