Enviar pesquisa
Carregar
Ian Blunt: PARR-30: a predictive model for readmission within 30 days
•
1 gostou
•
9,668 visualizações
Nuffield Trust
Seguir
Saúde e medicina
Denunciar
Compartilhar
Denunciar
Compartilhar
1 de 14
Baixar agora
Baixar para ler offline
Recomendados
Readmission Powerpoint -
Readmission Powerpoint -
Sharon Gauthier RN/MSN-CGM
Electronic Medication Reconciliation - Improving patient safety through e-med...
Electronic Medication Reconciliation - Improving patient safety through e-med...
Health Informatics New Zealand
Improving efficiencies in medication reconciliation: The McGill Story
Improving efficiencies in medication reconciliation: The McGill Story
Canadian Patient Safety Institute
Genesis Presentation
Genesis Presentation
Hai Duong
Transitions of Care Medication Safety
Transitions of Care Medication Safety
hedavidson
Ed overcrowding
Ed overcrowding
EM OMSB
HF ebp poster
HF ebp poster
Naomi Farkas, RN BSN
medication reconciliation
medication reconciliation
Missam Merchant
Recomendados
Readmission Powerpoint -
Readmission Powerpoint -
Sharon Gauthier RN/MSN-CGM
Electronic Medication Reconciliation - Improving patient safety through e-med...
Electronic Medication Reconciliation - Improving patient safety through e-med...
Health Informatics New Zealand
Improving efficiencies in medication reconciliation: The McGill Story
Improving efficiencies in medication reconciliation: The McGill Story
Canadian Patient Safety Institute
Genesis Presentation
Genesis Presentation
Hai Duong
Transitions of Care Medication Safety
Transitions of Care Medication Safety
hedavidson
Ed overcrowding
Ed overcrowding
EM OMSB
HF ebp poster
HF ebp poster
Naomi Farkas, RN BSN
medication reconciliation
medication reconciliation
Missam Merchant
Kaiser permanente transition care
Kaiser permanente transition care
Canadian Patient Safety Institute
Role of hospital pharmacists in transitions of care
Role of hospital pharmacists in transitions of care
Rosalynn Pangan
Poster-v9 (Steven Asbill, TOC)
Poster-v9 (Steven Asbill, TOC)
Min Song, PharmD, BCPS
Web application for clinicians - SidekickCV
Web application for clinicians - SidekickCV
Aaron Duthie
Medication Reconciliation
Medication Reconciliation
Diana Rangaves, PharmD, CEO
Patient congestion in ED
Patient congestion in ED
aash1520
Electronic Medical Records: From Clinical Decision Support to Precision Medicine
Electronic Medical Records: From Clinical Decision Support to Precision Medicine
Kent State University
SICU Critical Care Safety Study
SICU Critical Care Safety Study
shivabirdi
Making a case for medication reconciliation in primary care
Making a case for medication reconciliation in primary care
Canadian Patient Safety Institute
Admission Disposition: Inpatient or Outpatient Observation
Admission Disposition: Inpatient or Outpatient Observation
ampeterson03
Medication Reconciliation Education
Medication Reconciliation Education
cshowers5608
Confronting Diagnostic Error-Employer
Confronting Diagnostic Error-Employer
Melissa Kay Palardy
Recent cardiology updates ehrs2018
Recent cardiology updates ehrs2018
hospital
Proposed actions to improve waiting times at the emergency room
Proposed actions to improve waiting times at the emergency room
Xiomara Arias Fernandez
Medicines Reconciliation Needs You!
Medicines Reconciliation Needs You!
NHSScotlandEvent
Medication Reconciliation A Basic Overview
Medication Reconciliation A Basic Overview
Anupam Das
Getting the most out of your scpp practice review l. postnikoff
Getting the most out of your scpp practice review l. postnikoff
PASaskatchewan
Opening Keynote “Population Management: The CareMore Experience" David Ramire...
Opening Keynote “Population Management: The CareMore Experience" David Ramire...
Health IT Conference – iHT2
Using Coaching to Reduce Readmissions, Costs and Improve Care_eQHealth Soluti...
Using Coaching to Reduce Readmissions, Costs and Improve Care_eQHealth Soluti...
eQHealth Solutions
Medication Reconciliation
Medication Reconciliation
PAFP
Lace index scoring tool
Lace index scoring tool
BESLER
Clinical Risk Management
Clinical Risk Management
limgengyan
Mais conteúdo relacionado
Mais procurados
Kaiser permanente transition care
Kaiser permanente transition care
Canadian Patient Safety Institute
Role of hospital pharmacists in transitions of care
Role of hospital pharmacists in transitions of care
Rosalynn Pangan
Poster-v9 (Steven Asbill, TOC)
Poster-v9 (Steven Asbill, TOC)
Min Song, PharmD, BCPS
Web application for clinicians - SidekickCV
Web application for clinicians - SidekickCV
Aaron Duthie
Medication Reconciliation
Medication Reconciliation
Diana Rangaves, PharmD, CEO
Patient congestion in ED
Patient congestion in ED
aash1520
Electronic Medical Records: From Clinical Decision Support to Precision Medicine
Electronic Medical Records: From Clinical Decision Support to Precision Medicine
Kent State University
SICU Critical Care Safety Study
SICU Critical Care Safety Study
shivabirdi
Making a case for medication reconciliation in primary care
Making a case for medication reconciliation in primary care
Canadian Patient Safety Institute
Admission Disposition: Inpatient or Outpatient Observation
Admission Disposition: Inpatient or Outpatient Observation
ampeterson03
Medication Reconciliation Education
Medication Reconciliation Education
cshowers5608
Confronting Diagnostic Error-Employer
Confronting Diagnostic Error-Employer
Melissa Kay Palardy
Recent cardiology updates ehrs2018
Recent cardiology updates ehrs2018
hospital
Proposed actions to improve waiting times at the emergency room
Proposed actions to improve waiting times at the emergency room
Xiomara Arias Fernandez
Medicines Reconciliation Needs You!
Medicines Reconciliation Needs You!
NHSScotlandEvent
Medication Reconciliation A Basic Overview
Medication Reconciliation A Basic Overview
Anupam Das
Getting the most out of your scpp practice review l. postnikoff
Getting the most out of your scpp practice review l. postnikoff
PASaskatchewan
Opening Keynote “Population Management: The CareMore Experience" David Ramire...
Opening Keynote “Population Management: The CareMore Experience" David Ramire...
Health IT Conference – iHT2
Using Coaching to Reduce Readmissions, Costs and Improve Care_eQHealth Soluti...
Using Coaching to Reduce Readmissions, Costs and Improve Care_eQHealth Soluti...
eQHealth Solutions
Medication Reconciliation
Medication Reconciliation
PAFP
Mais procurados
(20)
Kaiser permanente transition care
Kaiser permanente transition care
Role of hospital pharmacists in transitions of care
Role of hospital pharmacists in transitions of care
Poster-v9 (Steven Asbill, TOC)
Poster-v9 (Steven Asbill, TOC)
Web application for clinicians - SidekickCV
Web application for clinicians - SidekickCV
Medication Reconciliation
Medication Reconciliation
Patient congestion in ED
Patient congestion in ED
Electronic Medical Records: From Clinical Decision Support to Precision Medicine
Electronic Medical Records: From Clinical Decision Support to Precision Medicine
SICU Critical Care Safety Study
SICU Critical Care Safety Study
Making a case for medication reconciliation in primary care
Making a case for medication reconciliation in primary care
Admission Disposition: Inpatient or Outpatient Observation
Admission Disposition: Inpatient or Outpatient Observation
Medication Reconciliation Education
Medication Reconciliation Education
Confronting Diagnostic Error-Employer
Confronting Diagnostic Error-Employer
Recent cardiology updates ehrs2018
Recent cardiology updates ehrs2018
Proposed actions to improve waiting times at the emergency room
Proposed actions to improve waiting times at the emergency room
Medicines Reconciliation Needs You!
Medicines Reconciliation Needs You!
Medication Reconciliation A Basic Overview
Medication Reconciliation A Basic Overview
Getting the most out of your scpp practice review l. postnikoff
Getting the most out of your scpp practice review l. postnikoff
Opening Keynote “Population Management: The CareMore Experience" David Ramire...
Opening Keynote “Population Management: The CareMore Experience" David Ramire...
Using Coaching to Reduce Readmissions, Costs and Improve Care_eQHealth Soluti...
Using Coaching to Reduce Readmissions, Costs and Improve Care_eQHealth Soluti...
Medication Reconciliation
Medication Reconciliation
Destaque
Lace index scoring tool
Lace index scoring tool
BESLER
Clinical Risk Management
Clinical Risk Management
limgengyan
Risk management in healthcare
Risk management in healthcare
Mujeeb Kandy, MASc, MS, CPHQ, RHIA.
Three Approaches to Predictive Analytics in Healthcare
Three Approaches to Predictive Analytics in Healthcare
Health Catalyst
risk assessment
risk assessment
Said Al Jaafari
Risk Assessment Process NIST 800-30
Risk Assessment Process NIST 800-30
timmcguinness
ISO 27005 Risk Assessment
ISO 27005 Risk Assessment
Smart Assessment
Risk assessment principles and guidelines
Risk assessment principles and guidelines
Haris Tahir
Risk assessment presentation
Risk assessment presentation
mmagario
Risk & Risk Management
Risk & Risk Management
ansula
Risk mangement
Risk mangement
college
Risk management
Risk management
Abhi Kalyan
Risk Management
Risk Management
cgeorgeo
Risk assessment
Risk assessment
doogstone
The Purpose And Goals Of Risk Management
The Purpose And Goals Of Risk Management
Lisa Shannon, RN, BSN, JD.
OHSAS Hazard identification & Risk assessment
OHSAS Hazard identification & Risk assessment
TechnoSysCon
Powerpoint Risk Assessment
Powerpoint Risk Assessment
Steve Bishop
Risk Management Framework
Risk Management Framework
Anand Subramaniam
Destaque
(18)
Lace index scoring tool
Lace index scoring tool
Clinical Risk Management
Clinical Risk Management
Risk management in healthcare
Risk management in healthcare
Three Approaches to Predictive Analytics in Healthcare
Three Approaches to Predictive Analytics in Healthcare
risk assessment
risk assessment
Risk Assessment Process NIST 800-30
Risk Assessment Process NIST 800-30
ISO 27005 Risk Assessment
ISO 27005 Risk Assessment
Risk assessment principles and guidelines
Risk assessment principles and guidelines
Risk assessment presentation
Risk assessment presentation
Risk & Risk Management
Risk & Risk Management
Risk mangement
Risk mangement
Risk management
Risk management
Risk Management
Risk Management
Risk assessment
Risk assessment
The Purpose And Goals Of Risk Management
The Purpose And Goals Of Risk Management
OHSAS Hazard identification & Risk assessment
OHSAS Hazard identification & Risk assessment
Powerpoint Risk Assessment
Powerpoint Risk Assessment
Risk Management Framework
Risk Management Framework
Semelhante a Ian Blunt: PARR-30: a predictive model for readmission within 30 days
Martin Bardsley: Predictive risk 2012: context
Martin Bardsley: Predictive risk 2012: context
Nuffield Trust
Making Value-Based Healthcare in Cataract a Reality Insights from VBHCAT Pr...
Making Value-Based Healthcare in Cataract a Reality Insights from VBHCAT Pr...
Alexandre Lourenço
Clinical Transformation, Part II
Clinical Transformation, Part II
Medsphere
Quality indicator of icu
Quality indicator of icu
pankaj rana
Sutton Leiden Presentation Dec 2008 Ds4
Sutton Leiden Presentation Dec 2008 Ds4
drn
Session 7 interventional radiology
Session 7 interventional radiology
Centro Nacional de Radioterapia Nora Astorga
Evaluating the cost effectiveness of diagnostic tests
Evaluating the cost effectiveness of diagnostic tests
ScHARR HEDS
Using clinical co-management to improve quality and keep physicians
Using clinical co-management to improve quality and keep physicians
Curtis Bernstein
Eugm 2012 pritchett - application of adaptive sample size re-estimation in ...
Eugm 2012 pritchett - application of adaptive sample size re-estimation in ...
Cytel USA
Predictive Models and data linkage
Predictive Models and data linkage
Nuffield Trust
EQA: An Essential Tool for Laboratory Quality - Africa LT649
EQA: An Essential Tool for Laboratory Quality - Africa LT649
Randox
How diagnostics can drive efficiency within the NHS
How diagnostics can drive efficiency within the NHS
Walt Whitman
Bernie Harrison - Australian Council Healthcare Standards
Bernie Harrison - Australian Council Healthcare Standards
Informa Australia
Monitoring quality of care: making the most of data
Monitoring quality of care: making the most of data
Nuffield Trust
Radiobiological aspects of radiotherapy precision
Radiobiological aspects of radiotherapy precision
Amin Amin
Cost utility analysis of interventions to return employees to work following ...
Cost utility analysis of interventions to return employees to work following ...
ScHARR HEDS
Short and snappy topics - smbg, diabetic foot uclers, point of care testing ...
Short and snappy topics - smbg, diabetic foot uclers, point of care testing ...
PASaskatchewan
Peter Smith: Allocating health care budgets to general practices
Peter Smith: Allocating health care budgets to general practices
Nuffield Trust
Orlando Agrippa, Draper & Dash at "Journeys of Health-Tech Innovation" Nov 3...
Orlando Agrippa, Draper & Dash at "Journeys of Health-Tech Innovation" Nov 3...
Health-Tech Innovation LABS
Patient Re-Admissions
Patient Re-Admissions
Ben Quirk
Semelhante a Ian Blunt: PARR-30: a predictive model for readmission within 30 days
(20)
Martin Bardsley: Predictive risk 2012: context
Martin Bardsley: Predictive risk 2012: context
Making Value-Based Healthcare in Cataract a Reality Insights from VBHCAT Pr...
Making Value-Based Healthcare in Cataract a Reality Insights from VBHCAT Pr...
Clinical Transformation, Part II
Clinical Transformation, Part II
Quality indicator of icu
Quality indicator of icu
Sutton Leiden Presentation Dec 2008 Ds4
Sutton Leiden Presentation Dec 2008 Ds4
Session 7 interventional radiology
Session 7 interventional radiology
Evaluating the cost effectiveness of diagnostic tests
Evaluating the cost effectiveness of diagnostic tests
Using clinical co-management to improve quality and keep physicians
Using clinical co-management to improve quality and keep physicians
Eugm 2012 pritchett - application of adaptive sample size re-estimation in ...
Eugm 2012 pritchett - application of adaptive sample size re-estimation in ...
Predictive Models and data linkage
Predictive Models and data linkage
EQA: An Essential Tool for Laboratory Quality - Africa LT649
EQA: An Essential Tool for Laboratory Quality - Africa LT649
How diagnostics can drive efficiency within the NHS
How diagnostics can drive efficiency within the NHS
Bernie Harrison - Australian Council Healthcare Standards
Bernie Harrison - Australian Council Healthcare Standards
Monitoring quality of care: making the most of data
Monitoring quality of care: making the most of data
Radiobiological aspects of radiotherapy precision
Radiobiological aspects of radiotherapy precision
Cost utility analysis of interventions to return employees to work following ...
Cost utility analysis of interventions to return employees to work following ...
Short and snappy topics - smbg, diabetic foot uclers, point of care testing ...
Short and snappy topics - smbg, diabetic foot uclers, point of care testing ...
Peter Smith: Allocating health care budgets to general practices
Peter Smith: Allocating health care budgets to general practices
Orlando Agrippa, Draper & Dash at "Journeys of Health-Tech Innovation" Nov 3...
Orlando Agrippa, Draper & Dash at "Journeys of Health-Tech Innovation" Nov 3...
Patient Re-Admissions
Patient Re-Admissions
Mais de Nuffield Trust
Transforming outpatient services - Nuffield Trust/NHS Improvement Event
Transforming outpatient services - Nuffield Trust/NHS Improvement Event
Nuffield Trust
13 reasons to spend more on health and social care
13 reasons to spend more on health and social care
Nuffield Trust
Energising your workforce in the face of adversity
Energising your workforce in the face of adversity
Nuffield Trust
Shifting the balance of care: great expectations
Shifting the balance of care: great expectations
Nuffield Trust
Automation, Employment, and Health Care
Automation, Employment, and Health Care
Nuffield Trust
Public perspectives on the NHS and social care
Public perspectives on the NHS and social care
Nuffield Trust
Evaluation of the Integrated Care and Support Pioneers Programme
Evaluation of the Integrated Care and Support Pioneers Programme
Nuffield Trust
Ensuring success for new models of care
Ensuring success for new models of care
Nuffield Trust
Effectiveness of the current dominant approach to integrated care in the NHS
Effectiveness of the current dominant approach to integrated care in the NHS
Nuffield Trust
Providing actionable healthcare analytics at scale: Understanding improvement...
Providing actionable healthcare analytics at scale: Understanding improvement...
Nuffield Trust
Local and national uses of data
Local and national uses of data
Nuffield Trust
Applied use of CUSUMs in surveillance
Applied use of CUSUMs in surveillance
Nuffield Trust
Engaging with data
Engaging with data
Nuffield Trust
Evaluating new models of care: Improvement Analytics Unit
Evaluating new models of care: Improvement Analytics Unit
Nuffield Trust
Learning from the Care Quality Commission
Learning from the Care Quality Commission
Nuffield Trust
Real-time monitoring and the data trap
Real-time monitoring and the data trap
Nuffield Trust
Providing actionable healthcare analytics at scale: Insights from the Nationa...
Providing actionable healthcare analytics at scale: Insights from the Nationa...
Nuffield Trust
Providing actionable healthcare analytics at scale: A perspective from stroke...
Providing actionable healthcare analytics at scale: A perspective from stroke...
Nuffield Trust
New Models of General Practice: Practical and policy lessons
New Models of General Practice: Practical and policy lessons
Nuffield Trust
Coping with change for a sustainable future
Coping with change for a sustainable future
Nuffield Trust
Mais de Nuffield Trust
(20)
Transforming outpatient services - Nuffield Trust/NHS Improvement Event
Transforming outpatient services - Nuffield Trust/NHS Improvement Event
13 reasons to spend more on health and social care
13 reasons to spend more on health and social care
Energising your workforce in the face of adversity
Energising your workforce in the face of adversity
Shifting the balance of care: great expectations
Shifting the balance of care: great expectations
Automation, Employment, and Health Care
Automation, Employment, and Health Care
Public perspectives on the NHS and social care
Public perspectives on the NHS and social care
Evaluation of the Integrated Care and Support Pioneers Programme
Evaluation of the Integrated Care and Support Pioneers Programme
Ensuring success for new models of care
Ensuring success for new models of care
Effectiveness of the current dominant approach to integrated care in the NHS
Effectiveness of the current dominant approach to integrated care in the NHS
Providing actionable healthcare analytics at scale: Understanding improvement...
Providing actionable healthcare analytics at scale: Understanding improvement...
Local and national uses of data
Local and national uses of data
Applied use of CUSUMs in surveillance
Applied use of CUSUMs in surveillance
Engaging with data
Engaging with data
Evaluating new models of care: Improvement Analytics Unit
Evaluating new models of care: Improvement Analytics Unit
Learning from the Care Quality Commission
Learning from the Care Quality Commission
Real-time monitoring and the data trap
Real-time monitoring and the data trap
Providing actionable healthcare analytics at scale: Insights from the Nationa...
Providing actionable healthcare analytics at scale: Insights from the Nationa...
Providing actionable healthcare analytics at scale: A perspective from stroke...
Providing actionable healthcare analytics at scale: A perspective from stroke...
New Models of General Practice: Practical and policy lessons
New Models of General Practice: Practical and policy lessons
Coping with change for a sustainable future
Coping with change for a sustainable future
Último
Top Rated Bangalore Call Girls Ramamurthy Nagar ⟟ 9332606886 ⟟ Call Me For G...
Top Rated Bangalore Call Girls Ramamurthy Nagar ⟟ 9332606886 ⟟ Call Me For G...
narwatsonia7
Call Girls in Gagan Vihar (delhi) call me [🔝 9953056974 🔝] escort service 24X7
Call Girls in Gagan Vihar (delhi) call me [🔝 9953056974 🔝] escort service 24X7
9953056974 Low Rate Call Girls In Saket, Delhi NCR
Call Girls Bhubaneswar Just Call 9907093804 Top Class Call Girl Service Avail...
Call Girls Bhubaneswar Just Call 9907093804 Top Class Call Girl Service Avail...
Dipal Arora
Best Rate (Hyderabad) Call Girls Jahanuma ⟟ 8250192130 ⟟ High Class Call Girl...
Best Rate (Hyderabad) Call Girls Jahanuma ⟟ 8250192130 ⟟ High Class Call Girl...
astropune
Call Girls Bareilly Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Bareilly Just Call 8250077686 Top Class Call Girl Service Available
Dipal Arora
Best Rate (Patna ) Call Girls Patna ⟟ 8617370543 ⟟ High Class Call Girl In 5 ...
Best Rate (Patna ) Call Girls Patna ⟟ 8617370543 ⟟ High Class Call Girl In 5 ...
Dipal Arora
Call Girls in Delhi Triveni Complex Escort Service(🔝))/WhatsApp 97111⇛47426
Call Girls in Delhi Triveni Complex Escort Service(🔝))/WhatsApp 97111⇛47426
jennyeacort
Night 7k to 12k Navi Mumbai Call Girl Photo 👉 BOOK NOW 9833363713 👈 ♀️ night ...
Night 7k to 12k Navi Mumbai Call Girl Photo 👉 BOOK NOW 9833363713 👈 ♀️ night ...
aartirawatdelhi
Call Girls Aurangabad Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Aurangabad Just Call 8250077686 Top Class Call Girl Service Available
Dipal Arora
Top Rated Bangalore Call Girls Richmond Circle ⟟ 9332606886 ⟟ Call Me For Ge...
Top Rated Bangalore Call Girls Richmond Circle ⟟ 9332606886 ⟟ Call Me For Ge...
narwatsonia7
Call Girls Nagpur Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Nagpur Just Call 9907093804 Top Class Call Girl Service Available
Dipal Arora
Top Rated Bangalore Call Girls Mg Road ⟟ 9332606886 ⟟ Call Me For Genuine S...
Top Rated Bangalore Call Girls Mg Road ⟟ 9332606886 ⟟ Call Me For Genuine S...
narwatsonia7
Call Girls Jabalpur Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Jabalpur Just Call 8250077686 Top Class Call Girl Service Available
Dipal Arora
Mumbai ] (Call Girls) in Mumbai 10k @ I'm VIP Independent Escorts Girls 98333...
Mumbai ] (Call Girls) in Mumbai 10k @ I'm VIP Independent Escorts Girls 98333...
Ishani Gupta
Call Girls Tirupati Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Tirupati Just Call 8250077686 Top Class Call Girl Service Available
Dipal Arora
Premium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort Service
Premium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort Service
vidya singh
Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...
Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...
hotbabesbook
Call Girls Ludhiana Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Ludhiana Just Call 9907093804 Top Class Call Girl Service Available
Dipal Arora
Call Girls Siliguri Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Siliguri Just Call 8250077686 Top Class Call Girl Service Available
Dipal Arora
Best Rate (Guwahati ) Call Girls Guwahati ⟟ 8617370543 ⟟ High Class Call Girl...
Best Rate (Guwahati ) Call Girls Guwahati ⟟ 8617370543 ⟟ High Class Call Girl...
Dipal Arora
Último
(20)
Top Rated Bangalore Call Girls Ramamurthy Nagar ⟟ 9332606886 ⟟ Call Me For G...
Top Rated Bangalore Call Girls Ramamurthy Nagar ⟟ 9332606886 ⟟ Call Me For G...
Call Girls in Gagan Vihar (delhi) call me [🔝 9953056974 🔝] escort service 24X7
Call Girls in Gagan Vihar (delhi) call me [🔝 9953056974 🔝] escort service 24X7
Call Girls Bhubaneswar Just Call 9907093804 Top Class Call Girl Service Avail...
Call Girls Bhubaneswar Just Call 9907093804 Top Class Call Girl Service Avail...
Best Rate (Hyderabad) Call Girls Jahanuma ⟟ 8250192130 ⟟ High Class Call Girl...
Best Rate (Hyderabad) Call Girls Jahanuma ⟟ 8250192130 ⟟ High Class Call Girl...
Call Girls Bareilly Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Bareilly Just Call 8250077686 Top Class Call Girl Service Available
Best Rate (Patna ) Call Girls Patna ⟟ 8617370543 ⟟ High Class Call Girl In 5 ...
Best Rate (Patna ) Call Girls Patna ⟟ 8617370543 ⟟ High Class Call Girl In 5 ...
Call Girls in Delhi Triveni Complex Escort Service(🔝))/WhatsApp 97111⇛47426
Call Girls in Delhi Triveni Complex Escort Service(🔝))/WhatsApp 97111⇛47426
Night 7k to 12k Navi Mumbai Call Girl Photo 👉 BOOK NOW 9833363713 👈 ♀️ night ...
Night 7k to 12k Navi Mumbai Call Girl Photo 👉 BOOK NOW 9833363713 👈 ♀️ night ...
Call Girls Aurangabad Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Aurangabad Just Call 8250077686 Top Class Call Girl Service Available
Top Rated Bangalore Call Girls Richmond Circle ⟟ 9332606886 ⟟ Call Me For Ge...
Top Rated Bangalore Call Girls Richmond Circle ⟟ 9332606886 ⟟ Call Me For Ge...
Call Girls Nagpur Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Nagpur Just Call 9907093804 Top Class Call Girl Service Available
Top Rated Bangalore Call Girls Mg Road ⟟ 9332606886 ⟟ Call Me For Genuine S...
Top Rated Bangalore Call Girls Mg Road ⟟ 9332606886 ⟟ Call Me For Genuine S...
Call Girls Jabalpur Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Jabalpur Just Call 8250077686 Top Class Call Girl Service Available
Mumbai ] (Call Girls) in Mumbai 10k @ I'm VIP Independent Escorts Girls 98333...
Mumbai ] (Call Girls) in Mumbai 10k @ I'm VIP Independent Escorts Girls 98333...
Call Girls Tirupati Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Tirupati Just Call 8250077686 Top Class Call Girl Service Available
Premium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort Service
Premium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort Service
Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...
Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...
Call Girls Ludhiana Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Ludhiana Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Siliguri Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Siliguri Just Call 8250077686 Top Class Call Girl Service Available
Best Rate (Guwahati ) Call Girls Guwahati ⟟ 8617370543 ⟟ High Class Call Girl...
Best Rate (Guwahati ) Call Girls Guwahati ⟟ 8617370543 ⟟ High Class Call Girl...
Ian Blunt: PARR-30: a predictive model for readmission within 30 days
1.
PARR-30: a predictive
model for readmission within 30 days Presenter: Ian Blunt 19 June 2012 © Nuffield Trust
2.
Development of a
predictive model for readmission within 30 days of discharge (PARR-30) Model developed by Billings, Blunt, Steventon, Georghiou, Lewis and Bardsley • Motivation • Development • Model performance • Testing in hospitals • Conclusions © Nuffield Trust
3.
Why predict readmissions
within 30 days? • Readmissions are costly, suboptimal health care - costs to the NHS estimated at £1.6 billion each year • DH guidance for the NHS proposes commissioners do not pay provider hospitals for emergency readmission within 30 days of a selected index elective admission • Rate of readmissions will also play an important part in monitoring health system performance, as one of the new English Public Health “outcome indicators” © Nuffield Trust
4.
Not first to
try this, but… Number of international 30 day models Model From C statistic Predictive tools built in one setting Halfon et al 2008 0.67 may not necessarily be accurate when used in other health care settings Silverstein et al 0.65 2008 Used hospital episode statistics (HES) data to develop model for NHS in Van Walraven et al 0.68 England 2010 Howell et al 2009 0.65 Make PARR-30 freely available for use across the NHS in England And others… (possibly tablet/smartphone app) See Kansagara et al JAMA 2011 © Nuffield Trust
5.
How is PARR30
different from PARR++? • Readmission in next 30 days vs next 365 days • Tools operate in different ways, trigger different responses • Next year – longer for clinicians and care managers/coordinators to contact and engage with high-risk patients, effect behavioural change • 30 days – highest likelihood of an unplanned admission, focussing their discharge planning efforts and post-discharge support for high-risk patient Model Timescale Run by Input Data Data lag variables source PARR++ 12 months PCT ~250 SUS ~ 3 months PARR30 30 days Acute 17 PAS/notes None • Aim for speed of low-variable models with accuracy of PARR © Nuffield Trust
6.
How is PARR30
different from PARR++? PARR30 Hospital provides SUS Patient nears discharge PCT runs PARR++ Risk score calculated on ward Patients selected for intervention (via GP) Any extra intervention put in discharge plan Predicts readmission in next year – Predicts readmission in 30 days© Nuffield Trust PPV 65% – PPV ???%
7.
Model development Developed using
10% sample HES from April 2006 to May 2009 Index discharges in FY 2008/09 Readmissions within 30 days reflected 2011-12 operating framework Logistic regressions identify variables that contributed most to predictions Validated with split sample © Nuffield Trust
8.
Model development
Hospital of current admission Patient age Deprivation (via post code) History of emergency admissions: Current? Last 30 days? Past year? History in the prior two years of eleven major health conditions drawn from the Charlson co-morbidity index © Nuffield Trust
9.
Results The performance of
the model was respectable, with a positive predictive value (PPV) of 59.2% and area under the ROC curve (“c-statistic”) of 0.70. For the higher-risk patients (risk score > 50%), readmission rates ranged from 47.7% up to 88.7%. However, these patients only represented a small share (1.1%) of all patients analysed. Receiver Operating Characteristic Curve (ROC) for the bootstrapped central estimate (red line) and 95% confidence Intervals (shaded area) © Nuffield Trust
10.
Results
£3,000 Predictive modelling only as effective as the intervention it is used to £2,500 trigger. Providers need to know Mean cost of readmission potential costs of readmission to £2,000 build business case for intervention £1,500 For patients risk score > 50%, mean £1,000 readmission cost per patient was £500 £1,088. Assuming that an intervention can reduce the number £0 of readmissions by 10% for this Risk score group, £109 per patient could be Mean of cost readmission (readmitted patients only) spent at breakeven Mean of cost readmission (all patients) © Nuffield Trust
11.
Testing PARR-30 in
hospitals Testing: Royal Berkshire Hospital using spreadsheet version of tool on wards: • Is the tool easy to use? • Completed by junior doctors • Bedside info vs admin systems? • Test tool stored its output • Does ward PPV reflect national? • Later reconciled with admin systems for analysis Chelsea & Westminster Hospital running tool direct from their data warehouse: Applied on four care of the elderly wards in Feb/March 2012 • Proved it can be done easily • Looking into PPV and clinical engagement © Nuffield Trust
12.
Testing PARR-30 in
hospitals Results from using spreadsheet on the wards: • Tool was used 88 times • Low risk scores – max 39% • Median time to complete 1m 41s • Em admit in last 30 days diff 10% • Median patient age was 86, • Em admits last year diff 20%, ±1,2 mostly emergency admissions • Even split whether tool or system • Average 1.3 co-morbidities, max 4 has more • 10 patients had emergency • 14% where system has diagnosis readmission within 30 days not ticked as co-morbidity © Nuffield Trust
13.
Conclusions Built a predictive
model using a limited set of variables that were generated from hospital episode statistics Variables easily available from patients’ notes or from the patients themselves – can calculate from spreadsheet or in PAS The performance of the model was respectable - highest risk patients had a 88.7% chance of hospital readmission within 30 days – but high risk patients relatively rare Cost data suggests interventions need to be lower-cost to break even Easily used on wards in trials - less than 2 minutes per application Some differences in data on ward, but not huge © Nuffield Trust
14.
www.nuffieldtrust.org.uk
Sign-up for our newsletter www.nuffieldtrust.org.uk/newsletter/login.aspx Follow us on Twitter (http://twitter.com/NuffieldTrust) 19 June 2012 © Nuffield Trust
Baixar agora