Potentially Avoidable
Readmissions Workgroup Update
Bree Collaborative Meeting
August 2, 2012
Outline of Presentation
• Present initial ideas and approach for potentially
avoidable readmissions (PAR) workgroup
(summary of 7/31/12 workgroup meeting)
• Get feedback from Bree Collaborative members
• Approve revised PAR charter
Readmissions at 5/31 Bree Meeting:
RECAP
• Renamed workgroup: “Potentially Avoidable
Readmissions” (PAR) workgroup
• Approved PAR charter:
▫ Endorsement for current PAR efforts underway in WA state
▫ Measurement, Transparency, Reporting
▫ Exploration of accountable payment structures
Readmissions at 5/31 Bree Meeting:
RECAP
• Recommended Bree chair reconfigure
workgroup membership
• Did not approve readmissions payment reform
subgroup charter
• Agreed workgroup should meet first, and the
workgroup can create different subgroups (e.g.,
payment reform) and add experts as necessary
to complete work
Potentially Avoidable Readmissions
(PAR) Workgroup
• Bree Chair reconfigured workgroup, with input
from WSMA , WSHA, steering committee, and
others
• Workgroup members
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Jodi Joyce, Legacy Health (Chair)
Susie Dade, Puget Sound Health Alliance
Joe Gifford, Regence
Mary Gregg, Swedish
Tony Haftel, Franciscan
Bob Mecklenberg, VMMC
Kerry Schaefer, King County
Peter Valenzuela, PeaceHealth
PAR Workgroup met 7/31
• Reviewed and edited charter
• Discussed 3 PAR strategies:
1) How to support and align Bree’s work with existing
local PAR initiatives
2) Measurement, Transparency, and Reporting
3) Accountable Payment Model
• Have not yet defined scope
Strategy #1: Support and align Bree’s work
with existing local readmissions initiatives
• Acknowledgement that many local PAR
initiatives exist currently (WSHA, WSMA, Puget
Sound Health Alliance) – no need to re-invent
the wheel
• Workgroup needs a better understanding of
existing initiatives
• Staff will work with partners and catalogue
initiatives
Strategy #2: Measurement, Transparency, and
Reporting
• Transparency of methodologies key
• Global metrics first with eye to specific populations
later: build a strategy that accommodates both
• Leverage technical knowledge of provider groups on
this topic
• Initial tactic: Ask WSHA to make their readmission
data semi-public
• Longer-term tactic: Work with the Puget Sound
Health Alliance to measure, publish, and report
additional PAR measures over time
Strategy #3: Accountable Payment
Models
• Create small group to sketch out “common
playbook” – components and structures essential
to successful PAR accountable payment model
that aligns incentives; will need to address both
▫ Episodic (e.g., knee or hip replacement) and
▫ Chronic (e.g., heart failure) conditions
• Not a mandate nor a prescriptive new payment
structure
• A number of workgroup members expressed
interested in working on this issue
Next Steps
• Schedule next workgroup meetings (~1 per
month)
• Create and convene accountable payment model
subgroup
What is Needed from Bree Members
• General feedback on the workgroup’s ideas
• Subject matter experts to help PAR workgroup
scope out work
• Skill sets ideas needed for the accountable
payment structure subgroup