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Readmission of Patients Provided MTM Services Post Hospital Discharge

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Description

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The percentage of high-risk patients that received MTM from a pharmacist within 7 days post hospital discharge that are readmitted within 30 days of their discharge.

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A lower rate indicates better performance.

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Additional Information

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Intended Use

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Quality improvement indicator for health plans.

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Data Sources

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Prescription claims data.

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Denominator

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Patients who are considered high risk (with disease states where pharmacists have high impact such as COPD, CHF, AMI, etc.), that are discharged from the hospital and receive MTM services from a pharmacist within 7 days.

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Exclusions

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  • Individuals discharged to hospice, acute rehabilitation, or skilled nursing facilities.
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  • Readmitted within the first seven days.
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  • Received the MTM services on day 8-30 post discharge.
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Numerator

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Individuals in the denominator who are readmitted to the hospital within 30 days following discharge.

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Rationale

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', props: { rationale: { default: false }, faqs: { default: false } } });