clarity on avoidable complications

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William Weeks

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Jun 7, 2012, 9:56:55 AM6/7/12
to CMMI Bundled Payment Pilots - SAS and HCI3
The documentation provided by HCI3 seems to indicate that potentially
avoidable complications (including readmissions) are both included and
excluded from the bundled payment amounts produced in Table 3.
Are they potentially avoidable complications included or excluded?

thanks
bill

Elizabeth Bailey

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Jun 7, 2012, 10:02:35 AM6/7/12
to cmmi-bundled-payment-...@googlegroups.com
Hi Bill,

Could you point me to the section in the documentation you are referring to? Perhaps I can clarify further.

Potentially avoidable complications are included in Report 3 - if they are clinically relevant to the episode, they are always included in the episode and simply flagged as potentially avoidable. We categorize all inpatient readmissions as potentially avoidable.

Thanks,
Elizabeth
--
Elizabeth Bailey
Program Implementation Leader
Central Region
Health Care Incentives Improvement Institute
(e): elizabet...@hci3.org
(o): 989.486.1428
(c): 757.630.4235
www.hci3.org

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