The ReAdmit module prioritizes the highest risk patients for optimized care coordination, pre-discharge planning, and transitional care. It denotes appropriate interventions that reduce readmission risk.

Hospital readmissions are costly

Preventable hospital readmissions cost health systems billions of dollars annually and significantly impact the quality of life of patients. Reducing preventable hospital readmission rates translates to lower health care costs, better patient outcomes, and an overall healthier society.

Predict the readmission risk

Built on Pieces’ proprietary machine learning architecture for healthcare, ReAdmit predicts the risk of hospital readmission for a patient within 48 hours of admission. It provides insights about the patient’s risk factors which allows prioritizing high-risk patients and gives actionable steps.

How ReAdmit helps reduce readmission rates

ReAdmit facilitates improved patient outcomes by identifying the underlying reasons for hospital readmission, allowing for appropriate prioritization and risk mitigation.
The Pieces ReAdmit module consists of a proprietary All-Cause Readmission Risk score, Readmission Contextual Information, and Care Pathways.
Identify patients at highest risk of hospital readmission.
Understand the high-risk clinical and social conditions that influence hospital readmission risk.
Focus on the factors that are influencing a patient’s readmission risk.
Intervene to address identified factors and reduce readmission risk.

ROI Benefits

40% Reduction
40% relative reduction in readmission rate when transitional care staff provided specific interventions on patients identified as having medication non-compliance.
25% Reduction
Over 25% reduction in readmission rate among high/very high-risk patients when transitional care interventions were provided.
25% Reduction
25% reduction in readmission rate with increased scheduling of pre-discharge follow-up appointments.

Mae Centeno
System VP Chronic Care Continuum and Quality Improvement Baylor Scott and White
“Pieces has allowed us to identify the right population and right intervention that works in reducing readmission”

Ready to Learn More?

Our modular solution can be tailored to your needs. We’d love to schedule a demo to more fully walk you through how Pieces can help you achieve better outcomes for your patients and your bottom line.