Module details reADMT

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

Readmissions are costly

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

Predict the risk

Built on Pieces’ proprietary machine learning architecture, ReAdmit predicts the risk of 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

ReAdmit facilitates improved outcomes by identifying the underlying reasons for 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.
Prediction
Identify patients at highest risk of readmission.
Identification
Understand the high-risk clinical and social conditions that influence readmission risk.
Prioritization
Focus on the factors that are influencing a patient?s readmission risk.
Mitigation
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.

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