Johnston Memorial Hospital Reduces Heart Failure Readmissions and Saves a Quarter Million Dollars Last Updated: November 3, 2016
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Providers Are Searching to Reduce Readmissions by Transforming Chronic Care.

A sixteen-year partnership between the Mountain States Health Alliance (MSHA), a multi-state network of hospitals, and Premier Inc. (NASDAQ:PINC) focused on bridging the gap between quality and cost for residents of Virginia and Tennessee.

Through that partnership, Premier’s Clinical Performance Partner (CPP) worked collaboratively with Johnston Memorial Hospital (JMH) of MSHA to identify process gaps in care for reducing readmissions in heart failure patients, including opportunities to improve patient quality outcomes.

Following Premier’s proven performance improvement methodology, significant results were achieved by the JMH team.

A Methodology for Identifying Variation.

A team from JMH worked with the CPP team to develop a unique quality improvement opportunity analysis, distinguishing specific areas for improvement by using the QualityAdvisor™ application and its national benchmarking data. The diagnostic methodology is founded on a balanced approach that assesses unique opportunities in quality, safety, efficiency and cost.

The JMH Team Jumps to Action.

Armed with better data, a performance improvement team involving care providers of all disciplines was tasked with developing strategies to reduce readmissions within its Heart Failure population. Key JMH interventions included:

  • Streamlined heart failure provider intake processes;
  • Created new physician pathway orderset and tracked compliance;
  • Overhauled the patient education system;
  • Evaluated home health and skilled nursing facilities for critical tasks in preventing readmissions;
  • Included pharmacy patient medication reconciliation and education before discharge; and
  • Ensured that all emergency room patients received a case manager evaluation and call back from their primary care physician following discharge.

The Results:

30-day readmissions dropped from 22 percent to 16 percent

Length of Stay reduced from nearly 4 days to 3.5 days

Variable cost per case reduced from $2,500 to $1,500

Premier is Here to Help.

Premier supports members by providing high-quality, cost-effective services to improve the healthcare of their communities. Paired with quality and safety technology products, a clinical performance partner acts as a change agent by providing a structured framework to improve outcomes, while positively impacting cost of care.

“Our Premier Clinical Performance Partner has been pivotal in not only providing us actionable analytics of our heart failure population but in identifying critical tasks and gaps that we needed to address in order to affect our readmission rates. This is a resource that proves itself time and time again here at Johnston Memorial Hospital!”

– Amit Vashist, MD, MBA, CPE, FAPA system chair, Hospitalist Division Mountain States Health Alliance

For more information on Premier’s Clinical Performance Partner Program, please contact: Thomas Flynn, MSN RN, Principal, Premier Performance Partners,, 804.441.3337.