Roughly 4.8 million potentially preventable inpatient stays account for 13% of all admissions and nearly $34 billion in hospital costs each year. This rate is significantly higher in older adults. When older adults are hospitalized, 30% experience a decline in their ability to perform activities of daily living (ADL) as a result of their hospitalization. For many, this decline is permanent.
Learn how AI can help HCOs to reduce potentially preventable hospitalizations and improve care transitions that avoid adverse outcomes following discharge. Discover how AI can help to proactively identify patients at high risk for preventable inpatient stays, address gaps in chronic care management, and predict adverse outcomes (e.g., declines in ADL).
EHR data with comprehensive patient histories of vital signs and symptoms, problem lists and chief complaints, tests results, diagnoses and procedures, and prescriptions.
Data from electronic prescriptions detailing key information about medications, dosage, patient instructions for frequency and timing, and available refills.
Data extracted from health insurance pharmacy claims with details about each medication and its type, fill dates, days supply, pharmacy location, and prescribing clinician.
ClosedLoop generates explainable predictions using
thousands of auto generated, clinically relevant contributing factors
Potentially preventable hospitalizations are both common and costly. According to a 2020 study from the Agency for Healthcare Research and Quality (AHRQ), roughly 4.8 million potentially preventable inpatient stays account for nearly $34 billion in hospital costs each year.¹
Potentially preventable hospitalizations occur more frequently in chronic conditions. In recent years, chronic conditions accounted for 77% of potentially preventable adult stays and 61% of potentially preventable pediatric stays.¹ Such hospitalizations may often be preventable if chronic conditions are successfully managed in outpatient settings. The rate of potentially preventable stays is also significantly higher in older adults, as they are 12 times more likely to have chronic conditions than people aged 18–44.¹ For older adults in particular, successfully avoiding hospitalizations is vital; among older adults who are hospitalized, 30% experience a decline in their ability to perform activities of daily living (ADL) as a result of their hospitalization, and for many, it is permanent.²
By harnessing the power of predictive analytics, patients at high risk for preventable hospitalization can be identified in a timely manner. Healthcare providers can turn this insight into action by implementing targeted care management strategies, such as improved ambulatory care, enhanced access to effective treatment, or the adoption of healthy behaviors. Helping patients avoid hospitalizations can lead to better health outcomes and contribute significantly to decreasing healthcare costs.
1 AHRQ “Characteristics and Costs of Potentially Preventable Inpatient Stays, 2017 #259.” Agency for Healthcare Research and Quality, Jun. 2017, www.hcup-us.ahrq.gov/reports/statbriefs/sb259-Potentially-Preventable-Hospitalizations-2017.jsp. Accessed 26 Feb. 2021.
2 Wells, Elina U. et al. "Factors That Contribute To Recovery Of Community Mobility After Hospitalization Among Community-Dwelling Older Adults". Journal Of Applied Gerontology, vol 39, no. 4, 2018, pp. 435-441. SAGE Publications, doi:10.1177/0733464818770788.