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An organization’s 30-day readmission rate for heart failure patients is at the upper limit of...

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An organization’s 30-day readmission rate for heart failure patients is at the upper limit of the acceptable range for CMS. What is the appropriate step for evaluation of this rate?

A.

Utilize the case management team to review all readmissions and share patterns and trends with the medical staff to identify ways to reduce the rate further.

B.

Encourage the nursing staff to improve communication with patients and families to ensure patients have durable medical equipment at discharge.

C.

Convene an interdisciplinary group to review current activities to ensure sustainability for minimizing CMS payment reduction in the future.

D.

Have the quality department monitor the rate for the next six months and, if the rate exceeds the upper limit, begin an analysis of the cases.

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