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'Rothman Index' score aims to predict unplanned readmissions

What if data from your hospital electronic medical record (EMR) system could be collected and analyzed to predict which patients were most likely to be at high risk for repeat hospitaliza- tions? A recent study in the Sept. 2013 issue of Medical Care, published by Lippincott Williams & Wilkins, a part of Wolters Kluwer Health, evaluated a novel scoring concept aimed at doing just that. T e score, called the Rothman Index, may provide a useful tool for lowering the rate of avoidable repeat hospitaliza- tions, according to the report by Elizabeth Bradley, Ph.D., Yale School of Public Health, and colleagues. Michael and Steven Rothman, brothers who have no medical training but are both computer scientists, developed the ana- lytical tool after their mother died unexpectedly four days after hospital discharge following heart surgery. During their mother’s illness, the Rothman brothers were surprised to learn that the hospital’s EMR system did not generate summary patient health measures that might have alerted doctors to unrecognized com- plications present at discharge. T e Rothman Index software uses information from the hospital EMR system to provide a continuously updated score indicating the likelihood of death or readmission within 30 days. T e score is calculated automatically using routine data on each patient’s vital signs, routine nursing assessments, skin condition, heart rhythms and laboratory tests. Lower Rothman Index scores (from a maximum of 100) indicate a higher risk of readmission. T e Rothman Index was strongly associated with the risk of unplanned readmission in the Yale study. For patients in the highest risk category (Rothman Index less than 70) readmission risk was more than one in fi ve. By comparison, for those in the lowest risk category (Rothman Index 80 or higher) the risk was about one in 10.

After adjustment for other factors, patients in the highest

versus lowest risk category were more than two and a half times as likely to be readmitted within 30 days of discharge. T e Rothman Index predicted readmission across diagnoses and medical specialties. Source: Wolters Kluwer Health

CORRECTION In the September HMT article “Data in, audit insight out” by Dawn

Crump, HealthPort, page 14, the date of issue for the CMS fi nal rule on Part B rebilling was incorrect. T at issue date was Aug. 2, 2013. See the fi nal rule at Sheets/2013-Fact-Sheets-Items/2013-08-02-2.html.


Verizon getting into remote health monitoring biz Verizon has received U.S. Food and Drug Administration 510(k) clearance for Converged Health Management, a cloud- based, remote patient-monitoring medical device that provides clinicians with access to up-to-date patient data from connected HEALTH MANAGEMENT TECHNOLOGY

biometric devices. T is is the fi rst time Verizon has sought and gained FDA clearance for a healthcare product. T e solution’s data resides in the company’s HIPAA-ready cloud. T e product is expected to be commercially available in late 2013.

October 2013 7


Global GS1 Healthcare Conference, Oct. 1-3, San Francisco, will highlight worldwide efforts to implement GS1 Standards that improve patient safety, supply chain security and efficiency.

Medical Group Management Association (MGMA) 2013 Annual Conference, Oct. 6-9, San Diego, will host thousands of professionals engaged in managing the business of medicine. Prac- tice administrators and physician leaders are highly encouraged to consider team participation. More than 356 exhibiting companies shared their industry insights, products and services at MGMA12 CHIME13 Fall CIO Forum, Oct. 8-11, Scottsdale, Ariz., will

welcome more than 700 CIOs and leading healthcare IT stakeholders to participate in educational track sessions, networking events and recreational activities. Business consultant and best-selling author Jim Collins will be a keynote speaker.

The 85th American Health Information Management Associa- tion (AHIMA) Convention & Exhibit, Oct. 26-30, Atlanta, will draw HIM professionals from all areas of health informatics and informa- tion management for an intense focus on HIM’s global transforma- tion. Learn how to implement some of the most important changes in HIM history. Pre-convention workshops take place Oct. 26-27. NOVEMBER

MEDICA 2013 – MEDICA Conferences & Forums, Nov. 20- 23, Düsseldorf, Germany, is billed as the world’s largest medical trade fair for in-patient and out-patient medicine. The event features education courses, lectures, health IT and tech forums, and an in- credibly large trade show. Last year’s event included more than 4,554 exhibitors from over 60 countries and 130,600 specialist visitors. DECEMBER RSNA 2013 – The 99th Scientific Assembly & Annual Meeting

of the Radiological Society of North America, Dec. 1-6, Chicago, is the premier scientific and educational forum in radiology. Learn about the latest trends in radiologic research and attend cutting-edge technical exhibitions with 60,000 colleagues from around the world. FEBRUARY HIMSS14 Annual Conference & Exhibition, February 23-27,

Orlando, brings together the latest in technologies, patient safety and quality, regulatory compliance, business best practices and personal growth all in one location. Experience thousands of products and services on the HIMSS14 exhibit floor. Don’t miss the Knowledge Centers, Social Media Center and reimagined HIMSS Interoper- ability Showcase. New this year: an Interoperability Simulation Area, interactive Healthy Patient Learning Gallery and an “unconference” Tuesday track where attendees decide the content. Early Bird rate applies before December 10, 2013.

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