(KPI) for admission, however missed the targets for avoidable re-admission and preventable
ER visit. The group has received year-over-year credit for preventable re-admission (PPR), but not for the preventable ER Visit (PPV). TREO calculated 18 re-admissions for the contract year, which pushed the variance to target outside of the expected. Moreover, the admit source for
11 out of the 18 re-admissions was an ER visit. Negatively impacting the PPV target: 55% of the visits were preventable. Non-chronic health segments are the main drivers for PPV; the top 50 had 169 visits vs. 83 for complex chronics segments
Pharmacy is trending down; it represents