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Analyze readmissions

Draft — 2026-09-26

Drafted from the screen's code on main (kareIntelligence 7455702). Not yet reviewed against a live session. Roles listed are the defaults the app's role matrix (@collabkare/ability 0.12.0) gives this screen's route; your organization's role overrides can change them.

Utilization → Readmissions shows 30-, 60- and 90-day inpatient readmissions by PCP and diagnosis category. Index admissions are modeled from the mart's stays.

Tabs​

  • Overview — index admissions, the 30-day and 90-day readmit rates, the average days from index discharge to first readmission, the rate over time, and a Clinical measures (CR lane) strip.
  • Windows & Drivers — when readmissions happen, in mutually exclusive windows (each readmission is counted once, in its earliest band), any-cause against same-diagnosis by window, and the index diagnosis categories driving readmissions.
  • Providers — the readmission rate by primary care provider against the filtered blended rate.
  • Trending — year-over-year rates by window and the monthly readmission rate.
  • Patient Level — patients in scope and a member drill sorted by all-cause readmissions.

Use Readmission match to switch between Any cause and Same diagnosis (an ICD-10-CM category match on the first readmission). The denominator never changes with the scope.

Things to know​

  • The 30 / 60 / 90 counts in the member drill are exclusive bands.
  • High rates on tiny panels are noise — weigh admission counts first.
  • Providers appear as PCP IDs; the mart carries no provider names.
  • Member drills are capped at 50 rows and carry member IDs only.