Table 3.

Phases of Care and Causes of Potentially Preventable Readmissions

	Preventable readmissions (n=62)
Inpatient care
Poor management of chronic condition	19 (31%)
Complication of hospitalization	17 (27%)
Discharge too soon	16 (26%)
Missed/wrong diagnosis	13 (21%)
Any of the above	46 (74%)
Discharge process
Unaddressed psych/social needs	14 (22%)
Missed referrals	1 (1%)
Supplies/medication access	4 (6%)
Any of the above	18 (29%)
Follow-up
Delayed outpatient medical follow-up	3 (4%)
Missed lab result	2 (3%)
Noncompliance	23 (37%)
Any of the above	25 (40%)
Any phase of care process potentially related to readmission	62 (100%)