MEDCOINS Scoring Tool for Risk Assessment of Readmission

Step 1: Medication Count Number of medications at discharge: ________ If ≥10 medications: 1 point
Step 2: Chronic Condition Count Number of chronic conditions at discharge: ________ If ≥6 conditions: 2 points
Step 3: Health Insurance Coverage Type of health insurance (circle one): None Publica Private If None: 2 points If Public: 3 points
Add the numbers in Box 1, Box 2, and Box 3 to calculate the MEDCOINS score, enter into box below,b and determine risk category using table:

Points	Risk Category	Estimated Risk (%) of Readmission
0–1	Low	5.7
2–4	Moderate	13.2
5–6	High	22.5

^aPublic health insurance includes Medicare, Medicaid, or a combination of both.

^bMaximum score, 6 points