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[null,null,null,null,null,null,null,null,null,null,null,null,"Question 1","Question 2","Question 3","Question 4","Question 5","Question 6","Question 7","Question 8","Question 9"]
["Patient ID","Index Admission Dx","Index Admission Date","Index Discharge Date","Discharge Day of the Week","Discharge Time of Day","Discharge Unit","Hospitalist/Group","Readmission Dx","Readmission Date","Readmission Month","Days Between Index Discharge and Readmission ","Is This Readmission Related to the Previous Admission?","What is the Readmission Source?","How Many Medications Did Patient Have Upon Discharge? ","Is the Patient on a High Risk Medication (HRM)?","What Is the Reason for Readmission?","Did Patient Have a Validated Primary Care Physician (PCP) Assignment at Previous Discharge? ","Was an Evaluation of Discharge Needs Documented by Case Management on the Index Admission?  ","Were There Emergency Room or Observation Visits Between the Index Admission and Readmission?","Completed By","Completed Date","Is Immediate Follow-Up Action Necessary Due to Seriousness of Issue?","Additional Comments/Notes"]
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["Yes ","Acute MI","Home","0-1",null,null,null,"Chronic condition/exacerbation of disease process","Yes ","No transportation","Monday"]
["No","HF","HHA","2-4","Diabetic Agent","Exacerbation of a chronic condition","00:01-04:00","Post-operative complication (wound healing,infection,sepsis)","Felt better","Financial barriers/Lack of resources","Tuesday",null,null,null,null,null,{"$f":"IF(P2=\",Sheet2!\",\"N/A\", \"\")","v":""}]
[null,"PN","SNF","5-7","Anticoagulant","Post-op complication","04:01-08:00","Post-discharge challenges identified (lack of transport, finances, housing, medical care)","Did not show/cancelled","Did not want to fill","Wednesday"]
[null,"COPD","Hospice",null,"Opioid","Did not understand discharge instructions","08:01-12:00","Patient/family/caregiver did not understand discharge instructions","No transportation","Filled but not taking","Thursday"]
[null,"Elective TKA/THA","LTAC","0-5","Diabetic Agent and Anticoagulant","Did not obtain medications","12:01-16:00","Patient/family/caregiver did not obtain medications","Financial barrier","Had something similar at home","Friday"]
[null,"CABG","Inpatient Psychiatric ","6-14","Diabetic Agent and Opioid","Did not obtain equipment or supplies","16:01-20:00","Patient/family/caregiver did not obtain supplies","Other","Other","Saturday"]
[null,"Not a hospital related condition","Inpatient Rehabilitation","15+","Anticoagulant and Opioid","HHA did not visit","20:01-00:00","Patient/family/caregiver did not agree with higher level of care recommended at previous discharge ","Readmitted prior to appointment date","N/A","Sunday"]
[null,null,"Other",null,"Diabetic Agent, Anticoagulant, and Opioid","Did not see physician/licensed independent practitioner post-discharge",null,"Discharge services arranged/made were not followed through by service provider","N/A"]
[null,null,null,null,"Other","Caregiver overwhelmed",null,"Patient left against medical advice (AMA) from previous admission"]
[null,null,null,null,"None","Uncontrolled pain",null,"N/A"]
[null,null,null,null,null,"Physician/liscensed independent practitioner did not return call timely",null,"All"]
[null,null,null,null,null,"Acute Change in Condition"]
[null,null,null,null,null,"Change in condition not detected soon enough",null,"Chronic condition/exacerbation of disease process/Post-operative complication (wound healing,infection,sepsis)/Post-discharge challenges identified (lack of transport, finances, housing, medical care)"]
[null,null,null,null,null,"Other",null,"Post-operative complication (wound healing,infection,sepsis)/Post-operative complication (wound healing,infection,sepsis)"]
[null,null,null,null,null,null,null,"Post-discharge challenges identified (lack of transport, finances, housing, medical care)"]
[null,null,null,null,null,null,null,"Patient/family/caregiver did not understand discharge instructions"]
[null,null,null,null,null,null,null,"Patient/family/caregiver did not obtain medications/supplies"]
[null,null,null,null,null,null,null,"Patient/family/caregiver did not agree with higher level of care recommended at previous discharge "]
[null,null,null,null,null,null,null,"Discharge services arranged/made were not followed through by service provider"]
[null,null,null,null,null,null,null,"Patient left against medical advice (AMA) from previous admission"]