C&E Matrix Form

Cause and Effect Matrix

1 2
what is the
importance of this
Customer is from a scale of 1-
Rating of Importance to Customer 10 10
Hospital 10 from the
Administration charter?

List Key Process Outputs (Y's) Below

Decrease
Decrease
Reimbursement Fist to Five tool for
Readmissions reaching Consensus
Losses
0= no correlation, 1= little
Process Step Process Inputs (x's) Importance Total correlation, 3= moderate
correlation, 9= high Effect of input (X)
Correlation to output (Y)

Patient is admitted to inpatient unit

Admitted to Inpatient Unit 9 180
from ED 9
Patient is admitted to inpatient unit
Admitted to Inpatient Unit 3 3 60
from PACU
Initial Assessment completed and
readmission assessment completed
Admission assessment: determine
risk of admission
along with Individual Plan of Care 9 9 180
(IPOC) if patient is a high risk or
greater than 60 points
CM will assess patient for services
needed based off referral base.
Admission assessment: determine
Automatically sees all moderate/high 9 9 180
risk of admission
risk readmissions identified within 48
hours of admission
Admission assessment: determine Assess safe discharge home order with
9 9 180
risk of admission correct level of care
Admission assessment: determine Evaluation with PT/OT if patient lives
9 9 180
risk of admission alone and needs assistance with ADL
Notify CM /Hospitalists if issues Daily Consult with D/C process with
3 3 60
seen with discharge RN CM, RN and provider
CM sees patient and assess
3 3 60
insurances for home health Services
Consult in Cerner

HUC will notify patient of PCP follow- HUC will schedule a F/u appointment
9 9 180
up appointment with PCP upon discharge and give
information to patient
HUC will notify patient of PCP follow-
9 9 180
up appointment If no PCP or PCP refuses to see patient

Provider writes a discharge order for

Discharge order home routine or home with home 1 1 20
health agency or placement/extended
care (with correct level of care)
Discharge home routine or with
Home Health agency from inpatient RN to educate patient with discharge 9 9 180
unit instructions
Discharge home routine or with
Home Health agency from inpatient 9 9 180
unit F/U appointment
Discharge home routine or with
Home Health agency from inpatient Evaluate need of patient home vs 9 9 180
unit home health or placement
Discharge home routine or with When patient is discharged a trigger
Home Health agency from inpatient will be sent in Cerner for F/U phone 9 9 180
unit call for High Risk Readmissions
If patient is readmitted within 30 days
of discharge it will trigger a
30 day after patient is discharged 9 9 180
readmission to CM of the unit, assess
the correct level of care
Identify reasons why patient is
30 day after patient is discharged 9 9 60
readmitted
30 day after patient is discharged Notify provider of Readmission 3 3 60
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Cause and Effect Readmissions project Page 1 8/3/2022