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 Potentially Preventable Events (PPE)

H.B. 1218, 81st Legislature, Regular Session 2009, requires that HHSC identify potentially preventable readmissions (PPRs) in the Medicaid population and report results confidentially to each hospital. The law also requires each hospital to distribute the information to its care providers. This web page will be updated annually to include the new state fiscal year confidential Hospital Specific PPR Report which will include frequently asked questions (FAQs) that will assist providers in interpreting their confidential reports.

S. B. 7, for the 82nd 1st Special Session of the Texas Legislature, required HHSC to provide confidential information to each hospital on its performance with regard to Potentially Preventable Complications (PPC). PPC reports will be used to show a hospital’s performance level with regard to potentially preventable, in-hospital complications based on criteria such as patient characteristics, reasons for admission, procedures, and the interrelationships between underlying medical conditions. PPC reporting uses the present-on-admission (POA) information submitted on inpatient claims.

The following resources provide an overview of PPR and PPC methodology:

Potentially Preventable Readmissions

Potentially Preventable Complications

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