Population outcomes
Outcomes
Eight weeks of trend lines for the Riverside panel. Declining readmissions are good news here — the color red only appears when a value leaves its clinical range.
Readmission rate
8.4%
▾ 1.2 pts in eight weeks
A1C under control
71%
▴ 4 pts from last month
Follow-up within 7 days
86%
Steady since June
BP at goal
64%
▾ 1 pt — within noise
Readmission rate, weekly
Thirty-day readmissions across all programs, trending gently downward.
Wk 1Wk 3Wk 5Wk 8
Goal: below 9.0% sustained for a quarter. The panel has held that line since late June.
A1C under control, weekly
Share of the diabetes cohort with A1C below 8.0%.
Wk 1Wk 3Wk 5Wk 8
The nurse-led titration clinic is credited with most of the gain since week five.
Weekly outcome ledger
The same trends, written out for those who prefer numbers to lines.
| Week | Readmission | A1C control | 7-day follow-up | Note |
|---|---|---|---|---|
| Week of Jul 14 | 8.4% | 71% | 86% | On track |