Readmission to hospitals can be measured by instruments that count 30, 60, and 90
day hospital readmissions, unplanned medical visits, emergency room (ED) visits, length of stay, and the reasons for use.
A new study entitled «Oral Nutrition Supplements» Impact on Hospital Outcomes in the Context of Affordable Care Act and New Medicare Reimbursement Policies» and conducted by leading researchers at the University of Southern California, Stanford University, The Harris School at The University of Chicago and Precision Health Economics, and supported by Abbott, found that the use of oral nutritional supplements decreased the probability of 30 -
day hospital readmission, length of stay and costs among hospitalized Medicare patients aged 65 and over.
Not exact matches
In FY2014, CMS will hold a
hospital accountable if its 30 -
day readmission rate declines while its 30 -
day mortality increases.
Through the analysis of 11 years of
hospital data, researchers were able to determine differences in length of stay, episode cost and 30 -
day readmission rates for Medicare patients aged 65 and older by comparing cases where oral nutritional supplements were prescribed to patients with the same conditions to those who weren't prescribed oral nutritional supplements.
«These seniors were supposed to stay out of the
hospital since the procedures were performed in the ambulatory setting, but they were admitted to the
hospital within 30
days,» said corresponding study author Dr. Gildasio De Oliveira Jr. «Age was the biggest factor associated with
readmission and complications.
These quality metrics included a review of inpatient admissions, average length of stay in the
hospital and time spent in the intensive care unit, the 30 -
day readmission rate, and other patient - related statistics.
The research team found that
readmission diagnoses and timing were similar regardless of a
hospital's 30 -
day readmission rates.
Published Nov. 20 in the British Medical Journal, the researchers found that top - performing
hospitals — those with the lowest 30 -
day readmission rates — had fewer
readmissions from all diagnoses and time periods after discharge than lower performing
hospitals with higher
readmissions.
Checking back into the
hospital within 30
days of discharge is not only bad news for patients, but also for
hospitals, which now face financial penalties for high
readmissions.
Lisa K. McIntyre, M.D., of the University of Washington Medical Center, Seattle, and colleagues conducted a study that included 173 general surgical patients (91 men) who were identified as being unplanned
readmissions within 30
days among 2,100 discharges (8 percent) at a Level I trauma center and safety - net
hospital.
In a study that included
readmission information from nearly 350
hospitals,
readmissions the first 30
days after surgery were associated with new postdischarge complications related to the surgical procedure and not a worsening of any medical conditions the patient already had while hospitalized for surgery, according to a study in the February 3 issue of JAMA.
Home visits by a cardiac surgery nurse practitioner (NP) following coronary artery bypass grafting (CABG) surgery can dramatically reduce a patient's risk of
hospital readmission and death 30
days after surgery, according to a study in the May 2014 issue of The Annals of Thoracic Surgery.
Ryan P. Merkow, M.D., M.S., of the American College of Surgeons, Chicago, and colleagues examined the reasons, timing, and factors associated with unplanned postoperative
hospital readmissions within 30
days after surgery.
Previous research has shown that one in five Medicare patients (20 %) is readmitted to a
hospital within 30
days of discharge following CABG surgery, and most of those
hospital readmissions are preventable, according to Dr. Hall.
After controlling for severity of disease and surgical complexity, analyses showed that the rate of unplanned 30 -
day readmissions was approximately 78 percent for patients with any complication diagnosed following discharge from the
hospital.
The study shows that better coordination of care between surgeons and primary care physicians is important to help reduce
hospital readmissions within 30
days for those high - risk surgery patients who have post-operative complications or live with a chronic disease, according to Benjamin S. Brooke, M.D., Ph.D., assistant professor of surgery at the University of Utah School of Medicine and first author on the study.
Readmission rates of adult patients to the same
hospital within 30
days are an area of national focus and a potential indicator of clinical failure and unnecessary expenditures.
In the first multi-state study of children's and non-children's
hospitals, assessing pediatric
readmission and revisit rates — being admitted into the
hospital again or visiting the emergency room within 30
days of discharge — for common pediatric conditions, UCSF researchers found that diagnosis - specific
readmission and revisit rates are limited in their usefulness as a quality indicator for pediatric
hospital care.
The patients were followed for 90
days, after which the researchers found significant reductions in coronary revascularization procedures, fewer
hospital readmissions and fewer recurrent cardiac testing episodes or the need for additional testing.
Results show that there were 9,244 (17 %)
readmissions into the
hospital within 30
days of discharge.
They compared two different models for calculating
hospital readmission rates within 30
days of discharge.
Patients with chronic obstructive pulmonary disease (COPD) who participated in any level of moderate to vigorous physical activity had a lower risk of
hospital readmission within 30
days compared to those who were inactive, according to a study published today in the Annals of the American Thoracic Society.
The researchers therefore looked at whether
readmissions flagged as PPRs by 3M were associated with poorer quality of care than those that weren't in Veterans Health Administration patients admitted to
hospital with pneumonia, and readmitted within 30
days, between 2006 and 2010.
The Centers for Medicare and Medicaid Services (CMS) posts data on 30
day readmissions for three common causes of
hospital admissions: heart attack; heart failure; and pneumonia.
Since then, there's been a one -
day drop in average length of
hospital stay, an 80 % reduction in opioid consumption and an improvement in patient - reported outcomes, without noting any differences in postoperative complication rates or
readmissions.
Programs providing a series of home visits soon after
hospital discharge can reduce 30 -
day readmission rates by 66 %.
Patients discharged in December 2014 and patients who were out of the
hospital for fewer than 30
days at the time of admission were excluded from the analyses of 30 -
day readmission.
Data for 8 control mothers were eliminated from analyses because of an extended PICU stay of > 21
days (30
days)(n = 1),
readmission to the PICU before
hospital discharge (n = 5), a planned admission (n = 1), or death (n = 1).