«Physical activity associated with lower rates of
hospital readmission in patients with COPD.»
These challenges lead to a high rate of
hospital readmission in late preterm babies who are discharged within 48 hours of birth.
They are encouraging their members to lobby the WHO to maintain the status quo even though the the status quo ignores the scientific evidence, is dangerous for babies leading to literally tens of thousands of newborn
hospital readmissions in the US alone, and increases sudden infant deaths in hospitals.
The researchers looked at data on 157
hospital readmissions in the Inova Fairfax Hospital ACS NSQIP database.
This video highlights results of a study that examined predictors for unplanned
hospital readmissions in patients with hematologic malignancies.
Question: Are community treatment orders more effective than Section 17 leave in reducing
hospital readmissions in people with psychosis?
Not exact matches
I recalled this decades - old memory when I read an investigation published online yesterday
in JAMA Internal Medicine entitled, «Comparison of
Hospital Mortality and
Readmission Rates for Medicare Patients Treated by Male vs. Female Physicians.»
When these sources of information are combined, we can achieve an even deeper explanation of the differences
in hospital performance for
readmissions.
Newborns whose mothers planned a home birth were at similar or reduced risk of fetal and neonatal morbidity compared with newborns whose mothers planned a
hospital birth, except for admission to
hospital (or
readmission if born
in hospital), which was more likely compared with newborns whose mothers were
in the physician - attended cohort.
23 Therefore, the higher rate of admission (or
readmission if a
hospital birth) among newborns
in the planned home - birth group than of
readmission in the planned
hospital - birth group may have been linked to the need for treatment of hyper - bilirubinemia, which, among babies born
in hospital, may require a longer stay
in hospital rather than
readmission.
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.
Important causes of
readmissions to address are: Errors
in hospital and transition care; Low threshold for admission and
readmission; Premature discharge because of pressure to vacate
hospital beds.
The researchers examine the pros and cons of the
hospital readmissions reduction policy
in the Affordable Care Act as an example of similar CMS initiatives.
«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.
In the U.S., one in five Medicare patients is readmitted to a hospital each year at an estimated cost of $ 17.5 billion annually.i To reduce this impact, the Affordable Care Act (ACA) has introduced hospital penalties based on readmissions conditions that commonly affect patients aged 65 and older — including acute myocardial infarction, congestive heart failure and pneumonia
In the U.S., one
in five Medicare patients is readmitted to a hospital each year at an estimated cost of $ 17.5 billion annually.i To reduce this impact, the Affordable Care Act (ACA) has introduced hospital penalties based on readmissions conditions that commonly affect patients aged 65 and older — including acute myocardial infarction, congestive heart failure and pneumonia
in five Medicare patients is readmitted to a
hospital each year at an estimated cost of $ 17.5 billion annually.i To reduce this impact, the Affordable Care Act (ACA) has introduced
hospital penalties based on
readmissions conditions that commonly affect patients aged 65 and older — including acute myocardial infarction, congestive heart failure and pneumonia.i
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 a
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 a
hospital readmission, length of stay and costs among hospitalized Medicare patients aged 65 and over.
«
Hospitals are going to be looking for ways to improve quality of care for Medicare patients
in order to lower
readmission rates and prevent fines,» said study co-author, Tomas Philipson, Ph.D., who is the Daniel Levin Chair of Public Policy at the University of Chicago.
And the penalties worked — more than half of U.S.
hospitals reduced their early
readmission penalty
in less than a year.
In addition to readmission rates, the use of oral nutritional supplements also delivered associated improvements in a patient's length of stay and hospital cost
In addition to
readmission rates, the use of oral nutritional supplements also delivered associated improvements
in a patient's length of stay and hospital cost
in a patient's length of stay and
hospital costs.
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.
In the study, black children had a 1.5 times higher frequency of
hospital readmissions because of Crohn's disease compared to white children.
A study published recently
in the IBD Journal found significant differences
in hospital readmissions, medication usage, and both medical and surgical complications of children with Crohn's disease related to race.
Another problem, though, may prove to be an obstacle to the clinics» making a big dent
in readmission rates: Despite their growing popularity, their numbers
in the U.S. are still relatively small, Mehrotra says, which could limit the scope of their
hospital partnerships.
For example, heart failure and pneumonia are two of the most common diagnoses associated with
hospital readmission, but a study published
in 2009 found that most patients who return to the
hospital after having one of these conditions do so for seemingly unrelated problems, such as injuries or adverse drug reactions.
A 2011 study of eight such clinics published
in The New England Journal of Medicine found that none reduced
hospital visits or
readmissions.
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.
Hospital readmissions account for a large share of healthcare spending
in the U.S., including more than $ 17 billion of Medicare costs each year.
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 JAM
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 JAM
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.
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.
Researchers from the Detroit Medical Center (DMC), a seven -
hospital system
in southeastern Michigan, conducted a large study to understand the epidemiology of CDI
readmissions, analyzing 51,353 all - cause discharges between January 1 and December 31, 2012.
Overall rates of
hospital readmission and serious adverse events were similar
in the two groups, but neurologic events and supraventricular arrhythmias remained more frequent
in the combined - procedure group.
This pattern was most exaggerated
in the median quintile, where 55 percent were reclassified under all -
hospital readmissions rankings.
The Centers for Medicare & Medicaid Services (CMS) considers this rate excessive, and began reducing payments to
hospitals that have excessive
readmission rates
in October 2012 under a provision of the Patient Protection and Affordable Care Act.
Predicting which patients are most likely to experience complications using a simple online tool may allow healthcare professionals to flag patients at high risk of
readmission in real time and alter care to reduce expensive trips back to the
hospital.
«With increasing penalization for
readmissions rates,
hospitals need complete information to effectively target areas for quality improvement,» said study coauthor Andrew Gonzalez, MD, JD, MPH, a research fellow
in vascular surgery at the Center for Healthcare Outcomes and Policy, University of Michigan, Ann Arbor.
Despite improvement
in the rates of people dying of sepsis
in the
hospital, the condition is still a leading cause of
hospital readmissions and costs, as well as long - term disabilities and impairments, prompting University of Pittsburgh and University of Michigan medical scientists to develop thorough recommendations for post-
hospital recovery care and future clinical trials.
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 car
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 car
in their usefulness as a quality indicator for pediatric
hospital care.
Incorporating information from the American College of Surgeons National Surgical Quality Improvement Program and Surgical Risk Calculator into the daily workflow of healthcare teams
in hospitals across the country could help achieve the Center for Medicare and Medicaid Services» goal to reduce
hospital readmissions and generate savings
in health care costs
in the coming years.
In a small, single - center clinical trial, Chadwick Miller, M.D., M.S., and colleagues found that evaluating older, more complex patients in the observation unit with stress cardiac MRI, as opposed to usual inpatient care, reduced hospital readmissions, coronary revascularization procedures and the need for additional cardiac testin
In a small, single - center clinical trial, Chadwick Miller, M.D., M.S., and colleagues found that evaluating older, more complex patients
in the observation unit with stress cardiac MRI, as opposed to usual inpatient care, reduced hospital readmissions, coronary revascularization procedures and the need for additional cardiac testin
in the observation unit with stress cardiac MRI, as opposed to usual inpatient care, reduced
hospital readmissions, coronary revascularization procedures and the need for additional cardiac testing.
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.
Rather, given the debate over whether Medicare should include socioeconomic factors
in its formula to calculate
hospital readmissions, the study raises questions about whether Medicare's
readmission rates reflect social factors related to the
hospital's patient mix as well as
hospital performance and quality.
«A narrower range suggests that socioeconomic factors could explain a substantial portion of the observed differences
in hospital readmission rates,» said Nagasako, an instructor of medicine.
Recent research using national data on Medicare suggests that community - based factors, such as availability of general practitioners
in the area, may be as or more important than
hospital factors
in determining
readmission rates, and that patients may have few options other than
hospital care for both urgent and non-urgent conditions related to their surgery or other conditions.
For the current study, first author Elna Nagasako, MD, PhD, and her colleagues looked at
hospital readmissions for nearly 60,000 patients treated for heart attacks, heart failure or pneumonia at acute care
hospitals in Missouri from 2009 to 2012.
A new study shows that if socioeconomic factors related to patients» income and education are taken into account, differences
in readmission rates among
hospitals may not be as great as Medicare data indicate.
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.
In a linked editorial, Drs Christine Soong and Chaim Bell of Mount Sinai Hospital in Toronto, Canada, suggest that: «After years of intensive research to find an objective measure of preventable readmissions, it seems as imminent as the arrival of Godot.&raqu
In a linked editorial, Drs Christine Soong and Chaim Bell of Mount Sinai
Hospital in Toronto, Canada, suggest that: «After years of intensive research to find an objective measure of preventable readmissions, it seems as imminent as the arrival of Godot.&raqu
in Toronto, Canada, suggest that: «After years of intensive research to find an objective measure of preventable
readmissions, it seems as imminent as the arrival of Godot.»