They compared two different models for calculating
hospital readmission rates within 30 days of discharge.
«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.
«SLE patients have one of the highest
hospital readmission rates compared to those with other chronic illnesses,» explains Jinoos Yazdany, M.D., M.P.H. from the Division of Rheumatology at the University of California, San Francisco.
However, according to new research findings presented at the 2013 Clinical Congress of the American College of Surgeons, same -
hospital readmission rates are an unreliable surrogate for predicting all - hospital readmissions rates.
«C. difficile doubles
hospital readmission rates, lengths of stay.»
This included
hospital readmission rates, reinterventions (a second procedure), and long - term survival.
The authors then compared how hospital performance based upon same -
hospital readmission rate compared with performance under all - hospital readmissions, and found that 42 percent of hospitals were reclassified into a different quintile of performance.
«Same -
hospital readmission rate an unreliable predictor for all -
hospital readmission rate.»
«These reports include the institution's all -
hospital readmission rate, and, moreover, the provider IDs for all the other hospitals to which an institution's patients were readmitted.
That's why using the same -
hospital readmission rate is an unreliable predictor for your all -
hospital readmission rate, but that rate is exactly what CMS penalizes hospitals for.»
«Unless you are a top or bottom performer for readmissions, your same -
hospital readmission rate may be very misleading.
Not exact matches
This isn't just inconvenient; increasingly,
hospitals face fines or funding clawbacks if their
readmission rates climb too high.
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.»
Yelp has even partnered with ProPublica to publish average wait times,
readmission rates, and quality of communication scores for more than 25,000
hospitals, nursing homes, and dialysis clinics.
Insurers have been striking deals with pharma companies that will land them discounts on pricey drugs if those treatments don't demonstrably improve patients» health outcomes;
hospitals are penalized if they have high
rates of patient
readmissions.
It is reliably estimated that
readmission rates to mental
hospitals could be reduced from almost thirty - five percent to around ten percent were adequate medical, social, and vocational aftercare facilities available.
These challenges lead to a high
rate of
hospital readmission in late preterm babies who are discharged within 48 hours of birth.
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.
«
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.
In addition to
readmission rates, the use of oral nutritional supplements also delivered associated improvements 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.
Comparisons between groups may lead to spurious conclusions — a
hospital that regularly admits substance abusers will have artificially low
rates of
readmission, giving a false appearance of better performance.»
Similarly, some studies have suggested that decreasing the length of
hospital stays lowers
readmission rates, whereas others have linked shorter
hospital stays with increased
readmissions.
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.
Despite the increased national focus on reducing
hospital readmissions, Dharmarajan said it had not been clear whether
hospitals with the lowest
readmission rates have been especially good at reducing
readmissions from specific diagnoses and time periods after hospitalization, or have instead lowered
readmissions more generally.
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.
We have found empirically that
hospitals with the lowest
readmission rates have reduced
readmissions across the board,» said Dharmarajan.
The subject of
readmission rates has been of increasing concern to U.S.
hospitals since October 2012, when the Centers for Medicare and Medicaid Services (CMS) tied
readmissions to reimbursement as part of the Affordable Care Act, informally known as Obamacare.
«High
rate of patient factors linked to
hospital readmissions following general surgery.»
«If nothing is done to try and curb CDI
rates, healthcare systems may stand to face financial penalties because of high
rates of
hospital - acquired CDI and CDI - related
readmissions for CMS - reportable conditions,» said Dr. Chopra.
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.
Early treatment with metoprolol treatment also significantly reduced the
rate of
hospital readmission for chronic heart failure, and massively reduced the need to implant a cardioverter - defibrillator.
Using patient level data, the researchers generated risk - adjusted
rates of same -
hospital and all -
hospital readmissions.
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 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.
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.
«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.
They then ranked
hospitals from lowest to highest
readmission rates and divided them into five groups (quintiles) based upon their ranking.
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 care.
«Pediatric
readmission rates aren't indicator of
hospital performance, study shows.»
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.
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.
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.
«Physical activity associated with lower
rates of
hospital readmission in patients with COPD.»
Hospital stays and
readmission rates were similar to laparoscopic appendectomy.
Hospitals with high
rates of
readmissions are penalised financially and get less money from Medicare regardless of whether or not those
readmissions could have been prevented.