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.
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.
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.»
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.
When these sources of information are combined, we can achieve an even deeper explanation of the differences in
hospital performance
for readmissions.
We examined whether trusted Yelp reviews (screened to weed out fraudulent reviews) correlated with health care quality metrics
for New York
hospitals, including preventable
hospital readmissions and mortality after
hospital treatment
for certain conditions (such as heart attacks) or procedures (such as stomach surgeries).
There are shorter
hospital stays, fewer
readmissions, and the increased opportunity
for earlier and more prolonged contact and bonding with your baby.
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.
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.
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.
«
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.
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 reactio
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 reactio
for seemingly unrelated problems, such as injuries or adverse drug reactions.
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.
Hospital readmissions account
for a large share of healthcare spending in the U.S., including more than $ 17 billion of Medicare costs each year.
Previous studies investigating patients at risk
for hospital readmissions focus on medical services and have found chronic conditions as contributors.
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.
Readmission as a quality and cost - containment metric is now a major issue
for hospitals, clinicians, and policy makers.
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.
«Understanding the underlying reasons
for readmission, the timing, and the associated factors should help
hospitals to undertake targeted quality improvement initiatives to reduce
readmissions.
Readmissions after surgery may not be an appropriate measure
for pay -
for - performance programs but rather better suited as measure
for hospitals to track internally,» the authors write.
Hospitals are working to reduce
readmissions; however, little is known about the reasons
for readmission after 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.
Hospitals nationwide are seeking to improve physicians» communication with patients, especially as they face financial penalties
for readmissions.
Borja Ibáñez — joint lead investigator on the study with Valentín Fuster — explains that «the possibility to reduce so dramatically the number of cases of chronic heart failure (with all the associated treatments and
hospital readmissions) with such a cheap procedure (the metoprolol treatment costs less than two euros per patient) could generate enormous savings
for health services across Europe.»
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.
«As a national way of assessing and tracking
hospital quality, pediatric readmissions and revisits, at least for specific diagnoses, are not useful to families trying to find a good hospital, nor to the hospitals trying to improve their pediatric care,» said Naomi Bardach, MD, an assistant professor of pediatrics at UCSF Benioff Children's Hospital and lead
hospital quality, pediatric
readmissions and revisits, at least
for specific diagnoses, are not useful to families trying to find a good
hospital, nor to the hospitals trying to improve their pediatric care,» said Naomi Bardach, MD, an assistant professor of pediatrics at UCSF Benioff Children's Hospital and lead
hospital, nor to the
hospitals trying to improve their pediatric care,» said Naomi Bardach, MD, an assistant professor of pediatrics at UCSF Benioff Children's
Hospital and lead
Hospital and lead author.
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.
«Same -
hospital readmission rate an unreliable predictor
for all -
hospital readmission rate.»
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.
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.
«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.
While the
Hospital Readmissions Reduction Program penalizes readmission to any hospital, most hospitals are only tracking same - hospital readmissions using administrative data that is recorded for billing p
Hospital Readmissions Reduction Program penalizes readmission to any hospital, most hospitals are only tracking same - hospital readmissions using administrative data that is recorded for billi
Readmissions Reduction Program penalizes
readmission to any
hospital, most hospitals are only tracking same - hospital readmissions using administrative data that is recorded for billing p
hospital, most
hospitals are only tracking same -
hospital readmissions using administrative data that is recorded for billing p
hospital readmissions using administrative data that is recorded for billi
readmissions using administrative data that is recorded
for billing purposes.
«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.
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.
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.»
Hospital readmissions are believed to be an indicator of inferior care and are the focus of efforts by the Centers
for Medicare and Medicaid Services to reduce health care cost and improve quality.
«Unless you are a top or bottom performer
for readmissions, your same -
hospital readmission rate may be very misleading.
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.
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.
For the new study, the researchers wanted to specifically look at three care events: coronary revascularization,
hospital readmissions and additional heart testing.
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 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.
A concern is that not adjusting
readmissions data
for poverty or other socioeconomic factors could mislead the public into thinking that
hospitals with a large share of disadvantaged patients provide lower - quality care than
hospitals with more affluent patients.
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.
They compared two different models
for calculating
hospital readmission rates within 30 days of discharge.
From here, Dr. Trickey said her team will focus on the top two reasons
for hospital readmissions: SSIs and intestinal obstruction.
In a bid to improve on the CMS measure and identify
readmissions more likely to be preventable, 3M developed the Potentially Preventable Readmissions (PPRs) measure, which is now increasingly used by US state Medicaid programs for hospit
readmissions more likely to be preventable, 3M developed the Potentially Preventable
Readmissions (PPRs) measure, which is now increasingly used by US state Medicaid programs for hospit
Readmissions (PPRs) measure, which is now increasingly used by US state Medicaid programs
for hospital payments.
The results from that review became the gold standard
for hospital readmissions, with the top two reasons being surgical site infections (SSIs) and intestinal obstruction.