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.
«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.
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.
We have found empirically that hospitals with
the lowest readmission rates have reduced readmissions across the board,» said Dharmarajan.
Patients of female physicians had significantly
lower readmission rates than those with male physicians, after accounting for patient characteristics (15.01 % vs 15.57 %; RD, — 0.55 %; 95 % CI, — 0.71 % to — 0.41 %; P <.001; NNT to prevent 1 readmission, 182)(Table 2).
Not exact matches
«This veto did not afford us a reason and savings of three million dollars is not justifiable when the WNY Children's Psychiatric Center has: the
lowest 30 and 90 day
readmission rates; scored 99.9 % by the Joint Commission and is ranked top 10 % of any psychiatric facility in the United States,» he said.
Supporters of keeping the center open say it also has one of the
lowest rates of
readmission among centers of its kind.
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.»
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.
For the individual procedures, the
rate of
readmission ranged from 3.8 percent after hysterectomy to 14.9 percent after
lower extremity vascular bypass.
The team found that the risk of
readmission or death within 30 days was
lower for discharges from SNFs with better staffing
ratings, better facility inspection
ratings and
lower rates of new or worsening pressure ulcers.
Two smaller previous studies were conducted at a single healthcare site and produced conflicting results: one showed higher
rates of 30 - day
readmissions, and the other found
lower rates.
Rates of
readmission or death were also
lower at nursing homes that had a higher percentage of patients with moderate to severe pain and acute delirium.
Readmission rates and reasons were assessed for all surgical procedures and for six representative operations: bariatric procedures, colectomy or proctectomy, hysterectomy, total hip or knee arthroplasty, ventral hernia repair, and
lower extremity vascular bypass.
More effective communication has been linked with higher
rates of patient satisfaction,
lower readmissions, and better adherence to therapeutic recommendations.
Though the early
readmission rate in the 30 days after discharge was initially
lower in patients with diastolic heart failure, this soon increased such that it was similar to those with systolic heart failure.
They then ranked hospitals from
lowest to highest
readmission rates and divided them into five groups (quintiles) based upon their ranking.
Further analyses show risk - adjusted
readmission rates to be
lower in New York and higher in Florida, compared to California.
«Physical activity associated with
lower rates of hospital
readmission in patients with COPD.»
Patients receiving care by female hospitalists had
lower mortality and
readmission rates compared with patients receiving care by male hospitalists (eTable 5 in the Supplement).
Using a national sample of hospitalized Medicare beneficiaries, we found that patients who receive care from female general internists have
lower 30 - day mortality and
readmission rates than do patients cared for by male internists.
Readmission rates of patients were
lower for female physicians than for male physicians for all subgroups except for the least sick patients.