Adherence to American Association for the Study of Liver Diseases (AASLD) Guidelines and Predictors
of Readmission in Cirrhotic Patients: A Single Center Experience
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.
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.
Not exact matches
In both countries, many
readmissions are caused by preventable clerical issues: poor record keeping, lack
of patient education or unclear lines
of communication — exactly the sorts
of problems that startups like Seamless MD are trying to address.
FITBIT DATA AIDS RESEARCHERS
IN UNDERSTANDING SURGERY RECOVERY: Fitbit data can help researchers and doctors predict the risk of 30 - and 60 - day readmission after surgery for cancer patients, according to a study published in the Annals of Behavioral Medicin
IN UNDERSTANDING SURGERY RECOVERY: Fitbit data can help researchers and doctors predict the risk
of 30 - and 60 - day
readmission after surgery for cancer patients, according to a study published
in the Annals of Behavioral Medicin
in the Annals
of Behavioral Medicine.
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.»
The decline
in readmissions represents cost savings
of $ 262,500
in penalties — Johns Hopkins doesn't receive Medicare reimbursements for patient
readmissions.
When these sources
of information are combined, we can achieve an even deeper explanation
of the differences
in hospital performance for
readmissions.
These challenges lead to a high rate
of hospital
readmission in late preterm babies who are discharged within 48 hours
of birth.
I've been fortunate to be involved
in research about babies» sleeping environments and
readmission of babies with hypernatraemic dehydration.
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.
However, according to The Guardian, 39
of the countries decided to vote
in favour
of the
readmission.
«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.
«Skidmore's policy does enable students who have been sanctioned to seek
readmission to the college, and
in the process
of the
readmission hearing, the college assesses the student's readiness to return, and considers whether sanctions have been followed during the period
of suspension, and also looks at how the student plans to reintegrate him or herself into the community,» said Wise.
Students at Skidmore College
in Saratoga Springs Friday gathered to protest a
readmission hearing for a student suspended for sexual misconduct and to support victims
of sexual violence.
«I have had it suggested that those arguing for his
readmission want to stop him standing
in the London mayoral election and damaging the prospects
of our superb candidate Sadiq Khan.
In fact we've seen a 50 % increase in the number of emergency readmissions in the 10 years from 199
In fact we've seen a 50 % increase
in the number of emergency readmissions in the 10 years from 199
in the number
of emergency
readmissions in the 10 years from 199
in the 10 years from 1998.
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.
The study, to be presented this weekend at the 35th annual meeting
of the Society for Medical Decision Making (SMDM)
in Baltimore, demonstrated that oral nutritional supplements were associated with a decreased probability
of 30 - day
readmission among Medicare patients aged 65 and over who could be tracked for
readmission, with:
«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 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.
«If smoking is associated with elevated perioperative risk
of readmission and / or reoperation, then it may be reasonable to engage the patient
in a smoking cessation program prior to total joint arthroplasty,» Dr. Austin and coauthors write.
While there's no difference
in the total
readmission rate, the new results suggest that current smokers are at substantially higher risk
of reoperation for septic complications.
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.
«The Effect
of Transplant Center Volume on Cost and
Readmission in Medicare Lung Transplant Recipients» was published online ahead
of print
in the Annals
of the American Thoracic Society.
«This study suggests that the path to excellence
in readmission is a result
of an approach that focuses on the patient as a whole rather than on what caused them to be admitted,» said senior author and director
of the Yale Center for Outcomes Research and Evaluation Harlan Krumholz, M.D., the Harold H. Hines, Jr..
Hospital
readmissions account for a large share
of healthcare spending
in the U.S., including more than $ 17 billion
of Medicare costs each year.
«The policy was adopted as a way to curb rising healthcare costs and improve quality
of care, and CMS chose those three conditions because they're common, expensive to treat, and often result
in readmission.»
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.
As a whole, the team found that better performance
in these quality measures was not consistently associated with lower adjusted risk
of readmission or death at 30 days.
Identification
of these reasons could help direct future surgical quality improvement efforts and policy decisions designed to reduce surgical
readmission rates, according to background information
in the article.
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.
There were no observed differences
in MACCE, death,
readmissions, functional status or quality -
of - life at one - year.
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.
There were no observed differences
in MACCE, death,
readmissions, functional status or quality -
of - life at two years.
«An incredible amount
of expensive and time - consuming resources are being spent on reducing
readmissions at a national level, but have not translated into a reduction
in heart failure mortality,» said senior author Flora Sam, MD, associate professor
of cardiovascular medicine at the Whitaker Cardiovascular Institute at BUSM and attending physician
of cardiovascular medicine and heart failure at BMC.