New data released by the federal Department Of Health And Human Services indicates there has been a decline in the number
of hospital readmissions, as well as the number of hospital - acquired infections across the country's hospitals.
To explore causes
of hospital readmissions, researchers created a tool to identify and quantify a patient's feelings of uncertainty during their initial emergency department visit.
More significantly, the researchers estimated that the NSQIP analysis showed that approximately 60 percent
of the hospital readmissions are potentially preventable.
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.
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.
The researchers looked at how smoking history affected the risk
of hospital readmissions among patients undergoing total joint replacement — either hip or knee replacement.
In the study, black children had a 1.5 times higher frequency
of hospital readmissions because of Crohn's disease compared to white children.
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 challenges lead to a high rate
of hospital readmission in late preterm babies who are discharged within 48 hours of birth.
Previous studies have suggested that SNF quality may be associated with the risk
of hospital readmission.
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.
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.
«Physical activity associated with lower rates
of hospital readmission in patients with COPD.»
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.
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.
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.
There's prolonged, more intense pain postpartum, a longer
hospital stay,
readmission to the
hospital, an upsetting or emotionally traumatic birth experience, less early contact and connection with the baby, depression and mental health problems, low self - esteem, relationship issues, difficulty functioning and doing usual daily activities postpartum, chronic pelvic pain from scar tissue, problems with and discontinuing breastfeeding - along with the associated risks to mom and baby
of not breastfeeding.
Now consider that literally TENS
OF THOUSANDS of American newborns are readmitted to the hospital each year, costing HUNDREDS OF MILLIONS of healthcare dollars because breastfeeding doubles the risk of newborn hospital readmissio
OF THOUSANDS
of American newborns are readmitted to the hospital each year, costing HUNDREDS OF MILLIONS of healthcare dollars because breastfeeding doubles the risk of newborn hospital readmissio
of American newborns are readmitted to the
hospital each year, costing HUNDREDS
OF MILLIONS of healthcare dollars because breastfeeding doubles the risk of newborn hospital readmissio
OF MILLIONS
of healthcare dollars because breastfeeding doubles the risk of newborn hospital readmissio
of healthcare dollars because breastfeeding doubles the risk
of newborn hospital readmissio
of newborn
hospital readmission.
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.
«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.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 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.
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.
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.
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.
Across all centers, 39 percent
of recipients had an early
hospital readmission, with an average cost
of $ 27,233.
«The impetus
of this study was to better characterize resource use, which is rising, by focusing on how the number
of transplants performed within a center influences cost and early
hospital readmissions.»
The research team found that
readmission diagnoses and timing were similar regardless
of a
hospital's 30 - day
readmission rates.
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.
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.»
Lisa K. McIntyre, M.D.,
of the University
of Washington Medical Center, Seattle, and colleagues conducted a study that included 173 general surgical patients (91 men) who were identified as being unplanned
readmissions within 30 days among 2,100 discharges (8 percent) at a Level I trauma center and safety - net
hospital.
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.
Dr. Cohen said the new risk outcomes are
readmission to the
hospital; ileus, a type
of bowel obstruction; and leak
of an intestinal anastomosis, a surgical connection
of two formerly distant parts
of the intestine after removal
of diseased bowel.
«C. difficile doubles
hospital readmission rates, lengths
of stay.»