Unmet nursing care did not influence the likelihood
of readmission for older white patients.
«Because interventions to reduce the risk
of readmission for any group of patients can be costly and labor intensive, identification of the highest risk cohort for readmission can allow more targeted intervention for this population of socially vulnerable patients.»
The researchers found a similar narrower range
of readmissions for patients treated for heart failure or pneumonia.
Not exact matches
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 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.»
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.
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.
Again, reconstruction was largely imposed upon the South, so ill - equipped
for conservancy and policy formation were the states
of the Confederacy upon their
readmission to the Union at the close
of the war.
Common reasons
for unexpected
readmission are dehydration because
of vomiting or diarrhea, upper respiratory infections, hernia complications, persistent or increased apnea, or shunt repair.
The patient had multiple
readmissions for medical and surgical indications and died at 6 months
of age.
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.
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.
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 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:
«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.
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.
Smoking overall, however, was unrelated to the risk
of readmission without surgery, or
for reoperation
for reasons other than infections.
However,
for current and former smokers alike, the risk
of 90 - day nonoperative
readmission increased with the number
of «pack - years» smoked.
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.
«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..
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.
For the individual procedures, the rate
of readmission ranged from 3.8 percent after hysterectomy to 14.9 percent after lower extremity vascular bypass.
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.
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.
The most common reason
for readmission after bariatric surgery was ileus (blockage
of the intestine) or obstruction (24.5 percent), and ileus or obstruction was the second most common reason
for readmission overall (10.3 percent) and
for colectomy or proctectomy, ventral hernia repair, and hysterectomy.
When comparing the costs
for the program to the costs
of the
readmissions averted, the researchers found a substantial savings.
«We found that CDI
readmissions for any reason had almost a one week longer average LOS than all - cause
readmissions,» said Teena Chopra, MD, MPH, a leading CDI expert from DMC's Division
of Infectious Diseases who led the study.
When examining early (within 7 days
of discharge) and late (more than 7 days after discharge) unplanned
readmissions separately, the top 3 reasons
for readmission were similar overall (SSI, ileus or obstruction, and bleeding) and when examining each
of the 6 procedure groups individually.
«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.
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.
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.»
Conversely, the rate
of unplanned 30 - day
readmissions was less than 5 percent
for patients without any complications.
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 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.
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.
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.
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.
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.
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.