Exacerbation of symptoms and
rates of readmission to hospital.
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.
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.»
Supporters of keeping the center open say it also has one of the lowest
rates of readmission among centers of its kind.
For the individual procedures,
the rate of readmission ranged from 3.8 percent after hysterectomy to 14.9 percent after lower extremity vascular bypass.
Hospitals with high
rates of readmissions are penalised financially and get less money from Medicare regardless of whether or not those readmissions could have been prevented.
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.
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.
These challenges lead to a high
rate of hospital
readmission in late preterm babies who are discharged within 48 hours
of birth.
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.
«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.
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.
«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.
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.
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.
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.
«Importantly, the length
of stay was reduced while balancing measures and co-morbidities such as necrotizing enterocolitis, chronic lung disease, mortality and
readmission rates remained similar or trended downward.»
The research team found that
readmission diagnoses and timing were similar regardless
of a hospital's 30 - day
readmission rates.
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.»
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.
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.
«C. difficile doubles hospital
readmission rates, lengths
of stay.»
«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.
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.
More effective communication has been linked with higher
rates of patient satisfaction, lower
readmissions, and better adherence to therapeutic recommendations.
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.
Conversely, the
rate of unplanned 30 - day
readmissions was less than 5 percent for patients without any complications.
«That has the potential to improve the usefulness
of readmission rates as a quality indicator,» said Bardach.
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.
Using patient level data, the researchers generated risk - adjusted
rates of same - hospital and all - hospital
readmissions.
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 authors then compared how hospital performance based upon same - hospital
readmission rate compared with performance under all - hospital
readmissions, and found that 42 percent
of hospitals were reclassified into a different quintile
of performance.
Those who saw their primary care provider within 30 days after surgery had a 20 percent
readmission rate compared to a
rate of 35 percent among those who did not have an early follow - up visit with their primary care physician.
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.
Readmission rates of adult patients to the same hospital within 30 days are an area
of national focus and a potential indicator
of clinical failure and unnecessary expenditures.
«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.
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.
«Pediatric
readmission rates aren't indicator
of hospital performance, study shows.»
«SLE patients have one
of the highest hospital
readmission rates compared to those with other chronic illnesses,» explains Jinoos Yazdany, M.D., M.P.H. from the Division
of Rheumatology at the University
of California, San Francisco.
«A narrower range suggests that socioeconomic factors could explain a substantial portion
of the observed differences in hospital
readmission rates,» said Nagasako, an instructor
of medicine.
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.
«Physical activity associated with lower
rates of hospital
readmission in patients with COPD.»
When controlling for comorbidities and type
of insurance coverage, the
readmission rate for Hispanic patients dropped 44 percent, and for black patients, 38 percent.