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.
Not exact matches
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.
We examined whether trusted Yelp reviews (screened to weed out fraudulent reviews) correlated
with health care quality metrics for New York
hospitals, including preventable
hospital readmissions and mortality after
hospital treatment for certain conditions (such as heart attacks) or procedures (such as stomach surgeries).
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.
There are shorter
hospital stays, fewer
readmissions, and the increased opportunity for earlier and more prolonged contact and bonding
with your baby.
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.
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.
«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.
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.
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.
Across all centers, 39 percent of recipients had an early
hospital readmission,
with an average cost of $ 27,233.
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.
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.
We have found empirically that
hospitals with the lowest
readmission rates have reduced
readmissions across the board,» said Dharmarajan.
Previous studies have suggested that SNF quality may be associated
with the risk of
hospital 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 JAMA.
Ryan P. Merkow, M.D., M.S., of the American College of Surgeons, Chicago, and colleagues examined the reasons, timing, and factors associated
with unplanned postoperative
hospital readmissions within 30 days after surgery.
Hospitals nationwide are seeking to improve physicians» communication
with patients, especially as they face financial penalties for
readmissions.
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.»
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.
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.
«
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.
The researchers suggest that to improve pediatric
readmissions or revisits as a quality measurement, patients admitted
with similar diagnoses could be looked at as a group, to increase the sample size at each
hospital and lead to the identification of more outliers.
In a small, single - center clinical trial, Chadwick Miller, M.D., M.S., and colleagues found that evaluating older, more complex patients in the observation unit
with stress cardiac MRI, as opposed to usual inpatient care, reduced
hospital readmissions, coronary revascularization procedures and the need for additional cardiac testing.
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.
«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.
«Physical activity associated
with lower rates of
hospital readmission in patients
with COPD.»
Longer length of
hospital stay was significantly associated
with increased odds of
readmission.
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.
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.
3M identifies
readmissions with diagnoses that are clinically related to those prompting the initial admission, to flag those patients whose
readmission could have been avoided, and then generates
hospital level rates of avoidable
readmissions, taking account of population case mix and illness severity.
The researchers therefore looked at whether
readmissions flagged as PPRs by 3M were associated
with poorer quality of care than those that weren't in Veterans Health Administration patients admitted to
hospital with pneumonia, and readmitted within 30 days, between 2006 and 2010.
The results from that review became the gold standard for
hospital readmissions,
with the top two reasons being surgical site infections (SSIs) and intestinal obstruction.
This video highlights results of a study that examined predictors for unplanned
hospital readmissions in patients
with hematologic malignancies.
The following Q&A was prepared by experts on Ebola and infectious diseases in response to the
readmission to
hospital of Pauline Cafferkey, the nurse who was infected
with Ebola in 2014.
Home - visiting programs and multidisciplinary heart failure clinic interventions can reduce
hospital readmission and improve survival for patients
with heart failure, according to research from RTI International and the University of North Carolina at Chapel Hill.
Patient 25: A man admitted to
hospital with congestive heart failure and 12 other medical conditions is discharged home without the necessary home care follow up, placing him at a much higher risk of
readmission.
Question: Are community treatment orders more effective than Section 17 leave in reducing
hospital readmissions in people
with psychosis?