Is a Low Readmission Rate Indicative of a Good Hospital?

Parina, Ralitza; Chang, David C.; Rose, John; Talamini, Mark A.

doi:10.1016/j.jamcollsurg.2014.10.020

Cited by 48 publications

(37 citation statements)

References 33 publications

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“…However, there is little scientific basis for this choice (2, 4–7). The 30-day period does not correlate with quality indicators (8,9) or inpatient mortality rates (10–12), and readmissions during this period are influenced by the ambulatory care environment, chronic illness burden, and social determinants of health (13–23). Furthermore, one recent single-center study found that readmissions within 7 days of discharge were more highly associated with factors influenced by the index hospitalization than readmissions that occurred from 8–30 days after discharge (13).…”

Section: Introductionmentioning

confidence: 99%

Preventability of Early Versus Late Hospital Readmissions in a National Cohort of General Medicine Patients

Graham

Auerbach

Schnipper

et al. 2018

Annals of Internal Medicine

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Background: Many experts believe that hospitals with more frequent hospital readmissions provide lower quality of care, but little is known about how the preventability of readmissions might change over the post-discharge timeframe. Objective: To determine whether readmissions within 7 days of discharge are different from readmissions between 8 and 30 days after discharge with respect to preventability. Design: Prospective cohort study. Setting: 10 US academic medical centers. Patients: 822 adults readmitted to a general medicine service. Measurements: At each site, 2 physician assessors used a structured survey instrument to determine whether each readmission was preventable and to measure other characteristics of the readmission. Results: 36.2% of early readmissions versus 23.0% of late readmissions were preventable (median risk difference 13.0%, 25th, 75th percentile 5.5, 26.4). The hospital was identified as a better location to prevent an early readmission than a late readmission (47.2% vs. 25.5%, [median risk difference 22.8%, 25th, 75th percentile 17.9, 31.8]). In contrast, the outpatient clinic (15.2% vs. 6.6%, [median risk difference 10%, 25th, 75th percentile 4.6, 12.2]) and home (19.4% vs. 14%, [median risk difference 5.6%, 25th, 75th percentile −6.1, 17.1]) were identified as better locations to prevent late readmissions than early readmissions. Limitations: Physician assessors were not blinded to readmission timing. In addition, community hospitals were not included in the study, and readmissions to non-study hospitals were not included in the results. Conclusions: Early readmissions were more likely to be preventable and amenable to hospital-based interventions. Late readmissions were less likely to be preventable and were more amenable to ambulatory and home-based interventions.

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Section: Introductionmentioning

confidence: 99%

Preventability of Early Versus Late Hospital Readmissions in a National Cohort of General Medicine Patients

Graham

Auerbach

Schnipper

et al. 2018

Annals of Internal Medicine

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“…Moreover, the claim that 30-day hospital readmission serves as a marker for quality of care is contestable, as important factors such as mortality rates are often overlooked. 6,7 Our findings have important implications. First, they re iterate the high prevalence of hospital readmission/ emergency department visits after vascular surgery procedures.…”

Section: Discussionmentioning

confidence: 80%

“…[2][3][4] Furthermore, several federal agencies, clinicians and health policy-makers recently identified the reduction of hospital readmissions as a major area of research focus. [5][6][7] Several authors have studied the rate of readmission following major vascular surgical procedures. [8][9][10][11][12] Such procedures are reported to yield the highest rates of hospital readmission of all surgical groups 1,13 and the third-highest of any diagnosis-related group.…”

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confidence: 99%

Thirty-day hospital readmission and emergency department visits after vascular surgery: a Canadian prospective cohort study

Syed

Hussain

Khoshhal

et al. 2018

cjs

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“…[4][5][6][7] However, a study by Tsai et al in 2013 shows that hospitals in the highest quartile of surgical volume also have the lowest rate of readmission, 8 implying that some element of their surgical expertise and patient care experience may ultimately result in better care.…”

mentioning

confidence: 99%

Causes for 30‐Day Readmission following Transsphenoidal Surgery

Hendricks¹,

Shikary²,

Zimmer³

2015

Otolaryngol.--head neck surg.

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Overall, the rate of 30-day readmission following endoscopic pituitary surgery is low. However, common causes of readmission do add significant cost to the overall care of this patient population. Special attention to surgical technique to prevent epistaxis and cerebrospinal fluid rhinorrhea, as well as multidisciplinary team management to avoid postoperative endocrine dysfunction, is critical to minimize these complications.

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Is a Low Readmission Rate Indicative of a Good Hospital?

Cited by 48 publications

References 33 publications

Preventability of Early Versus Late Hospital Readmissions in a National Cohort of General Medicine Patients

Preventability of Early Versus Late Hospital Readmissions in a National Cohort of General Medicine Patients

Thirty-day hospital readmission and emergency department visits after vascular surgery: a Canadian prospective cohort study

Causes for 30‐Day Readmission following Transsphenoidal Surgery

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