Patient Characteristics and Differences in Hospital Readmission Rates

The Impact of Disability and Social Determinants of Health on Condition-Specific Readmissions beyond Medicare Risk Adjustments: A Cohort Study

“…19,23 By employing three condition-specific models as opposed to one all-cause readmission model, our results enable us to compare and contrast the effects of these patient characteristics on readmission risk by condition. The results illustrate that the additional predictive effects these disability and social determinants of health have on readmission risk varies by the condition for index admission.…”

“…We had hypothesized that disability limitations measured as ADL limitations would be significant predictors of readmission for all the cohorts, supported by literature data. [10][11][12][13][14][15][16][17][18][19][39][40][41][42] Although ADL limitations were significant predictors of readmission for pneumonia using the HRS-CMS and ACS-HCUP data sets, this was not demonstrated for the heart failure or acute myocardial infarction cohorts. Cognitive impairment did not predict readmission in any cohort for either data set, perhaps because the diagnosis of dementia is part of the standard CMS risk adjustment already applied.…”

“…7 However, an increasing body of literature reveals that patient disability and social determinants of health impact readmission risk and vary across hospital populations, contributing to higher readmission penalties for safety-net hospitals-and generating increasing interest in studying risk adjustment for sociodemographic factors. 1,[8][9][10][11][12][13][14][15][16][17][18][19][20][21][22][23][24][25][26] To provide a better understanding of the extent to which the addition of patient disability and social determinants of health would impact the current risk adjustment models used by CMS, the objective of our study was to assess how measures of disability and social determinants of health were associated Electronic supplementary material The online version of this article (doi:10.1007/s11606-016-3869-x) contains supplementary material, which is available to authorized users.…”

What Are the 30-day Readmission Rates Across Orthopaedic Subspecialties?

“…Questions/purposes (1) What are the 30-day readmission rates for the different orthopaedic subspecialties? (2) What are the risk factors associated with readmission within 30 days? (3) What are the causes of 30-day readmissions?…”

“…Previous studies have identified risk factors for readmission in single institutions [9,26,28]. It has been demonstrated that risk factors for readmission vary according to patient population [2]; therefore, we aim to characterize the readmission risk factors in our large, academic, tertiary care hospital to add to the body of published data. We also want to determine the causes of readmission so that future studies may be directed at quality improvement initiatives to minimize the identified causes.…”