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Hospital Readmissions

Apr 14 2017

Hospital readmissions are lower when informal caregivers are integrated into discharge planning activities, according to a meta-analysis in the Journal of the American Geriatrics Society.

http://onlinelibrary.wiley.com/doi/10.1111/jgs.14873/full
Aug 04 2016

Medicare's hospital readmission penalty, which we have repeatedly described as unfair and inept, is now punishing more than half the country's hospitals, with a cumulative revenue loss of over $500 million.

http://khn.org/news/more-than-half-of-hospitals-to-be-penalized-for-excess-readmissions/
Jan 20 2016

Research published in Medical Care suggests that at least some hospitals may be using early discharges to post-acute care facilities to both reduce exposure to readmission penalties and as a way to make more money on fixed inpatient reimbursement rates.

http://journals.lww.com/lww-medicalcare/Abstract/2016/02000/Variation_in_Hospital_Use_of_Postacute_Care_After.10.aspx?utm_medium=nl&utm_source=internal&mkt_tok=3RkMMJWWfF9wsRons6%2FOde%2FhmjTEU5z17e8oXKS2lMI%2F0ER3fOvrPUfGjI4DSsdiNK%2BTFAwTG5toziV8R7LMKM1ty9MQWxTk
Sep 15 2015

New research in JAMA Internal Medicine finds that half the difference in readmission rates among hospitals can be explained by characteristics of the patients they treat, further demonstrating the poor design of the CMS penalty program.

http://www.washingtonpost.com/blogs/federal-eye/wp/2015/09/14/medicare-unfairly-penalizes-hospitals-treating-sickest-poorest-patients-study-finds/
Aug 18 2015

According to research published in JAMA Surgery, more than 80% of the cause for readmissions for 8 surgical admissions was due to patient factors, further showing the poor design of the CMS program.  Hospitals can adjust when the known patient factors are present, but just making up a readmission rate a hospital should have totally fails to correct for the individual patient factors.

http://www.cardiovascularbusiness.com/topics/coronary-intervention-surgery/more-80-30-day-readmissions-following-surgery-are-due-patient-factors
Aug 10 2015

A KFF analysis finds that over half the country's hospitals will be penalized under CMS's patently flawed hospital readmissions reduction policy, which the agency has stubbornly refused to fix or enough acknowledge is very, very poorly designed.  Most of the hospitals that won't be penalized are exempt from being evaluated.

http://khn.org/news/half-of-nations-hospitals-fail-again-to-escape-medicares-readmission-penalties/
Jun 30 2015

A study in Lancet suggests that patients have better outcomes if they are readmitted to hospitals where the initial admission occurred.

http://www.thelancet.com/journals/lancet/article/PIIS0140-6736(15)60087-3/abstract
Jun 04 2015

A study published in the Annals of Internal Medicine finds differences in patients readmitted soon after hospital discharge versus those readmitted later in a 30-day window, informing strategies to prevent readmissions.

http://annals.org/article.aspx?articleid=2299852
Apr 13 2015

A new study in JAMA Internal Medicine finds that functional impairment is linked to risk of more hospital readmissions among Medicare beneficiaries, but the current penalty program fails to take these very common circumstances into account.

http://archinte.jamanetwork.com/article.aspx?articleID=2107610&utm_source=Silverchair%20Information%20Systems&utm_medium=email&utm_campaign=ArchivesofInternalMedicine%3ANewIssue04%2F07%2F2015&utm_campaign=KHN%3A+Daily+Health+Policy+Report&utm_source=hs_email&utm_medium=email&utm_content=17012651&_hsenc=p2ANqtz--86WArNUdcrUhK-q4IWxS8YUjNyYBua4BCp2kw--BYk2acxU_784_YgBDfD-0OR6kpCjIcrw1k1_k347HiXiim2CJfsw&_hsmi=17012651
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