Search results for "Readmissions"
Readmission rates held steady during pandemic, AHRQ brief finds
Statistics from the Agency for Healthcare Research and Quality (AHRQ) showed that in 2020, admissions for blood diseases carried the highest readmission rate, and Medicare was the payer associated with the highest readmission rate.
https://acphospitalist.acponline.org/archives/2023/10/18/readmission-rates-held-steady-during-pandemic-ahrq-brief-finds.htm
18 Oct 2023
Readmission penalties didn't improve COPD exacerbation care
The percentage of patients hospitalized with chronic obstructive pulmonary disease (COPD) who received recommended care increased at a rate of 0.16% per month before implementation of the Hospital Readmissions Reduction Program compared to 0.01% per month in the four years after.
https://acphospitalist.acponline.org/archives/2022/08/10/readmission-penalties-didnt-improve-copd-exacerbation-care.htm
10 Aug 2022
Availability of postdischarge care associated with readmission rates
Hospitals in areas with more primary care physicians and licensed nursing home beds per capita had lower readmission rates for acute myocardial infarction, heart failure, and pneumonia, a new study found.
https://acphospitalist.acponline.org/archives/2022/07/06/availability-of-postdischarge-care-associated-with-readmission-rates.htm
6 Jul 2022
Timely follow-up after hospitalization may reduce disparities in readmissions
In a retrospective cohort study of Medicare beneficiaries, follow-up within seven days of discharge was associated with reduced 30-day readmissions and was predicted to help mitigate higher readmission rates among Black and dual-eligible patients.
https://acphospitalist.acponline.org/archives/2022/04/06/free/timely-follow-up-after-hospitalization-may-reduce-disparities-in-readmissions.htm
6 Apr 2022
Communications interventions at discharge may improve readmissions, adherence
A meta-analysis showed that readmission rates among patients who received communication interventions at discharge were 9.1% compared to 13.5% among those who did not. Patient satisfaction was also significantly higher: 60.9% were satisfied versus 49.5% of controls.
https://acphospitalist.acponline.org/weekly/archives/2021/09/01/4.htm
1 Sep 2021
Care coordination program linked to reduced readmission rates in large health system
A study of 21 hospitals in an integrated health system in California found that a postdischarge intervention targeted at patients at 25% or higher predicted risk of 30-day readmission or mortality was associated with decreased rates of readmission, but not mortality, in the 30 days after discharge.
https://acphospitalist.acponline.org/weekly/archives/2021/08/18/4.htm
18 Aug 2021
Readmissions for heart failure within 90 days linked to long-term mortality risk
A registry study in Japan found that risk for all-cause death was increased whether patients were readmitted within 30 or 90 days of an index admission for heart failure.
https://acphospitalist.acponline.org/weekly/archives/2020/05/13/5.htm
13 May 2020
Recent heart failure readmission and mortality trends differ in U.S., Canada
In both countries, readmissions and 30-day mortality after acute myocardial infarction dropped, but Canada saw less change in heart failure readmissions and a drop rather than a rise in heart failure mortality.
https://acphospitalist.acponline.org/weekly/archives/2020/02/26/4.htm
26 Feb 2020
Program targeting superutilizers did not reduce readmission rates in randomized trial
The results suggest that approaches to care management designed to connect patients with existing resources may be insufficient for a medically and socially complex superutilizer population, study authors said.
https://acphospitalist.acponline.org/weekly/archives/2020/01/15/1.htm
15 Jan 2020
Observation, ED treat-and-discharge visits rose in parallel with drop in readmissions
A new analysis of the Hospital Readmissions Reduction Program found that hospital revisits within 30 days actually increased among Medicare patients admitted for heart failure, acute myocardial infarction, or pneumonia from 2012 to 2015.
https://acphospitalist.acponline.org/weekly/archives/2019/08/21/3.htm
21 Aug 2019
Most Medicare readmissions were for diagnoses different from index hospitalization
Physicians should consider a holistic approach to planning postdischarge care while being mindful of patients' financial and logistical limitations, the study authors suggested.
https://acphospitalist.acponline.org/weekly/archives/2019/07/03/3.htm
3 Jul 2019
Disadvantaged neighborhoods and safety-net hospitals had higher readmission rates
A retrospective analysis of Maryland hospital patients found that 30-day readmission rates varied from 14.1% to 12.5% with the disadvantage level of patients' home neighborhoods and from 14.8% to 11.6% with a hospital's safety-net status.
https://acphospitalist.acponline.org/weekly/archives/2019/07/03/4.htm
3 Jul 2019
Readmissions higher with Medicare Advantage than traditional Medicare, study suggests
Many admissions of Medicare Advantage beneficiaries for acute myocardial infarction, congestive heart failure, or pneumonia were missing from the Healthcare Effectiveness Data and Information Set, and their absence appeared to affect readmission rate measurement.
https://acphospitalist.acponline.org/weekly/archives/2019/06/26/4.htm
26 Jun 2019
Functional mobility was strongest predictor of readmissions after MI in elderly
Researchers identified eight variables that they combined to predict 30-day readmissions among patients ages 75 years and older, with the most significant being a slow result on the Timed Up and Go test.
https://acphospitalist.acponline.org/weekly/archives/2019/05/01/4.htm
1 May 2019
1 in 4 PCI patients have unplanned readmission within six months, study finds
Patients are at greatest risk of an unplanned readmission within seven days of discharge, with the majority of readmissions occurring within 30 days, researchers noted.
https://acphospitalist.acponline.org/weekly/archives/2019/04/03/3.htm
3 Apr 2019
Heart failure readmissions were on the decline before HRRP began
Readmission rates and trends were similar for patients with heart failure as a primary or secondary diagnosis, according to a retrospective study of Medicare admissions before and after the start of the Hospital Readmissions Reduction Program (HRRP).
https://acphospitalist.acponline.org/weekly/archives/2019/03/06/4.htm
6 Mar 2019
Coding change may explain half of reduction in readmissions seen under the HRRP
Either Medicare's Hospital Readmissions Reduction Program (HRRP) had no effect on readmissions or it led to a systemwide reduction in readmissions, even in conditions and hospitals not targeted by the program, according to the authors of a new study.
https://acphospitalist.acponline.org/weekly/archives/2019/01/16/1.htm
16 Jan 2019
Score predicts 90-day readmission risk after myocardial infarction
Predictive factors that could be identified before discharge included age, heart failure, heart rate, dialysis, diabetes, cerebrovascular disease, peripheral artery disease, and chronic lung disease.
https://acphospitalist.acponline.org/weekly/archives/2018/10/24/2.htm
24 Oct 2018
Risk adjustment for more patient, population characteristics could reduce readmission penalties
Researchers assessed the impact of adjusting for hospitals' cumulative chronic disease burden; quantity of patients who were dual-eligible, disabled, or long-term nursing home residents; and other area-level socioeconomic variables.
https://acphospitalist.acponline.org/weekly/archives/2018/09/26/4.htm
26 Sep 2018
Intensive transition intervention failed to reduce readmissions of high-risk patients
Patients in the intervention group were assigned to a program that bridged inpatient, outpatient, and home settings, providing virtual and in-person access to a dedicated multidisciplinary team for 30 days after hospitalization.
https://acphospitalist.acponline.org/weekly/archives/2018/08/22/1.htm
22 Aug 2018