Hospital quality independently impacts readmission rates

September 15, 2017

(HealthDay)—Hospital quality contributes to readmission rates independent of factors involving patients, according to a study published in the Sept. 14 issue of the New England Journal of Medicine.

Harlan M. Krumholz, M.D., from the Yale-New Haven Hospital in Connecticut, and colleagues divided the Centers for Medicare & Medicaid Services hospital-wide measure cohort into two random samples. The first was used to calculate the risk-standardized readmission rate within 30 days for each hospital, with hospitals classified into performance quartiles. The study sample identified from the second sample included patients with two admissions for similar diagnoses at different hospitals. Readmission rates were compared among patients who had been admitted to hospitals in different performance quartiles.

The researchers found that the median risk-standardized readmission rate was 15.5 percent in the performance-classification sample. In the study sample (37,508 patients with two admissions for similar diagnoses at 4,272 different hospitals), the observed readmission rate was higher for patients admitted to hospitals in a worse-performing versus a better-performing quartile. The only significant difference was seen when patients were admitted to hospitals in which one was in the best-performing and one in the worst-performing quartile (absolute difference in readmission rate, 2.0 percentage points).

"The findings suggest that quality contributes in part to independent of factors involving ," the authors write.

Explore further: Study examines readmission after colorectal cancer surgery as quality measure

More information: Abstract/Full Text (subscription or payment may be required)

Related Stories

Study examines readmission after colorectal cancer surgery as quality measure

October 22, 2014
No significant variation was found in hospital readmission rates after colorectal cancer surgery when the data was adjusted to account for patient characteristics, coexisting illnesses and operation types, which may prompt ...

Study highlights readmit factors post atrial flutter ablation

August 17, 2017
(HealthDay)—Recognition of factors associated with early readmission for patients after atrial flutter (AFL) ablation is necessary for reducing costs and improving quality of life, according to a study published online ...

Doctors' decisions on initial hospital admissions may affect readmission rates

May 13, 2011
Researchers compared hospitalization rates and rehospitalization rates of patients admitted for heart attack and for heart failure. Heart attack admissions are considered non-discretionary, whereas, heart failure admissions ...

Study: Reducing hospital readmissions does not increase mortality rates

July 18, 2017
Recent advances in reducing hospital readmission rates for three key medical conditions occurred without causing an increase in death rates, according to a new Yale-led study.

Almost one in 10 readmitted after carotid revascularization

April 10, 2015
(HealthDay)—Almost one in 10 Medicare patients undergoing carotid revascularization are readmitted within 30 days, according to a study published in the April 14 issue of the Journal of the American College of Cardiology.

Social factors of patients affect hospital performance measures

May 23, 2017
A team of researchers led by a University of Colorado School of Medicine faculty member found that measures to evaluate readmission rates at children's hospitals would be more accurate if the social factors of the patients ...

Recommended for you

Teen personality traits linked to risk of death from any cause 50 years later

November 20, 2018
Personality traits evident as early as the teenage years may be linked to a heightened or lessened risk of death around 50 years later, suggests observational research of 'baby boomers,' published online in the Journal of ...

One in four U.S. adults sits more than eight hours a day

November 20, 2018
(HealthDay)—Couch Potato Nation: Nearly half of Americans sit for far too many hours a day and don't get any exercise at all, a new study finds.

Emotional abuse may be linked with menopause misery

November 19, 2018
Smoking, obesity and a sedentary lifestyle have long been linked to heightened symptoms of menopause. Now, a study headed by UC San Francisco has identified another factor that may add to menopause torment: an emotionally ...

Bullying and violence at work increases the risk of cardiovascular disease

November 19, 2018
People who are bullied at work or experience violence at work are at higher risk of heart and brain blood vessel problems, including heart attacks and stroke, according to the largest prospective study to investigate the ...

How AI could help veterinarians code their notes

November 19, 2018
A team led by scientists at the School of Medicine has developed an algorithm that can read the typed-out notes from veterinarians and predict specific diseases that the animal may have.

US paves way to get 'lab meat' on plates

November 17, 2018
US authorities on Friday agreed on how to regulate food products cultured from animal cells—paving the way to get so-called "lab meat" on American plates.

0 comments

Please sign in to add a comment. Registration is free, and takes less than a minute. Read more

Click here to reset your password.
Sign in to get notified via email when new comments are made.