Document Detail


Hospital readmission rates: the impacts of age, payer, and mental health diagnoses.
MedLine Citation:
PMID:  23448921     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
We examine impacts of age, payer, and mental health conditions upon hospital readmissions and the comparability of same-hospital and multiple-hospital readmission rates. Medicaid primary payment and extreme age are associated with significantly higher readmission rates. We find low correlation between same-hospital and multiple-hospital readmission rates and identify urban hospitals with high proportions of Medicaid patients and mental health admissions as factors driving the use of multiple hospitals within readmission chains. Hospital payment incentives and performance measures using readmission rates will be distorted if factors leading to higher readmission rates are ignored, or if readmissions to different hospitals cannot be identified.
Authors:
Richard L Fuller; Graham Atkinson; Elizabeth C McCullough; John S Hughes
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Journal of ambulatory care management     Volume:  36     ISSN:  1550-3267     ISO Abbreviation:  J Ambul Care Manage     Publication Date:  2013 Apr 
Date Detail:
Created Date:  2013-03-01     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7802876     Medline TA:  J Ambul Care Manage     Country:  United States    
Other Details:
Languages:  eng     Pagination:  147-55     Citation Subset:  H    
Affiliation:
3M Health Information Systems, Silver Spring, Maryland (Mr Fuller and Ms McCullough); JKTG Foundation for Health and Policy, Highland, Maryland (Dr Atkinson); and Yale University School of Medicine, Internal Medicine, New Haven, CT (Dr Hughes).
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