Working together: Regional collaboration and readmissions
| Autor: | Nancy J. O. Birkmeyer, Stuart R. Verseman |
|---|---|
| Rok vydání: | 2014 |
| Předmět: |
medicine.medical_specialty
Bariatrics business.industry medicine.medical_treatment Mortality rate MEDLINE Percutaneous coronary intervention medicine.disease Patient Readmission Pneumonia Emergency medicine medicine Humans Childbirth Surgery Myocardial infarction Hospital Costs business Medicaid Quality of Health Care |
| Zdroj: | Surgery for Obesity and Related Diseases. 10:382-384 |
| ISSN: | 1550-7289 |
| Popis: | /10.10 14 A he An rgery ence: hcare Plym kmey@ Hospital readmission rates are increasingly used as an indicator of the quality of care for both medical and surgical conditions. For example, the Centers for Medicare and Medicaid Services Readmissions Reduction Program have reduced payments to hospitals with excess readmissions for acute myocardial infarction, heart failure, and pneumonia since October 1, 2012 [1]. There are now plans to expand this program to include surgical procedures. The Leapfrog Hospital Rewards Program’s efficiency measure includes readmission rates for acute myocardial infarction, pneumonia, childbirth, percutaneous coronary intervention, and coronary artery bypass procedures [2]. Despite their use in numerous national efforts to incentivize improvements in hospital quality, there is still controversy about the use of readmissions for measuring quality. Some studies have shown a lack of association or even inverse relationships between medical readmissions and other quality metrics [3–6]. While readmissions may reflect a hospital’s performance with regard to discharge planning and care coordination, studies showing the highest readmission rates among hospitals with the sickest and poorest patients raise concern about the extent to which readmissions can be attributed to the quality of care provided by the hospital [4,6]. These issues may be a lesser concern for patients undergoing surgery since patients undergoing elective procedures are generally clinically stable at the time. Indeed, a recent large study of postsurgical readmission rates shows the expected relationship with other measures of quality such as morbidity and mortality rates [7]. In bariatric surgery, readmissions seem to be a reasonable quality metric. They are associated with rates of complications as well as hospital and surgeon procedure volume |
| Databáze: | OpenAIRE |
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