» Articles » PMID: 31682487

Did Hospital Readmissions Fall Because Per Capita Admission Rates Fell?

Overview
Specialty Health Services
Date 2019 Nov 5
PMID 31682487
Citations 10
Authors
Affiliations
Soon will be listed here.
Abstract

Recent reductions in hospital readmission rates have been attributed to the Hospital Readmissions Reduction Program. However, admission rates also declined during the same period. We found that because the probability of an admission occurring soon after another is lower when there are fewer admissions per patient, the reduction in admission rates may explain much of the reduction in readmission rates.

Citing Articles

Trends in observation stays for Medicare beneficiaries with and without Alzheimer's disease and related dementias.

Burke L, Burke R, Duggan C, Figueroa J, Boltz M, Fick D J Am Geriatr Soc. 2024; 72(5):1442-1452.

PMID: 38546202 PMC: 11090746. DOI: 10.1111/jgs.18890.


Medicare's Hospital Readmission Reduction Program reduced fall-related health care use: An unexpected benefit?.

Hoffman G, Alexander N, Ha J, Nguyen T, Min L Health Serv Res. 2023; 59(1):e14246.

PMID: 37806664 PMC: 10771912. DOI: 10.1111/1475-6773.14246.


Accounting for the Growth of Observation Stays in the Assessment of Medicare's Hospital Readmissions Reduction Program.

Sabbatini A, Joynt-Maddox K, Liao J, Basu A, Parrish C, Kreuter W JAMA Netw Open. 2022; 5(11):e2242587.

PMID: 36394872 PMC: 9672971. DOI: 10.1001/jamanetworkopen.2022.42587.


Promise and Pitfalls of Paying-for-Performance: Learning From the Polish Experience.

Oseran A, Wadhera R Circ Cardiovasc Qual Outcomes. 2021; 14(8):e008273.

PMID: 34380329 PMC: 8530453. DOI: 10.1161/CIRCOUTCOMES.121.008273.


Applying Hospital Readmissions to Oncology: A Square Peg in a Round Hole?.

Hong A, Halm E JCO Oncol Pract. 2021; 18(1):7-10.

PMID: 34357787 PMC: 8758117. DOI: 10.1200/OP.21.00320.


References
1.
Dharmarajan K, Qin L, Lin Z, Horwitz L, Ross J, Drye E . Declining Admission Rates And Thirty-Day Readmission Rates Positively Associated Even Though Patients Grew Sicker Over Time. Health Aff (Millwood). 2016; 35(7):1294-302. DOI: 10.1377/hlthaff.2015.1614. View

2.
Graham K, Auerbach A, Schnipper J, Flanders S, Kim C, Robinson E . Preventability of Early Versus Late Hospital Readmissions in a National Cohort of General Medicine Patients. Ann Intern Med. 2018; 168(11):766-774. PMC: 6247894. DOI: 10.7326/M17-1724. View

3.
Ibrahim A, Dimick J, Sinha S, Hollingsworth J, Nuliyalu U, Ryan A . Association of Coded Severity With Readmission Reduction After the Hospital Readmissions Reduction Program. JAMA Intern Med. 2017; 178(2):290-292. PMC: 5838609. DOI: 10.1001/jamainternmed.2017.6148. View

4.
Ody C, Msall L, Dafny L, Grabowski D, Cutler D . Decreases In Readmissions Credited To Medicare's Program To Reduce Hospital Readmissions Have Been Overstated. Health Aff (Millwood). 2019; 38(1):36-43. DOI: 10.1377/hlthaff.2018.05178. View

5.
Zuckerman R, Sheingold S, Orav E, Ruhter J, Epstein A . Readmissions, Observation, and the Hospital Readmissions Reduction Program. N Engl J Med. 2016; 374(16):1543-51. DOI: 10.1056/NEJMsa1513024. View