Readmissions at a Public Safety Net Hospital

Readmissions at a Public Safety Net Hospital

OBJECTIVE We aimed to determine factors related to avoidability of 30-day readmissions at our public, safety net hospital in the United States (US). METHODS We prospectively reviewed medical records of adult internal medicine patients with scheduled and unscheduled 30-day readmissions. We also interviewed patients if they were available. An independent panel used pre-specified, objective crit...

Higher readmissions at safety-net hospitals and potential policy solutions.

The Hospital Readmissions Reduction Program (HRRP), established by the Affordable Care Act, ties a hospital's payments to its readmission rates--with penalties for hospitals that exceed a national benchmark--to encourage hospitals to reduce avoidable readmissions. This new Commonwealth Fund analysis uses publicly reported 30-day hos­pital readmission rate data to examine whether safety-net hosp...

Stresses to the Safety Net: The Public Hospital Perspective

Potentially Preventable 30-Day Hospital Readmissions at a Children's Hospital.

BACKGROUND AND OBJECTIVES Hospital readmission rates are increasingly used to assess quality. Little is known, however, about potential preventability of readmissions among children. Our objective was to evaluate potential preventability of 30-day readmissions using medical record review and interviews. METHODS A cross-sectional study in 305 children (<18 years old) readmitted within 30 days ...

Collaborative Interventions Reduce Time-to-Thrombolysis for Acute Ischemic Stroke in a Public Safety Net Hospital.

BACKGROUND AND PURPOSE Shorter time-to-thrombolysis in acute ischemic stroke (AIS) is associated with improved functional outcome and reduced morbidity. We evaluate the effect of several interventions to reduce time-to-thrombolysis at an urban, public safety net hospital. METHODS All patients treated with tissue plasminogen activator for AIS at our institution between 2008 and 2015 were inclu...