BACKGROUND The Patient Protection and Affordable Care Act established the Hospital Readmission Reduction Program (HRRP) to penalize hospitals with excessive 30-day hospital readmissions of Medicare enrollees for specific conditions. This policy was aimed at increasing the quality of care delivered to patients and decreasing the amount of money paid for potentially preventable hospital readmissi...

Evidence Summary In 2007, the Medicare Payment Advisory Committee reported that 18% of hospital admissions resulted in a readmission, of which 76% were potentially avoidable.1 The development of a clinical decision rule to identify patients at risk of readmission could aid in directing interventions and resources, potentially improving cost-effectiveness of care and reducing postdischarge morta...

Background and Purpose: Hospital readmission after kidney transplantation is a real challenge for both patients and healthcare systems. Assessment of the risk factors of readmission after kidney transplantation is vital and can reduce morbidity and cost in transplant recipients and donors. The aim of the current study was to determine the risk factors of hospital readmission in patients undergo...

background at altnagelvin, a district general hospital in northern ireland, we have observed that a significant number of hip fracture admissions are later readmitted for treatment of other medical conditions. these readmissions place increasing stress on the already significant burden that orthopedic trauma poses on national health services. objectives the aim of this study was to review a ser...

CONTEXT Surgical treatment for proximal humerus fractures has increased exponentially. Recent health care policies incentivize centers to reduce hospital readmission rates. Better understanding of risk factors for readmission and early mortality in this population will assist in identifying favorable risk-benefit patient profiles. OBJECTIVE To identify incidence and risk factors of 30-day hos...

Medicare penalises hospitals that have higher than expected rates of readmissions within 30 days of discharge. The penalties are imposed to ensure hospitals make en effort to improve quality of care and focus more on proper discharge planning. Medicare levied penalties accumulating to $428 million on 2600 hospitals in 2014. The largest penalties were imposed on hospitals that serve disadvantage...

BACKGROUND AND PURPOSE Unplanned hospital readmission is a devastating experience for patients and is costly for society. This study determined the 60-day unplanned readmission rate and its predicting factors in patients with chronic conditions. METHODS A total of 334 patients discharged from five hospitals were followed for 2 months after discharge. Patients enrolled in the study were disabl...

Hospital readmission of patients discharged to skilled nursing facilities (SNFs) is common and costly with increasing public attention over the past decade, particularly in light of the new health care environment surrounding the advent of the Affordable Care Act. The purpose of the current systematic review is to critically examine prevalence, predictors, and costs of hospital readmission of S...

BACKGROUND The Hospital Readmission Reduction Program (HRRP) penalizes hospitals for high all-cause unplanned readmission rates. Many have expressed concern that hospitals serving patient populations with more comorbidities, lower incomes, and worse self-reported health status may be disproportionately penalized by readmissions that are not clinically related to the index admission. The impact ...

BACKGROUND Current 30-day readmission models used by the Center for Medicare and Medicaid Services for the purpose of hospital-level comparisons lack measures of socioeconomic status (SES). We examined whether the inclusion of an SES measure in 30-day congestive heart failure readmission models changed hospital risk-standardized readmission rates in New York City (NYC) hospitals. METHODS AND ...