This review examines the effect of unanticipated admission, return hospital visits and readmission on the economics of ambulatory surgery. The overall rate of unanticipated admission was approximately 1% and the overall rate of readmission to hospital was approximately 1%. Ambulatory surgery allows total cost savings of 20-50% when compared with inpatient surgery. If 98% of ambulatory surgery p...

INTRODUCTION Hip fracture is the leading orthopedic discharge diagnosis associated with 30-day readmission in terms of numbers. Because readmission to the hospital following a hip fracture is so common, it adds considerably to the costs on an already overburdened health care system. METHODS Patients aged 65 and older admitted to a 261-bed university-affiliated level 3 trauma center between Ap...

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 ...

BACKGROUND Hospital readmissions are important patient outcomes that can be accurately captured with routinely collected administrative data. Hospital-specific readmission rates have been reported as a quality-of-care indicator. However, the extent to which these measures vary with different calculation methods is uncertain. METHODS We identified all discharges from Ontario hospitals from 200...

BACKGROUND Hospital readmission rates are being used to evaluate performance. A survey of the present rates is needed before policies can be developed to decrease incidence of readmission. We address three questions: What is the present rate of 30-day readmission in orthopedics? How do factors such as orthopedic specialty, data source, patient insurance, and time of data collection affect the 3...

OBJECTIVES To evaluate the effects of Kaua'i Care Transition Intervention (KCTI), a patient-centered intervention program, on reducing hospital readmission rates among patients 60 years or older. STUDY DESIGN A prospective quasi-experimental prepost design. METHODS Hospital admissions data for the year 2010 (January 1 to December 31) served as the baseline data and were used to identify pat...

BackgroundRisk factors for 30-day hospital readmission following coronary artery bypass grafting (CABG) have not been established. Recent studies have reported readmission rates after CABG ranging from 7.1% to 21%, and causes of readmission have varied in different studies. This study was conducted to evaluate probable risk factors of increased morbidity following CABG surgery during the first ...

BACKGROUND Decreasing hospital readmission and patient mortality after hospital dismissal is important when providing quality health care. Interventions recently proposed by the Centers for Medicare and Medicaid Services to reduce avoidable hospital readmissions include providing patients with clear discharge instructions and appointments for timely follow-up visits. Although research has demon...

OBJECTIVES To determine whether hospitals where patients report higher overall satisfaction with their interactions among the hospital and staff and specifically their experience with the discharge process are more likely to have lower 30-day readmission rates after adjustment for hospital clinical performance. STUDY DESIGN Among patients 18 years or older, an observational analysis was condu...

Medicare and other payers have launched initiatives to reduce hospital utilization, especially targeting readmissions within 30 days of discharge. Hospital managers have traditionally contended that hospitals would prosper better by ignoring the penalties for high readmission rates and keeping the beds more full. We aimed to test the financial effects of admissions and readmissions by persons w...