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Reconsidering Hospital Readmission Measures
- Source :
- Journal of hospital medicine. 12(12)
- Publication Year :
- 2017
-
Abstract
- Current hospital readmission measures are part of the Centers for Medicare & Medicaid Services Five-Star Quality Rating System but are inadequate for reporting hospital quality. We review potential biases in the readmission measures and offer policy recommendations to address these biases. Hospital readmission rates are influenced by multiple sources of variation (eg, mix of patients served, bias in the performance measure); true differences in quality of care are often a much smaller source of this variation. Thus, variation from caring for large proportions of socioeconomically disadvantaged or tertiary-care patients will bias a hospital's ratings. Ratings aside, readmission measures may indirectly harm patients because low readmission rates do not correlate with reduced mortality, yet the Five-Star Quality Rating System weighs readmission equally with mortality. We propose that hospital quality rankings not use readmission measures as currently constructed.
- Subjects :
- medicine.medical_specialty
Leadership and Management
Hospital quality
MEDLINE
Assessment and Diagnosis
Patient Readmission
Centers for Medicare and Medicaid Services, U.S
03 medical and health sciences
0302 clinical medicine
Bias
030225 pediatrics
medicine
Humans
Hospital Mortality
Quality of care
Care Planning
Quality Indicators, Health Care
Hospital readmission
business.industry
Health Policy
General Medicine
Hospitals
United States
Harm
SOCIOECONOMICALLY DISADVANTAGED
Quality rating
030220 oncology & carcinogenesis
Emergency medicine
Fundamentals and skills
business
Medicaid
Subjects
Details
- ISSN :
- 15535606
- Volume :
- 12
- Issue :
- 12
- Database :
- OpenAIRE
- Journal :
- Journal of hospital medicine
- Accession number :
- edsair.doi.dedup.....73570cee070d26a7ec9e13be4007d0e8