Readmission penalties may not drive observation stays in lieu of readmissions | ACP Hospitalist Weekly | ACP Hospitalist
Use of observation rose from 2007 to 2015, but both for diagnoses targeted by readmission penalties and those not targeted, and there was no hospital-level association with readmissions.
Researchers begin to investigate patient-reported outcomes.
Decreased hospital readmission rates not linked to increased postdischarge mortality, study finds | ACP Hospitalist Weekly | ACP Hospitalist
The analysis of Medicare admissions for heart failure, myocardial infarction, and pneumonia found a weak but significant correlation between reductions in 30-day readmissions and reductions in 30-day mortality rates postdischarge.
This month's issue focuses on reducing heart failure readmissions, improving ICU care, and combating sexual harassment in medicine.
Some transitional care interventions more effective than others for reducing readmissions and mortality after hospitalizations for heart failure | ACP Hospitalist Weekly | ACP Hospitalist
Home-visit programs and multidisciplinary clinics reduced all-cause readmissions and mortality for up to 6 months following hospitalizations for heart failure, a meta-analysis found.
Penalties positive step but should evolve into focus on value-based care, experts say.
Patients discharged during holiday season had less timely follow-up and higher risk of death or readmission | ACP Hospitalist Weekly | ACP Hospitalist
“Rather than rushing to get patients home, hospital clinicians should pay attention to discharge planning for this vulnerable group,” the study authors wrote.
30-day readmission rates for stroke highest among those with intracerebral hemorrhage | ACP Hospitalist Weekly | ACP Hospitalist
Readmissions after stroke decreased an average of 3.3% annually from 2010 to 2014, and 30-day readmission risk was significantly higher in patients who were discharged from nonteaching hospitals with high numbers of stroke discharges.
The Hospital to Home program targets changes by 2012.
Readmission appears common after revascularization for peripheral arterial disease | ACP Hospitalist Weekly | ACP Hospitalist
At 30 days, the rate of nonelective readmissions was 17.6%, and patients were most commonly readmitted for procedural complications, sepsis, diabetes-related complications, and gangrene.