Navigation Links
20 percent of hospitalized Medicare patients readmitted to hospital within 30 days
Date:4/1/2009

New York, NY, April 1, 2009One of five Medicare beneficiaries discharged from the hospital is readmitted within 30 days, and half of non-surgical patients are readmitted to the hospital without having seen an outpatient doctor in follow-up, according to a Commonwealth Fund-supported study in today's New England Journal of Medicine. All told, unplanned rehospitalizations cost Medicare $17.4 billion in 2004, the study says. The study, "Rehospitalizations Among Patients in the Medicare Fee-for-Service Program," by Stephen Jencks, M.D., M.P.H., Mark V. Williams, M.D., and Eric A. Coleman, M.D., M.P.H., highlights the costs and health impact of rehospitalization. It also details the key reasons for rehospitalizations, and highlights gaps in patient management that may be contributing to the high rates.

"Health care reform is front and center on the national stage. As policymakers debate reform proposals, it's important for them to consider policies that will foster care integration and coordination while encouraging hospitals to reduce readmissions," said Commonwealth Fund Vice President Anne-Marie Audet, M.D. "Payment reform that provides the right incentives for patient-centered care is a win for everyone. We can improve patients' lives and health, save our health care system billions of dollars, and strengthen the primary care system."

The researchers found wide variation in rehospitalization rates among states. Between October 2003 and December 2004, the five states with the highest rehospitalization rates (Maryland, New Jersey, Louisiana, Illinois, and Mississippi) had rates 45 percent higher than the five states with the lowest rates (Idaho, Utah, Oregon, Colorado, and New Mexico).

They also found variation in the reasons for rehospitalization. Most patients were rehospitalized for conditions other than those for which they were originally hospitalized. The rehospitalizations were so rapid that these conditions should probably have been the focus of discharge planning in many cases. Overall, 73 percent of patients who were initially in the hospital for surgery were readmitted for medical diagnoses such as pneumonia, heart failure, or bacterial infections. The study also showed that a history of rehospitalization and prolonged length of hospital stay were stronger predictors of rehospitalization than age, gender, race, poverty, or disability.

The authors suggest several steps to reduce rehospitalizations including: interventions to better educate patients about self-care in the hospital discharge process; helping hospitals better understand their comparative performance on readmissions by providing them readmission data for their patients including those who were rehospitalized elsewhere; collaboration between physicians and hospitals to ensure patients get follow-up care; and follow-up care from a primary care doctor as well as a surgeon for surgery patients.

"You have to worry about a system in which patients are rehospitalized soon after discharge with no bill for a physician visit in between," said Dr. Jencks. "If we want to prevent unplanned rehospitalizations, we have to help hospitals and community healthcare providers implement transition procedures that are more patient-centered. Patients and families should leave the hospital with a firm follow-up appointment and knowing what to take, what to do, who to call if something unexpected happens, and who they will see and when for follow-up. Doing less is unsafe because, as this study shows, almost all of these patients are high risktwo-thirds will be rehospitalized or die within a year of leaving the hospital."


'/>"/>

Contact: Mary Mahon
mm@cmwf.org
212-606-3853
Commonwealth Fund
Source:Eurekalert

Related medicine news :

1. Stanford Study on CyberKnife Radiosurgery for Prostate Cancer Demonstrates 100 Percent PSA Response at 33 months
2. Kaiser Permanente Pilot Reduces Cardiac Deaths by 73 Percent
3. MEDRAD(R) Revenues Grow 10 Percent in 2008
4. As a Result of the FDA Investigation Into TNF-Alpha Inhibitors, 30 Percent of Surveyed Rheumatologists Have Altered Their Prescription Patterns for Juvenile Idiopathic Arthritis
5. Physical abuse raises womens health costs over 40 percent
6. CDC analysis finds unique social and behavior intervention helps reduce MRSA rates up to 62 percent
7. Tennis Growth Skyrockets 43 Percent!
8. PSA screening cuts deaths by 20 percent
9. Black girls are 50 percent more likely to be bulimic than white girls
10. Highmark Facilities Reduced Energy Consumption by 5.6 Percent in 2008
11. New Poll: 72 Percent of Minnesotans Support Tobacco Tax Increase
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:6/26/2016)... ... June 26, 2016 , ... On June 10-11, 2016, A Forever Recovery, a ... and World’s Longest Breakfast Table in Battle Creek, MI, where the rehabilitation facility is ... to some of the world’s leading providers of cereal and other breakfast foods. Its ...
(Date:6/25/2016)... ... 25, 2016 , ... Experts from the American Institutes for ... Meeting June 26-28, 2016, at the Hynes Convention Center in Boston. , AIR ... care planning, healthcare costs and patient and family engagement. , AIR researchers will ...
(Date:6/25/2016)... ... , ... As a lifelong Southern Californian, Dr. Omkar Marathe earned his Bachelors ... Geffen School of Medicine at UCLA. He trained in Internal Medicine at Scripps Green ... hematology/oncology at the UCLA-Olive View-Cedars Sinai program where he had the opportunity to train ...
(Date:6/24/2016)... Marne, Michigan (PRWEB) , ... June 24, 2016 , ... ... To deal with these feelings, many turn to unhealthy avenues, such as drug or ... Center of Marne, Michigan, has released tools for healthy coping following a traumatic event. ...
(Date:6/24/2016)... (PRWEB) , ... June 24, 2016 , ... ... now offering micro-osteoperforation for accelerated orthodontic treatment. Dr. Cheng has extensive experience with ... Damon brackets , AcceleDent, and accelerated osteogenic orthodontics. , Micro-osteoperforation is a ...
Breaking Medicine News(10 mins):
(Date:6/26/2016)... 26, 2016 Story Highlights: ... models within the health care industry is causing providers ... , Deloitte offers a suite of solutions for ... impacting efficient cost optimization: labor resource analysis, revenue cycle ... facilitate better outcomes and better economics ...
(Date:6/24/2016)... CAMBRIDGE, Mass. , June 24, 2016 /PRNewswire/ ... the Spaulding Rehabilitation Network,s Dean Center for ... of Physical Medicine and Rehabilitation, MIT Hacking Medicine, ... Center for Innovation, today announced the five finalists ... Hackathon for Lyme disease.  More than 100 scientists, ...
(Date:6/24/2016)... , June 24, 2016 Dehaier Medical Systems ... "Company"), which develops, markets and sells medical devices and ... , signed a strategic cooperation agreement with Hongyuan Supply ... Supply Chain") on June 20, 2016, to develop Dehaier,s ... strategic cooperation agreement, Dehaier will leverage Hongyuan Supply Chain,s ...
Breaking Medicine Technology: