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Availability of Beds, Poverty Drive Costly Hospital Readmissions
Date:5/11/2012

higher readmission rates were more likely to have a greater number of physicians and hospital beds. These supply-side factors accounted for 17 percent of the discrepancy in readmission rates.

The researchers also found the patients at these hospitals were likely to be poor, black and relatively sicker. Poverty and minority racial makeup accounted for 9 percent of the difference in readmission rates.

Meanwhile, hospital-performance quality accounted for 5 percent of the difference in readmission rates, and the severity of patients' illness accounted for 4 percent.

The U.S. Centers for Medicare and Medicaid Services plans to reduce payments to hospitals with higher-than-average 30-day readmission rates related to heart failure, heart attack and pneumonia next year, according to the authors. They argued this measure ignores the supply-side factors and societal influences driving readmission rates.

"To really address the readmissions issue, we need to think about this in terms of community and population health," Joynt noted. "Focusing on community-level factors -- such as the supply and mix of physicians and targeting efforts towards poor and minority communities -- may be more fruitful approaches to reducing readmissions. We need to think outside the walls of the hospital."

The study was expected to be presented Friday at the American Heart Association's Quality of Care and Outcomes Research meeting in Atlanta. Because this study was presented at a medical meeting, the data and conclusions should be viewed as preliminary until published in a peer-reviewed journal.

More information

The U.S. Department of Health and Human Services provides more information on hospital readmissions.

-- Mary Elizabeth Dallas

SOURCE: Amer
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