BACKGROUND AND OBJECTIVES Dehydration is a common complication after ileostomy creation and is the most frequent reason for postoperative readmission to the hospital. We sought to determine the clinical and economic impact of an outpatient intervention to decrease readmissions for dehydration after ileostomy creation. METHODS All new ileostomates from 09/2011 through 10/2012 at the University...

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...

Objectives: The Hospital Readmissions Reduction Program reduces payments to hospitals with excess readmissions for three common medical conditions and recently extended its readmission program to surgical patients. We sought to investigate readmission intensity as measured by readmission cost for high-risk surgeries and examine predictors of higher readmission costs. Methods: We used data from ...

Hospital readmission is a key marker of quality of healthcare; it has been used to investigate variation in quality among patients in a broad range of clinical contexts and has become an important policy measure. Notwithstanding its widespread use, however, readmission remains controversial as a measure of quality. Among the concerns raised, whether and how patient deaths are handled in the ana...

BackgroundSocial determinants of health, including neighborhood socioeconomic status (NSES), are increasingly being associated with disparate outcomes in those undergoing cardiac procedures. The objective this study was to determine the effect NSES on after coronary artery bypass grafting (CABG).MethodsAdults isolated CABG between July 2011 and December 2017 were retrospectively reviewed. Neigh...

OBJECTIVES To determine the effect of the critical care outreach team on patient survival to discharge from hospital after discharge from critical care and readmission to critical care. DESIGN Non-randomised population based study. SETTING Tertiary referral teaching hospital with 1200 beds. PARTICIPANTS Patients discharged from the critical care unit after their first or only admission fo...

Post-acute care (PAC) facilities improve patient recovery, as measured by activities of daily living, rehabilitation, hospital readmission, and survival rates. Seamless transitions between discharge and PAC settings continue to be challenges that hamper patient outcomes, specifically problems with effective communication and coordination between hospitals and PAC facilities at patient discharge...

Abstract BACKGROUND CONTEXT Extended length of stay (extLOS) and unplanned readmissions after first time pediatric spinal deformity surgery are a considerable challenge to both the patient health-care system. To our knowledge, only limited number nationwide studies reporting short-term comorbidity with complete follow-up exist. PURPOSE The purpose this study was identify postoperative complicat...

BACKGROUND Nonadherence with medication is a major factor that influences acute psychiatric hospital readmission. Pharmacists can positively influence rapid psychiatric readmission due to nonadherence by counseling patients and providing filled prescriptions on discharge. OBJECTIVE This study is a retrospective evaluation of a pharmacist-driven discharge medication service for hospitalized ps...

BACKGROUND Congestive heart failure (CHF) is one of the leading causes of hospital readmissions within 30 days of discharge. Due to the substantial costs associated with these readmissions, several interventions to reduce CHF readmissions have been developed and implemented. METHODS To reduce CHF readmissions at our community teaching hospital, the Smooth Transitions Equal Less Readmission (S...