The recent regulatory changes enacted by the Centers for Medicare and Medicaid Services (CMS) have identified hospital readmission rates as a critical healthcare quality metric. This research focuses on the utilization of pay-for-performance (P4P) mechanisms to cost effectively reduce hospital readmission rates and meet the regulatory standards set by CMS. Using the experimental economics labor...

PURPOSE The purpose of this study was to identify data available at the time of hospital admission that predict readmission risk. METHODS We performed a retrospective multiple regression analysis of 958 adult, nonpregnant patients admitted to the Family Medicine Service between June 2012 and October 2013. Data were abstracted from hospital administrative sources and electronic medical records...

OBJECTIVES There is little research into the constituents of effective psychiatric inpatient care. The aim of this study was to assess the effectiveness of a newly adopted model of inpatient care; the acute assessment ward. DESIGN Review of data collected over a year-long period. SETTING Acute assessment ward in North London. PARTICIPANTS All Admissions between 8 October 2009 and 7 Octobe...

Abstract Background Postoperative pulmonary complications (PPCs) are associated with perioperative mortality and morbidity. Obesity physiologically affects respiratory function thus could be a risk factor for PPCs. The aim of this study was to clarify the effect high body mass index (BMI) other factors on development PPCs course. Methods This retrospectively analyzed patients admitted intensive...

BACKGROUND Inpatient admissions for chronic obstructive pulmonary disease (COPD) represent a significant economic burden, accounting for over half of direct medical costs. Reducing 30-day readmissions could save health care resources while improving patient care. Recently, the Patient Protection and Affordable Care Act authorized reduced Medicare payments to hospitals with excess readmissions f...

Reductions in hospital readmissions (also referred to as rehospitalizations) have been identified by Congress and President Obama as a source for reducing Medicare spending. The Medicare Payment Advisory Commission (MedPAC) reported that in 2005, 17.6% of hospital admissions resulted in readmissions within 30 days of discharge, 11.3% within 15 days, and 6.2% within 7 days. In addition, variatio...

PURPOSE/OBJECTIVES To determine readmission rates post-pancreaticoduodenectomy (PD), readmission reasons following PD, and patients' postoperative education prior to discharge. DESIGN Retrospective, descriptive study of established medical records of patients who have undergone PD from 2006-2008. SETTING PD cohort from a pancreatic cancer program. SAMPLE 62 patients aged 18 years or older...

There are several factors that lead to early return of patients to the medical centers. These could be due to latent illnesses, misdiagnosis or even inadequate medical care due to staff being worn out (1, 2). Determining the mentioned factors could help decrease the rate of readmission, restore patient’s confidence in health centers and decrease the cost of medical care. Chi lung Wu et al. in 2...

Abstract Background To assess the incidence and causative factors of unplanned hospital readmission within 90 days after surgical treatment thoracic spinal stenosis (TSS). Methods Hospital administrative database was queried to identify patients who underwent TSS from July 2010 through December 2017. All readmissions discharge were reviewed for causes rate calculated. Patients matched 1:3 a con...

In 2013, of 26 billion dollars spent on patient readmissions in Medicare, an estimated 17 billion of this was generated by readmissions caused by avoidable factors. The most preventable of these factors and arguably the most severe are improper administration of therapy and medication. To combat this, we are developing a lean, smartphone-based telemedical system that not only provides personal ...