Format

Send to:

Choose Destination
See comment in PubMed Commons below
J Ambul Care Manage. 2013 Apr-Jun;36(2):147-55. doi: 10.1097/JAC.0b013e3182866c1c.

Hospital readmission rates: the impacts of age, payer, and mental health diagnoses.

Author information

  • 13M Health Information Systems, Silver Spring, MD 20904, USA. rlfuller@mmm.com

Abstract

We examine impacts of age, payer, and mental health conditions upon hospital readmissions and the comparability of same-hospital and multiple-hospital readmission rates. Medicaid primary payment and extreme age are associated with significantly higher readmission rates. We find low correlation between same-hospital and multiple-hospital readmission rates and identify urban hospitals with high proportions of Medicaid patients and mental health admissions as factors driving the use of multiple hospitals within readmission chains. Hospital payment incentives and performance measures using readmission rates will be distorted if factors leading to higher readmission rates are ignored, or if readmissions to different hospitals cannot be identified.

PMID:
23448921
[PubMed - indexed for MEDLINE]
PubMed Commons home

PubMed Commons

0 comments
How to join PubMed Commons

    Supplemental Content

    Full text links

    Icon for Lippincott Williams & Wilkins
    Loading ...
    Write to the Help Desk