Readmissions Bulletin
  Complimentary from the publishers of Care Analytics News       September 2019  
       
  Sponsor Message  
Quote
  "While the spirit of the HRRP is to push hospitals to improve discharge planning and care transitions, to reduce the likelihood of returning to the hospital, mounting evidence suggests the program has had unintended effects. Our study suggests that health care systems are intensifying efforts to treat patients who come back to a hospital in ERs and as observation stays, potentially to make their readmission rates look lower."

- Dr. Rishi K. Wadhera, Beth Israel Deaconess Medical Center and Harvard Medical School in Boston.
 
Factoid
  "After adjustment for confounding variables, such as baseline demographics, health literacy, primary diagnosis, comorbidities, readmission risk scores, and prior hospitalizations, patients receiving TCC [Transition Care Coordinator] Care had a 49% reduction in 30-day readmissions and a 41% reduction in 90-day readmissions."

Excerpted from: Care Analytics News, Care Intervention Edition, Volume 12, Number 10, September 2019, "Targeting Transitions of Care to Reduce Readmissions: More is Not Always Better," by Robyn A. Tamboli, PhD and Sunil Kripalani, MD, MSc, SFHM.
 
 
What's News
  Readmissions After Acute Myocardial Infarction: How Often Do Patients Return?
Journal of the American Heart Association, September 20, 2019
 
     
  Effect of HRRP on Hospital Readmissions and Mortality Rates
Journal of Hospital Medicine, abstract only, September 18, 2019
 
     
  Incidence & Characteristics Assoc. with Readmission after Discharge to Hospice
Journal of Palliative Medicine, abstract only, September 12, 2019
 
     
Long-term asthma-related readmissions: children admitted & not admitted
Journal of Asthma, abstract only, September 6, 2019
  Effects of Transitional Care on Readmission & Mortality in Subjects With COPD
Respiratory Care, abstract only, September 2019
 
     
  Derivation of a Model to Predict Readmission in Surgical Patients Discharged
The Journal of Post-Acute and Long-Term Care Medicine, abstract only, September 2019
 
     
  Rate & causes of maternal morbidity at readmission: Calif births in 2008–2012
Nature, abstract only, August 28, 2019
 
     
  Hospitals treat patients without admitting them, to avoid penalties
Reuters, August 22, 2019
 
     
  Banning hospital advertising could increase readmissions, study finds
Becker's Hospital Review, August 20, 2019
 
     
  Discharge incentives in ERs could lead to higher patient readmission rates
Science Daily, August 20, 2019
 
     
Insights
  6 Strategies for Your Hospital Readmissions Reduction Program
Managed Healthcare Executive, September 12, 2019
 
     
  Hospital readmission rates, costs high in dermatology
Healio Dermatology, September 3, 2019
 
     
  To lower readmission rates, focus on the intersection of cost and quality
Inside Angle/3M, August 28, 2019
 
     
  Saving Lives with Virtual Cardiac Rehabilitation
NEJM Catalyst, August 28, 2019
 
     
Care Analytics Video from Healthshare TV
Healthshare TV video August 2019 Quality Blue Collaborative: Care Management

Learning objectives include: Exploring the value proposition for various models of supporting patient care management needs; Accurately defining care management and how its functions integrate into the day-to-day activities of the practice; Discussing the importance of developing collaborative relationships with BCBSLA care managers; Illustrating the role of data in identifying patients who would benefit from care management and inform the interventions that would be of value; Listing best practices and key tasks of a care manager in facilitating behavior change

Healthsprocket List
Readmissions and other Resource Impacts of Critical Illness: 7 study findings

1. 45% of 4,074 ICU survivors in 2012 had increased resource utilization compared to the previous calendar year.
2. 30-day readmission rate: 15%
3. 90-day readmission rate: 26%
4. 1-year readmisssion rate: 43%
5. The proportion of patients with a hospital admission increased from 29% in the year before their ICU visit to 43% in the year after their ICU discharge.
6. Of patients with a readmission after their ICU discharge, 24% had an ambulatory care sensitive condition.
7. 16% of patients had either an emergency department or inpatient admission, but no outpatient visits, in the year after their ICU discharge.

Notes: from an article entitled, "Impact of Critical Illness on Resource Utilization: A Comparison of Use in the Year Before and After ICU Admission." Resource use was compared for the year before and the year after ICU admission for 4,074 patients who survived an ICU visit during calendar year 2012.

Source: Critical Care Medicine, abstract only, September 12, 2019

healthsprocket: the home for health care lists check out more lists on healthsprocket . "What's on your list?"

This Month in Care Analytics News
  • Targeting Transitions of Care to Reduce Readmissions: More is Not Always Better by Robyn A. Tamboli, PhD and Sunil Kripalani, MD, MSc, SFHM
  • Reducing Asthma Readmissions Through Allergy Evaluation by Barbara P. Yawn, MD, MSc FAAFP
  • Data-informed readmission strategy enables Atrium Health to drive innovation that actually improves patient outcomes. by Andrew McWilliams, MD, MPH and Stephanie Murphy, DO
  • Thought Leaders' Corner: "How can medication adherence be improved?"
  • Catching Up With Henry Osowski

In the previous Analytics Technology edition of Care Analytics News:

  • Healthcare Analytics Priorities, Resources Survey: Emphasis on Analytics Growing
  • Markets - Patient Safety Data Management Market Seen at $2.2B in 2024; Report: Healthcare AI Market Worldwide 'Poised to Reach $19.25B by 2026'
  • MGMA, Cedar Report 'Helps Practices Improve Patient Engagement, Efficiency'
  • Deloitte: Health Systems Have 'Growing Strategic Focus on Analytics'
  •  Real-World Evidence - JAMA-IM: '1st Real-World Data Analysis of Kidney Transplants Supports Redesigned System'
  • Industry News with briefs regarding Geneia and Moecula.
  • Click here to subscribe to Care Analytics News, or find out more

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