Adding social risk and clinical factors to a CMS-based model did not alter hospital performance rankings for 30-day stroke readmission rates, with all hospitals performing as expected.
Cohort
Yes
Does the inclusion of social risk and clinical factors in hospital profiling models alter hospital rankings for 30-day stroke readmission in the VA?
Adding social and clinical risk factors to CMS-based readmission models does not significantly change hospital performance rankings for stroke readmissions in the VA system.
BACKGROUND: The Centers for Medicare therefore, the addition of detailed clinical information or social risk factors did not alter assessment of facility performance. LIMITATION: A predominantly male veteran cohort limits the generalizability of these findings. CONCLUSION: In the VA, more comprehensive models that included social risk and clinical factors did not affect hospital comparisons based on 30-day readmission rates. PRIMARY FUNDING SOURCE: U.S. Department of Veterans Affairs.
Keyhani et al. (2014) conducted a cohort in Stroke. Comprehensive readmission models including social risk and clinical factors vs. CMS-based readmission model (age and comorbid conditions) was evaluated on 30-day risk-standardized readmission rates and facility rankings. Adding social risk and clinical factors to a CMS-based model did not alter hospital performance rankings for 30-day stroke readmission rates, with all hospitals performing as expected.