Key result
An automated EHR readmission risk flag based on ≥2 prior admissions identified high-risk patients with a C statistic of 0.61, but had no effect on 30-day all-cause or 7-day unplanned readmissions.
Why the study?
Does an automated readmission risk flag integrated into the EHR reduce 30-day all-cause and 7-day unplanned readmissions in adult admitted patients?
Population
All adult patients admitted from August 2009 to September 2012 in a healthcare system consisting of 3…
Comparison
An automated readmission risk flag integrated… vs Pre-implementation period (retrospective data)
Design
Cohort
Follow-up
30 days
Authors
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EHR readmission flags should not yet change practice; leaves open whether linked interventions can reduce readmissions.
Cohort
Yes
Does an automated readmission risk flag integrated into the EHR reduce 30-day all-cause and 7-day unplanned readmissions in adult admitted patients?
An automated EHR readmission risk flag successfully identified high-risk patients but did not reduce 30-day or 7-day readmission rates.
Baillie et al. (2013) conducted a cohort in Risk for hospital readmission. Automated readmission risk flag in EHR vs. Retrospective cohort (pre-implementation) was evaluated on Thirty-day all-cause and 7-day unplanned healthcare system readmissions. An automated EHR readmission risk flag based on ≥2 prior admissions identified high-risk patients with a C statistic of 0.61, but had no effect on 30-day all-cause or 7-day unplanned readmissions.