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October 18, 2017New England Journal of Medicine

Effect of a Hospital-wide Measure on the Readmissions Reduction Program

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Why the study?

Does a hospital-wide readmission measure compared to condition-specific measures affect penalty eligibility and financial disparities for safety-net hospitals?

Population

3,443 US hospitals evaluated using Medicare claims from 2011 through 2013.

Comparison

Hospital-wide readmission measure vs Condition-specific readmission measures

Design

Cohort

Follow-up

2011 through 2013

Authors

RZRachael B. ZuckermanKMKaren E. Joynt MaddoxSSSteven H. Sheingold

Discussion

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Member takes

Overview

May increase penalties and widen disparities for safety-net hospitals; leaves open whether hospital-wide measures improve equity or reflect unadjusted case mix.

Structured PICO

Does a hospital-wide readmission measure compared to condition-specific measures affect penalty eligibility and financial disparities for safety-net hospitals?

P
Population
3,443 US hospitals (including 688 safety-net hospitals) evaluated using Medicare claims from 2011 through 2013.
I
Intervention
Hospital-wide readmission measure
C
Comparator
Condition-specific readmission measures
O
Outcome
Number of hospitals eligible for penalties and expected effects on average penalties for safety-net versus other hospitals

Transitioning to a hospital-wide readmission measure would substantially increase financial penalties for safety-net hospitals compared to condition-specific measures.

Cite This Study

Zuckerman et al. (2017) studied this question.

synapsesocial.com/papers/6a87ff938e586ad1c8a5330ehttps://doi.org/10.1056/nejmsa1701791
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Also Consider

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  1. 1Understanding Medicare Hospital Readmission Rates And Differing Penalties Between Safety-Net And Other Hospitals2016 · 68 citations
  2. 2Hospital Readmissions Reduction Program: Safety-Net Hospitals Show Improvement, Modifications To Penalty Formula Still Needed2016 · 59 citations
  3. 3Readmission Rates After Passage of the Hospital Readmissions Reduction Program2016 · 165 citations
  4. 4The Financial Effect of Value-Based Purchasing and the Hospital Readmissions Reduction Program on Safety-Net Hospitals in 20142015 · 121 citations
  5. 5Readmissions To New York Hospitals Fell For Three Target Conditions From 2008 To 2012, Consistent With Medicare Goals2015 · 81 citations