Key result
Among 576 cardiac surgery patients, 11.8% had unplanned 30-day readmissions; factoring in Medicare penalties turned a $144,000 net profit for readmissions into an $11,950 loss.
Why the study?
Does outpatient management of potential readmissions improve cost efficiency in adult cardiac surgery patients compared to hospital readmission under Medicare penalty rules?
Population
576 adult patients undergoing cardiac surgery in 2012 at a single institution.
Comparison
Hypothetical preventative measures for patients… vs Actual hospital readmission.
Design
Cohort
Follow-up
30 days
Authors
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Medicare penalties may negate profits from cardiac surgery readmissions; leaves open whether outpatient strategies improve cost efficiency.
Observational (n=576)
No
Does outpatient management of potential readmissions improve cost efficiency in adult cardiac surgery patients compared to hospital readmission under Medicare penalty rules?
Medicare readmission penalties can turn hospital profit from readmissions into a net loss, highlighting the financial necessity of developing cost-effective strategies to reduce rehospitalization after cardiac surgery.
Postel et al. (2014) conducted an observational in Cardiac surgery (n=576). Unplanned 30-day readmissions vs. Hypothetical preventative measures was evaluated on Net hospital profit. Among 576 cardiac surgery patients, 11.8% had unplanned 30-day readmissions; factoring in Medicare penalties turned a $144,000 net profit for readmissions into an $11,950 loss.
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