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Prediction Is Very Hard, Especially About the Future

Prediction Is Very Hard, Especially About the Future INVITED COMMENTARY ONLINE FIRST Can We Prevent Events That Lead to Readmission Following Percutaneous Coronary Intervention? ardiovascular hospitalization and its early af- improving quality of care. This is the value of the report 1 5 termath define a period of vulnerability, dur- by Khawaja et al in this issue of Archives that describes C ing which clinical deterioration leads to read- factors associated with 30-day readmission rates after per- mission. Since readmission is common, expensive, and cutaneous coronary intervention (PCI) at a single cen- varies across hospitals, suggesting preventable events, the ter, Saint Marys Hospital in Rochester, Minnesota. Centers for Medicare and Medicaid Services (CMS) has By illustrating that nearly 1 in 10 patients are read- identified readmission as an opportunity to improve qual- mitted within 30 days following PCI in this center, the ity of care and reduce costs. Since the CMS began pub- authors highlight the scope of the issue. The study also licly reporting hospital readmission rates in 2009 and now highlights challenges for identifying modifiable factors plans to link reimbursement to processes and outcomes for preventing readmission. For example, none of the 15 through value-based purchasing, health systems have de- factors identified by the authors http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png JAMA Internal Medicine American Medical Association

Prediction Is Very Hard, Especially About the Future

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References (10)

Publisher
American Medical Association
Copyright
Copyright 2012 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.
ISSN
2168-6106
eISSN
2168-6114
DOI
10.1001/archinternmed.2011.568
pmid
22123750
Publisher site
See Article on Publisher Site

Abstract

INVITED COMMENTARY ONLINE FIRST Can We Prevent Events That Lead to Readmission Following Percutaneous Coronary Intervention? ardiovascular hospitalization and its early af- improving quality of care. This is the value of the report 1 5 termath define a period of vulnerability, dur- by Khawaja et al in this issue of Archives that describes C ing which clinical deterioration leads to read- factors associated with 30-day readmission rates after per- mission. Since readmission is common, expensive, and cutaneous coronary intervention (PCI) at a single cen- varies across hospitals, suggesting preventable events, the ter, Saint Marys Hospital in Rochester, Minnesota. Centers for Medicare and Medicaid Services (CMS) has By illustrating that nearly 1 in 10 patients are read- identified readmission as an opportunity to improve qual- mitted within 30 days following PCI in this center, the ity of care and reduce costs. Since the CMS began pub- authors highlight the scope of the issue. The study also licly reporting hospital readmission rates in 2009 and now highlights challenges for identifying modifiable factors plans to link reimbursement to processes and outcomes for preventing readmission. For example, none of the 15 through value-based purchasing, health systems have de- factors identified by the authors

Journal

JAMA Internal Medicine – American Medical Association

Published: Jan 23, 2012

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