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Hospital Readmissions Following Surgery

Hospital Readmissions Following Surgery Opinion Editorials represent the opinions of the authors and JAMA EDITORIAL and not those of the American Medical Association. Turning Complications Into “Treasures” Lucian L. Leape, MD The assessment by the Centers for Medicare & Medicaid be used to reduce the pain and suffering that complications Services (CMS) of financial penalties against hospitals with cause for patients? Japanese quality experts call complica- excessive readmission rates has been controversial from the tions “treasures” because their analysis can reveal so many op- outset. CMS does not adjust portunities for improvement. Can analysis of these surgical data for complexity of illness treasures lead to improvement? Related article page 483 or low socioeconomic status In the 15 years since the Institute of Medicine (IOM) re- and thus unfairly penalizes port To Err Is Human brought national attention to the prob- hospitals that care for these types of patients: typically aca- lem of iatrogenic injury, a great deal has been learned about demic medical centers and safety net hospitals. Even though how to reduce harm from medical treatment. Several lessons the various controversies about this program remain unre- stand out. solved, CMS has expanded it from 3 medical conditions to in- First, systems theory http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png JAMA American Medical Association

Hospital Readmissions Following Surgery

Leape, Lucian L.
JAMA , Volume 313 (5) – Feb 3, 2015
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References (7)

Publisher
American Medical Association
Copyright
Copyright 2015 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.
ISSN
0098-7484
eISSN
1538-3598
DOI
10.1001/jama.2014.18666
pmid
25647201
Publisher site
See Article on Publisher Site

Abstract

Opinion Editorials represent the opinions of the authors and JAMA EDITORIAL and not those of the American Medical Association. Turning Complications Into “Treasures” Lucian L. Leape, MD The assessment by the Centers for Medicare & Medicaid be used to reduce the pain and suffering that complications Services (CMS) of financial penalties against hospitals with cause for patients? Japanese quality experts call complica- excessive readmission rates has been controversial from the tions “treasures” because their analysis can reveal so many op- outset. CMS does not adjust portunities for improvement. Can analysis of these surgical data for complexity of illness treasures lead to improvement? Related article page 483 or low socioeconomic status In the 15 years since the Institute of Medicine (IOM) re- and thus unfairly penalizes port To Err Is Human brought national attention to the prob- hospitals that care for these types of patients: typically aca- lem of iatrogenic injury, a great deal has been learned about demic medical centers and safety net hospitals. Even though how to reduce harm from medical treatment. Several lessons the various controversies about this program remain unre- stand out. solved, CMS has expanded it from 3 medical conditions to in- First, systems theory

Journal

JAMA – American Medical Association

Published: Feb 3, 2015

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