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The Hospital Readmissions Reduction Program—Targeting Weaknesses and Finding the Readmission Floor

The Hospital Readmissions Reduction Program—Targeting Weaknesses and Finding the Readmission Floor Association of the Hospital Readmissions Reduction Program With Surgical Readmissions Original Investigation Research Invited Commentary The Hospital Readmissions Reduction Program—Targeting Weaknesses and Finding the Readmission Floor Ryan J. Ellis, MD; Ryan P. Merkow, MD, MS; Karl Y. Bilimoria, MD, MS Readmission rate is an increasingly relied-on quality metric, group of health care professionals (eg, surgical site infection drawing the focus of clinicians, hospitals, and oversight agen- reduction bundle for colorectal surgery). As such, the ob- cies. Initial efforts of the Hospital Readmissions Reduction Pro- served lack of spillover is not entirely surprising. gram (HRRP) led to readmission reduction for targeted medi- A notable finding of the study by Borza et al involves in- cal diagnoses (eg, congestive terpretation of the observed plateau in nontargeted surgical heart failure) but also dem- readmissions. Before HRRP penalization, readmissions were Related article page 243 onstrated a striking spillover downtrending for all studied surgical procedures. On initial- to nontargeted diagnoses. ization of HRRP tracking, the targeted procedures had signifi- This led to anticipation that improvements in discharge infra- cant improvements in readmission rates, while nontargeted structure would be the rising tide that lifts all boats, causing procedures stagnated. Borza et al posit 2 explanations http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png JAMA Surgery American Medical Association

The Hospital Readmissions Reduction Program—Targeting Weaknesses and Finding the Readmission Floor

JAMA Surgery , Volume 153 (3) – Mar 22, 2018

The Hospital Readmissions Reduction Program—Targeting Weaknesses and Finding the Readmission Floor

Abstract

Association of the Hospital Readmissions Reduction Program With Surgical Readmissions Original Investigation Research Invited Commentary The Hospital Readmissions Reduction Program—Targeting Weaknesses and Finding the Readmission Floor Ryan J. Ellis, MD; Ryan P. Merkow, MD, MS; Karl Y. Bilimoria, MD, MS Readmission rate is an increasingly relied-on quality metric, group of health care professionals (eg, surgical site infection drawing the focus of clinicians, hospitals, and oversight...
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References (7)

Publisher
American Medical Association
Copyright
Copyright 2017 American Medical Association. All Rights Reserved.
ISSN
2168-6254
eISSN
2168-6262
DOI
10.1001/jamasurg.2017.4586
Publisher site
See Article on Publisher Site

Abstract

Association of the Hospital Readmissions Reduction Program With Surgical Readmissions Original Investigation Research Invited Commentary The Hospital Readmissions Reduction Program—Targeting Weaknesses and Finding the Readmission Floor Ryan J. Ellis, MD; Ryan P. Merkow, MD, MS; Karl Y. Bilimoria, MD, MS Readmission rate is an increasingly relied-on quality metric, group of health care professionals (eg, surgical site infection drawing the focus of clinicians, hospitals, and oversight agen- reduction bundle for colorectal surgery). As such, the ob- cies. Initial efforts of the Hospital Readmissions Reduction Pro- served lack of spillover is not entirely surprising. gram (HRRP) led to readmission reduction for targeted medi- A notable finding of the study by Borza et al involves in- cal diagnoses (eg, congestive terpretation of the observed plateau in nontargeted surgical heart failure) but also dem- readmissions. Before HRRP penalization, readmissions were Related article page 243 onstrated a striking spillover downtrending for all studied surgical procedures. On initial- to nontargeted diagnoses. ization of HRRP tracking, the targeted procedures had signifi- This led to anticipation that improvements in discharge infra- cant improvements in readmission rates, while nontargeted structure would be the rising tide that lifts all boats, causing procedures stagnated. Borza et al posit 2 explanations

Journal

JAMA SurgeryAmerican Medical Association

Published: Mar 22, 2018

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