TITLE

Limits Of Readmission Rates In Measuring Hospital Quality Suggest The Need For Added Metrics

AUTHOR(S)
Press, Matthew J.; Scanlon, Dennis P.; Ryan, Andrew M.; Zhu, Jingsan; Navathe, Amol S.; Mittler, Jessica N.; Volpp, Kevin G.
PUB. DATE
June 2013
SOURCE
Health Affairs;Jun2013, Vol. 32 Issue 6, p1083
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Recent national policies use risk-standardized readmission rates to measure hospital performance on the theory that readmissions reflect dimensions of the quality of patient care that are influenced by hospitals. In this article our objective was to assess readmission rates as a hospital quality measure. First we compared quartile rankings of hospitals based on readmission rates in 2009 and 2011 to see whether hospitals maintained their relative performance or whether shifts occurred that suggested either changes in quality or random variation. Next we examined the relationship between readmission rates and several commonly used hospital quality indicators, including risk-standardized mortality rates, volume, teaching status, and process-measure performance. We found that quartile rankings fluctuated and that readmission rates for lower-performing hospitals in 2009 tended to improve by 2011, while readmission rates for higher-performing hospitals tended to worsen. Regression to the mean (a form of statistical noise) accounted for a portion of the changes in hospital performance. We also found that readmission rates were higher in teaching hospitals and were weakly correlated with the other indicators of hospital quality. Policy makers should consider augmenting the use of readmission rates with other measures of hospital performance during care transitions and should build on current efforts that take a communitywide approach to the readmissions issue.
ACCESSION #
88055777

 

Related Articles

  • Hospital Readmissions--Not Just a Measure of Quality. Kangovi, Shreya; Grande, David // JAMA: Journal of the American Medical Association;10/26/2011, Vol. 306 Issue 16, p1796 

    The authors propose a broader framework to identify alternative strategies to reduce hospital readmissions. They argue that readmission rate is not a quality metric nor a measure of the health status of patients. The authors suggest a framework in which readmission rates are determined by social...

  • What Are the 30-day Readmission Rates Across Orthopaedic Subspecialties? Bernatz, James; Tueting, Jonathan; Hetzel, Scott; Anderson, Paul; Bernatz, James T; Tueting, Jonathan L; Anderson, Paul A // Clinical Orthopaedics & Related Research;Mar2016, Vol. 474 Issue 3, p838 

    Background: The Centers for Medicare & Medicaid Services (CMS) now include hip and knee replacements in the Hospital Readmission Reduction Program. The 30-day readmission rate is an important quality metric; however, the incidence has not yet been defined across the numerous...

  • High All-Cause Readmission Rates Hit Some Hospitals. Daly, Rich // hfm (Healthcare Financial Management);Feb2014, Vol. 68 Issue 2, p11 

    The article discuses an analysis of Medicare data on hospitalwide all-cause unplanned readmissions by Kaiser Health News which showed that 8% of hospitals readmitted patients regardless of condition. Topics discussed include findings that 315 hospitals of those rated by Medicare had...

  • Hospital readmission rates not accurate measure of care quality.  // Biomedical Market Newsletter;9/12/2011, Vol. 21, p486 

    The article reports on a study which found that hospital readmission rates are not accurate measures of the quality of medical care provided in Canadian hospitals.

  • Hospital Readmission Rates: Are We Measuring the Right Thing? Oddone, Eugene Z.; Weinberger, Morris // Annals of Internal Medicine;12/18/2012, Vol. 157 Issue 12, p910 

    The author discusses a study that was conducted by researcher P.J. Kaboli to examine the relationship between hospital length of stay, hospital readmission rates and mortality for veterans hospitalized in the U.S. Department of Veterans Affairs (VA) acute care facilities. He suggests that...

  • Is the Readmission Rate a Valid Quality Indicator? A Review of the Evidence. Fischer, Claudia; Lingsma, Hester F.; Marang-van de Mheen, Perla J.; Kringos, Dionne S.; Klazinga, Niek S.; Steyerberg, Ewout W. // PLoS ONE;Nov2014, Vol. 9 Issue 11, p1 

    Introduction: Hospital readmission rates are increasingly used for both quality improvement and cost control. However, the validity of readmission rates as a measure of quality of hospital care is not evident. We aimed to give an overview of the different methodological aspects in the...

  • Hospital Evaluations by Social Media: A Comparative Analysis of Facebook Ratings among Performance Outliers. Glover, McKinley; Khalilzadeh, Omid; Choy, Garry; Prabhakar, Anand; Pandharipande, Pari; Gazelle, G.; Prabhakar, Anand M; Pandharipande, Pari V; Gazelle, G Scott // JGIM: Journal of General Internal Medicine;Oct2015, Vol. 30 Issue 10, p1440 

    Background: An increasing number of hospitals and health systems utilize social media to allow users to provide feedback and ratings. The correlation between ratings on social media and more conventional hospital quality metrics remains largely unclear, raising concern that...

  • Health Information Exchange: Metrics to Address Quality of Care and Return on Investment. Khurshid, Anjum; Diana, Mark L.; Luce, Susan D. // Perspectives in Health Information Management;Summer2012, p1 

    The purpose of this study was to find out how many health information exchanges (HIEs) are using metrics to gauge their impact and to gather examples of metrics being used by HIEs. We administered a web-based survey to a list of functioning HIEs. Valid responses were received from 18 HIEs. Most...

  • Can readmission rates be used as an outcome indicator? Milne, Ruaridh; Clarke, Aileen // BMJ: British Medical Journal (International Edition);11/17/90, Vol. 301 Issue 6761, p1139 

    Examines the use of readmission rates as an outcome indicator in hospitals. Assessment of limitations of readmission rates; Validity of readmission as proxy; Variation in hospital admission.

Share

Read the Article

Courtesy of VIRGINIA BEACH PUBLIC LIBRARY AND SYSTEM

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics