Abstract:
:Current hospital readmission measures are part of the Centers for Medicare & Medicaid Services Five-Star Quality Rating System but are inadequate for reporting hospital quality. We review potential biases in the readmission measures and offer policy recommendations to address these biases. Hospital readmission rates are influenced by multiple sources of variation (eg, mix of patients served, bias in the performance measure); true differences in quality of care are often a much smaller source of this variation. Thus, variation from caring for large proportions of socioeconomically disadvantaged or tertiary-care patients will bias a hospital's ratings. Ratings aside, readmission measures may indirectly harm patients because low readmission rates do not correlate with reduced mortality, yet the Five-Star Quality Rating System weighs readmission equally with mortality. We propose that hospital quality rankings not use readmission measures as currently constructed.
journal_name
J Hosp Medjournal_title
Journal of hospital medicineauthors
Pronovost PJ,Brotman DJ,Hoyer EH,Deutschendorf Adoi
10.12788/jhm.2799subject
Has Abstractpub_date
2017-12-01 00:00:00pages
1009-1011issue
12eissn
1553-5592issn
1553-5606journal_volume
12pub_type
杂志文章abstract:BACKGROUND:Venous thromboembolic events (VTE) are a significant cause of mortality in hospitalized medical and surgical patients. Despite recommendations and guidelines, current evidence demonstrates that VTE prophylaxis remains underutilized in at-risk patients. The process of providing VTE prophylaxis begins with ass...
journal_title:Journal of hospital medicine
pub_type: 杂志文章
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abstract:OBJECTIVE:There is growing demand for safe and effective procedural sedation in pediatric facilities nationally. Currently, these needs are being met by a variety of providers and sedation techniques, including anesthesiologists, pediatric intensivists, emergency medicine physicians, and pediatric hospitalists. There i...
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更新日期:2013-09-01 00:00:00
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journal_title:Journal of hospital medicine
pub_type: 杂志文章,meta分析
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更新日期:2012-04-01 00:00:00
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journal_title:Journal of hospital medicine
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pub_type: 杂志文章,评审
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journal_title:Journal of hospital medicine
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pub_type: 杂志文章
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更新日期:2008-11-01 00:00:00
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journal_title:Journal of hospital medicine
pub_type: 杂志文章,随机对照试验
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更新日期:2007-11-01 00:00:00
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