Abstract：
:Many children's hospitals are actively working to reduce readmissions to improve care and avoid financial penalties. We sought to determine if pediatric readmission rates have changed over time. We used data from 66 hospitals in the Inpatient Essentials Database including index hospitalizations from January, 2010 through June, 2016. Seven-day all cause (AC) and potentially preventable readmission (PPR) rates were calculated using 3M PPR software. Total and condition-specific quarterly AC and PPR rates were generated for each hospital and in aggregate. We included 4.52 million hospitalizations across all study years. Readmission rates did not vary over the study period. The median seven-day PPR rate across all quarters was 2.5% (range 2.1%-2.5%); the median seven-day AC rate across all quarters was 5.1% (range 4.3%-5.3%). Readmission rates for individual conditions fluctuated. Despite significant national efforts to reduce pediatric readmissions, both AC and PPR readmission rates have remained unchanged over six years.
journal_name
J Hosp Medjournal_title
Journal of hospital medicineauthors
Auger KA,Harris JM,Gay JC,Teufel R,McClead RE,Neuman MI,Agrawal R,Simon HK,Peltz A,Tejedor-Sojo J,Morse RB,Del Beccaro MA,Fieldston E,Shah SSdoi
10.12788/jhm.3210subject
Has Abstractpub_date
2019-10-01 00:00:00pages
618-621issue
10eissn
1553-5592issn
1553-5606pii
jhm.3210journal_volume
14pub_type
杂志文章abstract：:The Centers for Medicare and Medicaid Services awarded Hospital Medicine a Medicare specialty code, "C6", in 2016. We examined the early uptake of C6 code using the 2017 Medicare Part B utilization data. We also compared the actual C6 specialty code usage against estimated rates of overall hospitalist billing using th...
journal_title：Journal of hospital medicine
pub_type： 杂志文章
doi：10.12788/jhm.3303
更新日期：2020-02-01 00:00:00
abstract：:Non-housestaff medicine services are growing rapidly in academic medical centers (AMCs), partly driven by efforts to comply with resident duty hour restrictions. Hospitalists have emerged as a solution to providing these services given their commitment to delivering efficient and high-quality care and the field's rapi...
journal_title：Journal of hospital medicine
pub_type： 杂志文章
doi：10.1002/jhm.311
更新日期：2008-05-01 00:00:00
abstract：BACKGROUND:Predicting death risk in patients with diverse conditions is difficult. The Hospitalized-patient One-year Mortality Risk (HOMR) score accurately determines death risk in adults admitted to hospital using health administrative data unavailable to clinicians and most researchers. OBJECTIVE:Determine if HOMR i...
journal_title：Journal of hospital medicine
pub_type： 杂志文章
doi：10.12788/jhm.2713
更新日期：2017-04-01 00:00:00
abstract：BACKGROUND:Meta-analyses of randomized trials have found that antibiotics are effective in acute exacerbations of chronic obstructive pulmonary disease (AECOPD), but there is insufficient evidence to guide antibiotic selection. Current guidelines offer conflicting recommendations. OBJECTIVE:To compare the effectivenes...
journal_title：Journal of hospital medicine
pub_type： 杂志文章,多中心研究
doi：10.1002/jhm.628
更新日期：2010-05-01 00:00:00
abstract：OBJECTIVE:There have been no recent studies describing the management and outcomes of patients with infective endocarditis (IE). PATIENTS AND METHODS:We conducted a retrospective cohort study of adult patients admitted to a tertiary medical center from 2007 to 2011 with a Duke criteria consistent discharge diagnosis o...
journal_title：Journal of hospital medicine
pub_type： 杂志文章
doi：10.12788/jhm.2746
更新日期：2017-06-01 00:00:00
abstract：BACKGROUND:Increased recognition of ionizing radiation risks has placed an emphasis on the appropriate use of myocardial perfusion imaging (MPI). Hospitalists frequently order MPI in the evaluation of chest pain and are thus at the forefront of its inpatient utilization. METHODS:We collected baseline figures for a gro...
journal_title：Journal of hospital medicine
pub_type： 杂志文章
doi：10.1002/jhm.2288
更新日期：2015-03-01 00:00:00
abstract：:Posttraumatic stress disorder (PTSD) is common in the United States, with a prevalence of nearly 8% in the general population and between 10% and 30% in veterans. Despite how common PTSD is, inpatient providers may not be familiar with its manifestations or feel comfortable taking care of patients who may exhibit symp...
journal_title：Journal of hospital medicine
pub_type： 杂志文章,评审
doi：10.12788/jhm.3409
更新日期：2021-01-01 00:00:00
abstract：IMPORTANCE:There is an increasing trend toward designing hospitals with patient-centered features like reduced noise, improved natural light, visitor friendly facilities, well-decorated rooms, and hotel-like amenities. It has also been suggested that because patients cannot reliably distinguish positive experiences wit...
journal_title：Journal of hospital medicine
pub_type： 杂志文章
doi：10.1002/jhm.2297
更新日期：2015-03-01 00:00:00
abstract：:For more than 20 years, the Agency for Healthcare Research and Quality (AHRQ) Evidence-based Practice Center (EPC) Program has been identifying and synthesizing evidence to inform evidence-based healthcare. Recognizing that many healthcare settings continue to face challenges in disseminating and implementing evidence...
journal_title：Journal of hospital medicine
pub_type： 杂志文章
doi：10.12788/jhm.3157
更新日期：2019-05-01 00:00:00
abstract：:Efforts to improve the patient experience are increasingly focusing on engaging patients and their "care partners" by using patient portals. The Acute Care Patient Portal Task Force was supported by the Gordon and Betty Moore Foundation to convene a national meeting of an interdisciplinary group of stakeholders, inclu...
journal_title：Journal of hospital medicine
pub_type： 杂志文章
doi：10.12788/jhm.2860
更新日期：2017-12-01 00:00:00
abstract：BACKGROUND:Sepsis, the most expensive cause of hospitalization in the United States, is associated with high morbidity and mortality. However, healthcare utilization patterns following sepsis are poorly understood. OBJECTIVE:To identify patient-level factors that contribute to postsepsis mortality and healthcare utili...
journal_title：Journal of hospital medicine
pub_type： 杂志文章,多中心研究
doi：10.1002/jhm.2197
更新日期：2014-08-01 00:00:00
abstract：BACKGROUND:Little is known about the state of research in academic hospital medicine (HM) despite the substantial growth of this specialty. METHODS:We used the Society of Hospital Medicine (SHM) membership database to identify research programs and their leadership. In addition, the members of the SHM Research Committ...
journal_title：Journal of hospital medicine
pub_type： 杂志文章
doi：10.12788/jhm.3136
更新日期：2019-04-01 00:00:00
abstract：BACKGROUND:Hospital leaders have had mixed success reducing readmissions Little is known about the readmitted patient's perspective. METHODS:A cross-sectional 36-item survey was administered to 1084 readmitted inpatients of The Hospital of the University of Pennsylvania (an urban academic medical center) and Penn Pres...
journal_title：Journal of hospital medicine
pub_type： 杂志文章
doi：10.1002/jhm.1966
更新日期：2012-11-01 00:00:00
abstract：BACKGROUND:Obtaining blood cultures (BCs) for patients hospitalized with community-acquired-pneumonia (CAP) has been recommended by experts and used as a measure of quality of care. However, BCs are infrequently positive in these patients and their effect on clinical management has been questioned. PURPOSE:We performe...
journal_title：Journal of hospital medicine
pub_type： 杂志文章,评审
doi：10.1002/jhm.382
更新日期：2009-02-01 00:00:00
abstract：BACKGROUND:Care coordination is critical in settings characterized by high levels of uncertainty, time constraints, and interdependent work processes. The effects of provider characteristics on coordination in comanaged teams has never been examined. OBJECTIVE:To characterize individual providers based on their contri...
journal_title：Journal of hospital medicine
pub_type： 杂志文章
doi：10.1002/jhm.797
更新日期：2010-11-01 00:00:00
abstract：BACKGROUND:The "July phenomenon" refers to a purported worsening of outcomes in teaching-hospital patients with the arrival of new, inexperienced house-staff. Previous quantitative studies of new house-staff and increased mortality have been limited primarily by a focused patient population and the use of limited data ...
journal_title：Journal of hospital medicine
pub_type： 杂志文章
doi：10.1002/jhm.917
更新日期：2011-09-01 00:00:00
abstract：:Nephrogenic systemic fibrosis (NSF) has now been linked to gadolinium-based contrast (GBC) exposure in those with compromised kidney function, particularly those with end-stage renal disease (ESRD). When ESRD is present, symptoms can be quite devastating for the patient including severe pain and immobility and even de...
journal_title：Journal of hospital medicine
pub_type： 杂志文章
doi：10.1002/jhm.493
更新日期：2010-01-01 00:00:00
abstract：:The growth of hospital medicine has led to new challenges, and recent graduates may feel unprepared to meet the expanding clinical duties expected of hospitalists. At our institution, we created a resident-inspired hospitalist curriculum to address the training needs for the next generation of hospitalists. Our progra...
journal_title：Journal of hospital medicine
pub_type： 杂志文章
doi：10.1002/jhm.2590
更新日期：2016-09-01 00:00:00
abstract：:Patients who deteriorate outside the intensive care unit (ICU) are known to have elevated mortality and morbidity. Rapid response teams (RRTs) were developed to address such deterioration. It has not been possible to establish that RRTs employing manual detection methods have definitively improved hospital outcomes. B...
journal_title：Journal of hospital medicine
pub_type：
doi：10.1002/jhm.2653
更新日期：2016-11-01 00:00:00
abstract：BACKGROUND:Hip fractures typically occur in frail elderly patients. Preoperative specialty consults, in addition to hospitalist comanagement, are often requested for preoperative risk assessment. OBJECTIVE:Determine if preoperative specialty consults meaningfully influence management and outcomes in hip fracture patie...
journal_title：Journal of hospital medicine
pub_type： 杂志文章
doi：10.12788/jhm.3264
更新日期：2020-01-01 00:00:00
abstract：:Increasing numbers of serious hospital/healthcare- or community-acquired infections are caused by resistant (often multi-drug resistant) bacterial pathogens. Because delayed or ineffective initial therapy can have severe negative consequences, patients at risk for these types of infections typically receive initial em...
journal_title：Journal of hospital medicine
pub_type： 杂志文章,评审
doi：10.1002/jhm.983
更新日期：2012-01-01 00:00:00
abstract：BACKGROUND:Patients and their relatives exposed to mental stress caused by hospitalization or illness might use violence against healthcare staff and interfere with quality healthcare. OBJECTIVE:The aim of this study was to investigate incidences of workplace violence and the attributes of healthcare staff who are at ...
journal_title：Journal of hospital medicine
pub_type： 杂志文章
doi：10.1002/jhm.976
更新日期：2012-02-01 00:00:00
abstract：BACKGROUND:Half of patients admitted to hospital for reasons unrelated to childbirth are age 65 years or older. Nonetheless, few hospital-based physicians have received training in geriatric medicine, and few geriatricians practice in the hospital. This paper describes the state of the science of hospital care for olde...
journal_title：Journal of hospital medicine
pub_type： 杂志文章,评审
doi：10.1002/jhm.11
更新日期：2006-01-01 00:00:00
abstract：BACKGROUND:The theory that posthospitalization stress might increase the risk of postdischarge complications has never been investigated. OBJECTIVE:To assess whether serum levels of stress biomarkers at discharge are associated with readmission and death after an acute-care hospitalization. DESIGN:We prospectively in...
journal_title：Journal of hospital medicine
pub_type： 杂志文章
doi：10.12788/jhm.2766
更新日期：2017-07-01 00:00:00
abstract：BACKGROUND:Access to hand-carried ultrasound technology for noncardiologists has increased significantly, yet development and evaluation of training programs are limited. OBJECTIVE:We studied a focused program to teach hospitalists image acquisition of inferior vena cava (IVC) diameter and IVC collapsibility index wit...
journal_title：Journal of hospital medicine
pub_type： 杂志文章
doi：10.1002/jhm.2103
更新日期：2013-12-01 00:00:00
abstract：BACKGROUND:More than half of the hospitalized older adults discharged to skilled nursing facilities (SNFs) have more than 3 geriatric syndromes. Pharmacotherapy may be contributing to geriatric syndromes in this population. OBJECTIVES:Develop a list of medications associated with geriatric syndromes and describe their...
journal_title：Journal of hospital medicine
pub_type： 杂志文章
doi：10.1002/jhm.2614
更新日期：2016-10-01 00:00:00
abstract：:Improving early discharges may improve patient flow and increase hospital capacity. We conducted a national survey of academic medical centers addressing the prevalence, importance, and effectiveness of early-discharge initiatives. We assembled a list of hospitalist and general internal medicine leaders at 115 US-base...
journal_title：Journal of hospital medicine
pub_type： 杂志文章
doi：10.12788/jhm.2885
更新日期：2018-06-01 00:00:00
abstract：BACKGROUND:Mycoplasma pneumoniae is a common cause of community-acquired pneumonia in childhood. Few studies have addressed the association of antimicrobial treatment and outcomes. OBJECTIVE:To determine whether macrolide therapy is associated with improved outcomes among children hospitalized with M. pneumoniae pneum...
journal_title：Journal of hospital medicine
pub_type： 杂志文章,多中心研究
doi：10.1002/jhm.1904
更新日期：2012-04-01 00:00:00
abstract：BACKGROUND:In the Medicare population, measures of relative severity of illness (SOI) for hospitalized patents have been used in prospective payment models. Similar measures for pediatric populations have not been fully developed. OBJECTIVE:To develop hospitalization resource intensity scores for kids (H-RISK) using p...
journal_title：Journal of hospital medicine
pub_type： 杂志文章
doi：10.12788/jhm.2948
更新日期：2018-09-01 00:00:00
abstract：:Clozapine was approved by the US Food and Drug Administration in 1989 for the management of treatment-resistant schizophrenia, and has since proven to reduce symptom burden and suicide risk, increase quality of life, and reduce substance use in individuals with psychotic disorders. Nevertheless, clozapine's psychiatri...
journal_title：Journal of hospital medicine
pub_type： 杂志文章,评审
doi：10.1002/jhm.2345
更新日期：2015-08-01 00:00:00
