Saturday, January 30, 2016

Readmissions Revisited

According to Garret Johnson & Zoe Lyon writing for The Incidental Economist on 1.27.16:
While the HRRP < Hospital Readmissions Reduction Program> adjusts for age, sex and comorbidity differences across hospitals, there is now substantial evidence that high readmission rates - especially for medical conditions, as opposed to surgical ones - are driven more by patient factors outside of hospitals' control (e.g. poverty, lack of social supports) than by hospitals' quality of care and discharge planning. Studies show that patients who are poorer, sicker, and of racial minorities are readmitted at higher rates than other patients, which raises concern that the HRRP is simply punishing hospitals for the groups of patients that they serve.
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