Classifying general medicine readmissions: Are they preventable?

Journal of General Internal Medicine

Volumn 11, Issue 10, 1996, Pages 597-607

  Oddone, E Z ^a   Weinberger, M ^b   Horner, M ^a   Mengel, C ^c   Goldstein, F ^d   Ginier, P ^c   Smith, D ^b   Huey, J ^c   Farber, N J ^c   Asch, D A ^c   Loo, L ^e   Mack, E ^c   Giobbie Hurder, A ^c   Henderson, W ^c   Feussner, J R ^a  

^a DURHAM VA MEDICAL CENTER   (United States)

^b RICHARD L ROUDEBUSH VETERANS AFFAIRS MEDICAL CENTER   (United States)

^c VETERANS AFFAIRS MEDICAL CENTER   (United States)

^d WJB Dorn VA Medical Center   (United States)

^e Jerry L Pettis Memorial VA Medical Center   (United States)

Author keywords

hospital readmissions; preventability of hospitalization; quality of care

Indexed keywords

ADULT; AGED; ARTICLE; FEMALE; HEALTH CARE QUALITY; HEALTH CARE SYSTEM; HOSPITAL ADMISSION; HOSPITAL PLANNING; HOSPITALIZATION; HUMAN; INTENSIVE CARE; MAJOR CLINICAL STUDY; MALE; QUALITY CONTROL;

EID: 10544235021     PISSN: 08848734     EISSN: None     Source Type: Journal    
DOI: 10.1007/BF02599027     Document Type: Article

References (28)

1. Iglehart JK. The American health care system managed care. N Engl J Med. 1992;327:742-7.
2. Relman AS. Controlling costs by "managed competition" - would it work? N Engl J Med. 1993;328:133-5.
3. Fisher ES, Wennberg JE, Stukel TA, Sharp SM. Hospital readmission rates for cohorts of Medicare beneficiaries in Boston and New Haven. N Engl J Med. 1994;331:989-95.
4. Roos NP, Flowerdew G, Wajda A, Tate RB. Variations in physician's hospitalization practices: a population-based study in Manitoba, Canada. Am J Public Health. 1986;76:45-51.
5. Roos NP. Hospitalization style of physicians in Manitoba: the disturbing lack of logic in medical practice. Health Serv Res. 1992;27:361-84.
6. Payne SMC. Identifying and managing inappropriate hospital utilization: a policy synthesis. Health Serv Res. 1987;22:712-69.
7. Berwick DM. Eleven worthy aims for clinical leadership of health system reform. JAMA. 1994;272:797-802.
8. Panzer RJ. Hospital readmissions and quality of care. Am J Med. 1991;90:665-6.
9. Gertman PM, Restuccia JD. The appropriateness evaluation protocol: a technique for assessing unnecessary days of hospital care. Med Care. 1981;19:855-70.
10. InterQual, Inc. The ISD - A Review System with Adult Criteria. Chicago. Ill: InterQual, Inc.; 1987.
11. Siu AL, Sonnenberg FA, Manning WG, et al. Inappropriate use of hospitals in a randomized trial of health insurance plans. N Engl J Med. 1986;315:1259-66.
12. Ludke RL, MacDowell NM, Booth BM, Hunter SA. Appropriateness of admissions and discharges among readmitted patients. Health Serv Res. 1990;25:501-25.
13. Winickoff RN, Restuccia JD, Fincke BG. Concurrent application of the appropriateness evaluation protocol to acute admissions in Department of Veterans Affairs Medical Centers. Med Care. 1991; 29:AS64-76.
14. Weinberger M, Oddone EZ, Hendersen W, et al. Can increased access to primary care prevent hospital readmissions? N Engl J Med. 1996;334:1441-7.
15. Siegel S. Nonparametric Statistics for the Behavioral Sciences. New York, NY: McGraw-Hill; 1956:196.
16. Fleiss JL. Statistical Methods for Rates and Proportions. 2nd ed. New York, NY: John Wiley and Sons; 1981:212.
17. Cochran WG. Sampling Techniques. 3rd ed. New York, NY: John Wiley and Sons; 1977:64-6.
18. Oddone E, Weinberger M, Hurder A, Henderson W, Simel D. Measuring activities in clinical trials using random work sampling: im plications for cost-effectiveness analysis and measurement of the intervention. J Clin Epidemiol. 1995;48:1011-8.
19. Koran LM. The reliability of clinical methods, data and judgements. N Engl J Med. 1975;293:695-701.
20. Ludke RL, Wakefield DS, Booth BM, Kern DC, Burmeister LF. Nonacute utilization of Department of Veteran Affairs inpatient services. Med Care. 1991;29:AS29-39.
21. Bigby J, Dunn J, Goldman L, et al. Assessing the preventability of emergency hospital admissions. Am J Med. 1987;83:1031-6.
22. Frankl SE, Breeling JL, Goldman L. Preventability of emergent hospital readmission. Am J Med. 1991;90:667-74.
23. Weissman JS, Gatsonis C, Epstein AM. Rates of avoidable hospitalization by insurance status in Massachusetts and Maryland. JAMA. 1992;268:2388-94.
24. Bindman AB, Grumbach K, Osmond D, et al. Preventable hospitalizations and access to care. JAMA. 1995;274:305-11.
25. Hayward RA, McMahon LF Jr, Bernard AM. Evaluating the care of general medicine inpatients: how good is implicit review? Ann Intern Med. 1993;118:550-6.
26. MacKenzie EJ, Steinwachs DM, Bone LR, Floccare DJ, Ramzy AI. Inter-rater reliability of preventable death judgements. J Trauma. 1992;33:292-302.
27. Goldman RL. The reliability of peer assessments of quality of care. JAMA. 1992;267:958-60.
28. Dubois RW, Brook RH. Preventable deaths: who, how often, and why? Ann Intern Med. 1988;109:582-9.