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Volumn 23, Issue 1, 2014, Pages 20-42

Reducing hospital readmissions among medicaid patients: A review of the literature

Author keywords

Hospital readmissions; Medicaid; rehospitalization

Indexed keywords

ECONOMICS; FEMALE; HEALTH CARE COST; HEALTH CARE SURVEY; HOSPITAL READMISSION; HUMAN; MALE; MEDICAID; MENTAL DISORDERS; OUTCOME ASSESSMENT; RISK ASSESSMENT; SOCIOECONOMICS; STATISTICS AND NUMERICAL DATA; SUBSTANCE-RELATED DISORDERS; UNITED STATES;

EID: 84891888576     PISSN: 10638628     EISSN: 15505154     Source Type: Journal    
DOI: 10.1097/QMH.0000000000000016     Document Type: Review
Times cited : (17)

References (61)
  • 2
    • 2442553767 scopus 로고    scopus 로고
    • The rate and cost of hospital readmissions for preventable conditions
    • Friedman B, Basu J. The rate and cost of hospital readmissions for preventable conditions. Med Care Res Rev. 2004;61:225-240.
    • (2004) Med Care Res Rev. , vol.61 , pp. 225-240
    • Friedman, B.1    Basu, J.2
  • 3
    • 84855179168 scopus 로고    scopus 로고
    • The relationship between hospital admission rates and rehospitalizations
    • Epstein AM, Jha AK, Orav EJ. The relationship between hospital admission rates and rehospitalizations. N Engl J Med. 2011;365(24):2287-2295.
    • (2011) N Engl J Med. , vol.365 , Issue.24 , pp. 2287-2295
    • Epstein, A.M.1    Jha, A.K.2    Orav, E.J.3
  • 5
    • 84891846275 scopus 로고    scopus 로고
    • Medicare Payment Advisory Commission (MedPAC) Report to Congress. June
    • Medicare Payment Advisory Commission (MedPAC). Promoting Greater Efficiency in Medicare. Report to Congress. June 2007.
    • (2007) Promoting Greater Efficiency in Medicare
  • 6
    • 1542610656 scopus 로고    scopus 로고
    • Comprehensive discharge planning with postdischarge support for older patients with congestive heart failure: A meta-analysis
    • Phillips CO, Wright SM, Kern DE, Singa RM, Shepperd S, Rubin HR. Comprehensive discharge planning with postdischarge support for older patients with congestive heart failure: a meta-analysis. JAMA. 2004;291:1358-1367.
    • (2004) JAMA. , vol.291 , pp. 1358-1367
    • Phillips, C.O.1    Wright, S.M.2    Kern, D.E.3    Singa, R.M.4    Shepperd, S.5    Rubin, H.R.6
  • 7
    • 84891872509 scopus 로고    scopus 로고
    • The Center for Medicare & Medicaid Innovation. Community-Based Care Transitions Program. Baltimore, MD: Centers for Medicare & Medicaid Services Accessed January 24, 2012
    • The Center for Medicare & Medicaid Innovation. Community-Based Care Transitions Program. Baltimore, MD: Centers for Medicare & Medicaid Services. http://innovations.cms. gov/initiatives/Partnership-for-Patients/CCTP/ index.html. Accessed January 24, 2012.
  • 8
    • 33749031312 scopus 로고    scopus 로고
    • The care transitions intervention: Results of a randomized controlled trial
    • Coleman EA, Parry C, Chalmers S, Min S. The care transitions intervention: results of a randomized controlled trial. Arch Intern Med. 2006;166:1822-1828.
    • (2006) Arch Intern Med. , vol.166 , pp. 1822-1828
    • Coleman, E.A.1    Parry, C.2    Chalmers, S.3    Min, S.4
  • 9
    • 0033577026 scopus 로고    scopus 로고
    • Comprehensive discharge planning and home follow-up of hospitalized elders: A randomized clinical trial
    • Naylor MD, Brooten D, Campbell R, et al. Comprehensive discharge planning and home follow-up of hospitalized elders: a randomized clinical trial. JAMA. 1999;281:613-620.
    • (1999) JAMA. , vol.281 , pp. 613-620
    • Naylor, M.D.1    Brooten, D.2    Campbell, R.3
  • 10
    • 59949102241 scopus 로고    scopus 로고
    • A reengi-neered hospital discharge program to decrease rehospital-ization: A randomized trial
    • Jack BW, Chetty VK, Anthony D, et al. A reengi-neered hospital discharge program to decrease rehospital-ization: a randomized trial. Ann Intern Med. 2009;150: 178-187.
    • (2009) Ann Intern Med. , vol.150 , pp. 178-187
    • Jack, B.W.1    Chetty, V.K.2    Anthony, D.3
  • 11
    • 79960254732 scopus 로고    scopus 로고
    • An early look at a four-state initiative to reduce avoidable hospital readmissions
    • Boutwell AE, Johnson MB, Rutherford P, et al. An early look at a four-state initiative to reduce avoidable hospital readmissions. Health Aff. 2011;30:1272-1280.
    • (2011) Health Aff. , vol.30 , pp. 1272-1280
    • Boutwell, A.E.1    Johnson, M.B.2    Rutherford, P.3
  • 12
    • 84891881165 scopus 로고    scopus 로고
    • Centers for Medicare & Medicaid Services. Readmissions reduction program Accessed 2012
    • Centers for Medicare & Medicaid Services. Readmissions reduction program. https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/ AcuteInpatientPPS/Readmissions-Reduction-Program.html. Accessed 2012.
  • 13
    • 84884498811 scopus 로고    scopus 로고
    • HCUP Statistical Brief #115. Rockville, MD: Agency for Healthcare Research and Quality Published June 2011. Accessed January 18, 2012
    • Wier LM, Barrett ML, Steiner C, Jiang J. All-Cause Readmissions by Payer and Age, 2008. HCUP Statistical Brief #115. Rockville, MD: Agency for Healthcare Research and Quality. http://www.hcup-us.ahrq.gov/reports/statbriefs/sb115.pdf. Published June 2011. Accessed January 18, 2012.
    • All-Cause Readmissions by Payer and Age 2008
    • Wier, L.M.1    Barrett, M.L.2    Steiner, C.3    Jiang, J.4
  • 16
    • 84891883532 scopus 로고    scopus 로고
    • George Washington University report for the Washington State Legislature and the Washington State Institute for Public Policy. Washington, DC: School of Public Health and Health Services, George Washington University; April 2011
    • Bruen B, Jensen R, Riley P, Lara A, Lu X. Medicaid Cost Containment Options for Washington State. George Washington University report for the Washington State Legislature and the Washington State Institute for Public Policy. Washington, DC: School of Public Health and Health Services, George Washington University; April 2011.
    • Medicaid Cost Containment Options for Washington State
    • Bruen, B.1    Jensen, R.2    Riley, P.3    Lara, A.4    Lu, X.5
  • 17
    • 84891853061 scopus 로고    scopus 로고
    • Office of the New York State Controller. Medicaid Overpayments for Hospital Readmissions, May 3, 2010 & Audit response letter from the Department of Health, March 28, 2011. Albany, NY: Office of the State Controller
    • Office of the New York State Controller. Medicaid Overpayments for Hospital Readmissions, May 3, 2010 & Audit response letter from the Department of Health, March 28, 2011. Albany, NY: Office of the State Controller.
  • 18
    • 84891856718 scopus 로고    scopus 로고
    • Texas Health and Human Services Commission. Potentially Preventable Readmissions in the Texas Medicaid Population Fiscal Year 2009. Austin, TX: Texas Health and Human Services Commission; January 2011
    • Texas Health and Human Services Commission. Potentially Preventable Readmissions in the Texas Medicaid Population, Fiscal Year 2009. Austin, TX: Texas Health and Human Services Commission; January 2011.
  • 20
    • 84862669044 scopus 로고    scopus 로고
    • National study of barriers to timely primary care and emergency department utilization among Medicaid beneficiaries
    • Cheung PT, Wiler JL, Lowe RA, Ginde AA. National study of barriers to timely primary care and emergency department utilization among Medicaid beneficiaries. Ann Emerg Med. 2012;60:4-10.
    • (2012) Ann Emerg Med. , vol.60 , pp. 4-10
    • Cheung, P.T.1    Wiler, J.L.2    Lowe, R.A.3    Ginde, A.A.4
  • 22
    • 77649272891 scopus 로고    scopus 로고
    • Barriers to effective self-management in cardiac patients: The patient's experience
    • Mead H, Andres E, Ramos C, Siegel B, Regenstein M. Barriers to effective self-management in cardiac patients: the patient's experience. Patient Educ Couns 2010;79(1):69-76.
    • (2010) Patient Educ Couns , vol.79 , Issue.1 , pp. 69-76
    • Mead, H.1    Andres, E.2    Ramos, C.3    Siegel, B.4    Regenstein, M.5
  • 24
    • 0036315494 scopus 로고    scopus 로고
    • Trends in pediatric hospi-talizations of children in Washington State by Insurance and Chronic Condition Status, 1991-1998
    • Neff JM, Valentine J, Park A, et al. Trends in pediatric hospi-talizations of children in Washington State by Insurance and Chronic Condition Status, 1991-1998. Arch Pediatr Adolesc Med. 2002;156(7):703-709.
    • (2002) Arch Pediatr Adolesc Med. , vol.156 , Issue.7 , pp. 703-709
    • Neff, J.M.1    Valentine, J.2    Park, A.3
  • 25
    • 60649091797 scopus 로고    scopus 로고
    • Costly hospital readmissions and complex chronic illness
    • Friedman B, Jiang HJ, Elixhauser A. Costly hospital readmissions and complex chronic illness. Inquiry. 2008;45:408-421.
    • (2008) Inquiry. , vol.45 , pp. 408-421
    • Friedman, B.1    Jiang, H.J.2    Elixhauser, A.3
  • 28
    • 63849134505 scopus 로고    scopus 로고
    • Rehospitalizations among patients in the Medicare fee-for-service program
    • Jencks S, Williams M, Coleman E. Rehospitalizations among patients in the Medicare fee-for-service program. New Engl J Med. 2009;360:1418-1428.
    • (2009) New Engl J Med. , vol.360 , pp. 1418-1428
    • Jencks, S.1    Williams, M.2    Coleman, E.3
  • 29
    • 0029194053 scopus 로고
    • Medicaid recipients and psychiatric treatment
    • Chun W. Medicaid recipients and psychiatric treatment. Hawaii Med J. 1995;54(1):390-391.
    • (1995) Hawaii Med J. , vol.54 , Issue.1 , pp. 390-391
    • Chun, W.1
  • 30
    • 77952319650 scopus 로고    scopus 로고
    • Quality of care for heart failure among disabled Medicaid recipients with and without severe mental illness
    • Blecker S, Zhang Y, Ford DE, et al. Quality of care for heart failure among disabled Medicaid recipients with and without severe mental illness. Gen Hosp Psychiatry. 2010;32:255-261.
    • (2010) Gen Hosp Psychiatry. , vol.32 , pp. 255-261
    • Blecker, S.1    Zhang, Y.2    Ford, D.E.3
  • 31
    • 0033756913 scopus 로고    scopus 로고
    • Outpatient utilization patterns and quality outcomes after first acute episode of mental health hospitalization: Is some better than none, and is more service associated with better outcomes?
    • Huff ED. Outpatient utilization patterns and quality outcomes after first acute episode of mental health hospitalization: is some better than none, and is more service associated with better outcomes? Eval Health Prof. 2000;23:441-456.
    • (2000) Eval Health Prof. , vol.23 , pp. 441-456
    • Huff, E.D.1
  • 32
    • 3543124260 scopus 로고    scopus 로고
    • Partial compliance and risk of rehospitalization among California Medicaid patients with schizophrenia
    • Weiden PJ, Kozma C, Grogg A, Locklear J. Partial compliance and risk of rehospitalization among California Medicaid patients with schizophrenia. Psychiatr Serv. 2004;55:886-891.
    • (2004) Psychiatr Serv. , vol.55 , pp. 886-891
    • Weiden, P.J.1    Kozma, C.2    Grogg, A.3    Locklear, J.4
  • 33
    • 72249087639 scopus 로고    scopus 로고
    • Psychotropic medication changes, polypharmacy, and the risk of early readmission in suicidal adolescent inpatients
    • Fontanella CA, Bridge JA, Campo JV. Psychotropic medication changes, polypharmacy, and the risk of early readmission in suicidal adolescent inpatients. Ann Pharmacother. 2009;43:1939-1947.
    • (2009) Ann Pharmacother. , vol.43 , pp. 1939-1947
    • Fontanella, C.A.1    Bridge, J.A.2    Campo, J.V.3
  • 34
    • 57349139450 scopus 로고    scopus 로고
    • The influence of clinical, treatment, and healthcare system characteristics on psychiatric readmission of adolescents
    • Fontanella CA. The influence of clinical, treatment, and healthcare system characteristics on psychiatric readmission of adolescents. Am J Orthopsychiatry. 2008;78(2):187-198.
    • (2008) Am J Orthopsychiatry. , vol.78 , Issue.2 , pp. 187-198
    • Fontanella, C.A.1
  • 36
    • 0032227436 scopus 로고    scopus 로고
    • Characteristics of children having multiple Medicaid-paid asthma hospitaliza-tions
    • Chabra A, Chávez GF, Adams EJ, Taylor D. Characteristics of children having multiple Medicaid-paid asthma hospitaliza-tions. Matern Child Health J. 1998;2:223-229.
    • (1998) Matern Child Health J. , vol.2 , pp. 223-229
    • Chabra, A.1    Chávez, G.F.2    Adams, E.J.3    Taylor, D.4
  • 37
    • 44949164784 scopus 로고    scopus 로고
    • Adherence to guidelines for and disparities in diabetes care utilization in Medicaid children
    • Sheikh K, Bullock CM, Jiang Y, Ketner SD. Adherence to guidelines for and disparities in diabetes care utilization in Medicaid children. J Pediatr Endocrinol Metab. 2008;21:349-358.
    • (2008) J Pediatr Endocrinol Metab. , vol.21 , pp. 349-358
    • Sheikh, K.1    Bullock, C.M.2    Jiang, Y.3    Ketner, S.D.4
  • 38
    • 77954934621 scopus 로고    scopus 로고
    • Assessing multiple hospitalizations for health-plan-managed Medicaid diabetic members
    • Cramer S, Chapa G, Kotsos T, Jenich H. Assessing multiple hospitalizations for health-plan-managed Medicaid diabetic members. J Healthcare Qual. 2010;32:7-14.
    • (2010) J Healthcare Qual. , vol.32 , pp. 7-14
    • Cramer, S.1    Chapa, G.2    Kotsos, T.3    Jenich, H.4
  • 39
    • 33845586852 scopus 로고    scopus 로고
    • Health service use and outcomes among disabled Medicaid pregnant women
    • Gavin N, Benedict M, Adams EK. Health service use and outcomes among disabled Medicaid pregnant women. Womens Health Issues. 2006;16:313-322.
    • (2006) Womens Health Issues. , vol.16 , pp. 313-322
    • Gavin, N.1    Benedict, M.2    Adams, E.K.3
  • 42
    • 24144485865 scopus 로고    scopus 로고
    • Racial/ethnic disparities in potentially preventable readmissions: The case of diabetes
    • Jiang HJ, Andrews R, Streyer D, Friedman B. Racial/ethnic disparities in potentially preventable readmissions: the case of diabetes. Am J Publ Health. 2005;95:1561-1567.
    • (2005) Am J Publ Health. , vol.95 , pp. 1561-1567
    • Jiang, H.J.1    Andrews, R.2    Streyer, D.3    Friedman, B.4
  • 44
    • 0033917335 scopus 로고    scopus 로고
    • Newborn discharge timing and readmissions: California, 1992-1995
    • Danielsen B, Castles AG, Damberg CL, Gould JB. Newborn discharge timing and readmissions: California, 1992-1995. Pediatrics. 2000;106:31-39.
    • (2000) Pediatrics. , vol.106 , pp. 31-39
    • Danielsen, B.1    Castles, A.G.2    Damberg, C.L.3    Gould, J.B.4
  • 45
    • 42949176762 scopus 로고    scopus 로고
    • Readmission for neonatal jaundice in California 1991-2000: Trends and implications
    • Burgos AE, Schmitt SK, Stevenson DK, Phibbs CS. Readmission for neonatal jaundice in California, 1991-2000: trends and implications. Pediatrics. 2008;121:e864-e869.
    • (2008) Pediatrics. , vol.121
    • Burgos, A.E.1    Schmitt, S.K.2    Stevenson, D.K.3    Phibbs, C.S.4
  • 46
    • 0030856497 scopus 로고    scopus 로고
    • Hospital readmission with feeding-related problems after early postpartum discharge of normal newborns
    • Edmonson MB, Stoddard JJ, Owens LM. Hospital readmission with feeding-related problems after early postpartum discharge of normal newborns. J Am Med Assoc. 1997;278: 299-303.
    • (1997) J Am Med Assoc. , vol.278 , pp. 299-303
    • Edmonson, M.B.1    Stoddard, J.J.2    Owens, L.M.3
  • 47
    • 66549100755 scopus 로고    scopus 로고
    • Discharge practices, readmission, and serious medical complications following primary cleft lip repair in 23 U.S. Children's hospitals
    • Hopper RA, Lewis C, Umbdenstock R, Garrison MM, Starr JR. Discharge practices, readmission, and serious medical complications following primary cleft lip repair in 23 U.S. children's hospitals. Plast Reconstr Surg. 2009;123: 1553-1559.
    • (2009) Plast Reconstr Surg. , vol.123 , pp. 1553-1559
    • Hopper, R.A.1    Lewis, C.2    Umbdenstock, R.3    Garrison, M.M.4    Starr, J.R.5
  • 48
    • 79551546685 scopus 로고    scopus 로고
    • Redefining readmission risk factors for general medicine patients
    • Allaudeen N, Vidyarthi A, Maselli J, Auerbach A. Redefining readmission risk factors for general medicine patients. J Hosp Med. 2011;6:54-60.
    • (2011) J Hosp Med. , vol.6 , pp. 54-60
    • Allaudeen, N.1    Vidyarthi, A.2    Maselli, J.3    Auerbach, A.4
  • 49
    • 39749201515 scopus 로고    scopus 로고
    • Psychotherapeutic home intervention program: Impact on Medicaid readmission rates
    • Johns MJ, Flaxman J, Gomez MY, Bockian NR, Hall M. Psychotherapeutic home intervention program: Impact on Medicaid readmission rates. Care Manag J. 2007;8: 179-186.
    • (2007) Care Manag J. , vol.8 , pp. 179-186
    • Johns, M.J.1    Flaxman, J.2    Gomez, M.Y.3    Bockian, N.R.4    Hall, M.5
  • 50
    • 0036835770 scopus 로고    scopus 로고
    • Home-based treatment, rates of ambulatory follow-up, and psychiatric rehospitaliza-tion in a Medicaid managed care population
    • Frederick S, Caldwell K, Rubio DM. Home-based treatment, rates of ambulatory follow-up, and psychiatric rehospitaliza-tion in a Medicaid managed care population. J Behav Health Serv Res. 2002;29:466-475.
    • (2002) J Behav Health Serv Res. , vol.29 , pp. 466-475
    • Frederick, S.1    Caldwell, K.2    Rubio, D.M.3
  • 51
    • 80053913594 scopus 로고    scopus 로고
    • An intervention to improve care and reduce costs for high-risk patients with frequent hospital admissions: A pilot study
    • Raven MC, Doran KM, Kostrowski S, Gillespie CC, Elbel BD. An intervention to improve care and reduce costs for high-risk patients with frequent hospital admissions: a pilot study. BMC Health Serv Res. 2011;11:270.
    • (2011) BMC Health Serv Res. , vol.11 , pp. 270
    • Raven, M.C.1    Doran, K.M.2    Kostrowski, S.3    Gillespie, C.C.4    Elbel, B.D.5
  • 52
    • 33750441840 scopus 로고    scopus 로고
    • Factors affecting detoxification readmission: Analysis of public sector data from three states
    • Mark TL, Vandivort-Warren R, Montejano LB. Factors affecting detoxification readmission: analysis of public sector data from three states. J Subst Abuse Treat. 2006;31:439-445.
    • (2006) J Subst Abuse Treat. , vol.31 , pp. 439-445
    • Mark, T.L.1    Vandivort-Warren, R.2    Montejano, L.B.3
  • 53
    • 33846930920 scopus 로고    scopus 로고
    • On-site medical care in methadone maintenance: Associations with health care use and expenditures
    • Gourevitch MN, Chatterji P, Deb N, Shoenbaum EE, Turner BJ. On-site medical care in methadone maintenance: associations with health care use and expenditures. J Subst Abuse Treat. 2007;32(2):143-151.
    • (2007) J Subst Abuse Treat. , vol.32 , Issue.2 , pp. 143-151
    • Gourevitch, M.N.1    Chatterji, P.2    Deb, N.3    Shoenbaum, E.E.4    Turner, B.J.5
  • 54
    • 2542582402 scopus 로고    scopus 로고
    • Impact of early newborn discharge legislation and early follow-up visits on infant outcomes in a state Medicaid population
    • Meara E, Kotagal UR, Atherton HD, Lieu TA. Impact of early newborn discharge legislation and early follow-up visits on infant outcomes in a state Medicaid population. Pediatrics. 2004;113:1619-1627.
    • (2004) Pediatrics. , vol.113 , pp. 1619-1627
    • Meara, E.1    Kotagal, U.R.2    Atherton, H.D.3    Lieu, T.A.4
  • 55
    • 0142058051 scopus 로고    scopus 로고
    • Does having an outpatient visit after hospital discharge reduce the likelihood of readmission?
    • Gill JM, Mainous AG, Nsereko M. Does having an outpatient visit after hospital discharge reduce the likelihood of readmission? Del Med J. 2003;75:291-298.
    • (2003) Del Med J. , vol.75 , pp. 291-298
    • Gill, J.M.1    Mainous, A.G.2    Nsereko, M.3
  • 56
    • 0032931654 scopus 로고    scopus 로고
    • Service components of case management which reduce inpatient care use for persons with serious mental illness
    • Kuno E, Rothbard AB, Sands RG. Service components of case management which reduce inpatient care use for persons with serious mental illness. Community Ment Health J. 1999;35:153-167.
    • (1999) Community Ment Health J. , vol.35 , pp. 153-167
    • Kuno, E.1    Rothbard, A.B.2    Sands, R.G.3
  • 58
    • 79955501402 scopus 로고    scopus 로고
    • Innovation profile: Improving the coordination of care for Medicaid beneficiaries in Pennsylvania
    • Bielaszka-DuVernay C. Innovation profile: improving the coordination of care for Medicaid beneficiaries in Pennsylvania. Health Aff. 2011;30:426-430.
    • (2011) Health Aff. , vol.30 , pp. 426-430
    • Bielaszka-Duvernay, C.1


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