Potentially preventable 30-day hospital readmissions at a children's hospital

Pediatrics

Volumn 138, Issue 2, 2016, Pages

  Toomey, Sara L ^a,b   Peltz, Alon ^a,c   Loren, Samuel ^a   Tracy, Michaela ^a   Williams, Kathryn ^a   Pengeroth, Linda ^a   Marie, Allison Ste ^a,b   Onorato, Sarah ^a   Schuster, Mark A ^a,b  

^a BOSTON CHILDREN S HOSPITAL   (United States)

^b HARVARD MEDICAL SCHOOL   (United States)

^c YALE UNIVERSITY SCHOOL OF MEDICINE   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ADOLESCENT; ARTICLE; ATTENDING PHYSICIAN; CAREGIVER EDUCATION; CHILD; CHRONIC DISEASE; CONTROLLED STUDY; CROSS-SECTIONAL STUDY; FEMALE; HANDOVER COMMUNICATION; HEALTH CARE PERSONNEL; HOSPITAL ADMISSION; HOSPITAL DISCHARGE; HOSPITAL READMISSION; HUMAN; INPATIENT NURSE; LIKERT SCALE; MAJOR CLINICAL STUDY; MALE; MEDICAL RECORD REVIEW; MULTIVARIATE ANALYSIS; MULTIVARIATE REGRESSION ANALYSIS; PARENTAL ANXIETY; PATIENT ASSESSMENT; PATIENT EDUCATION; PEDIATRIC HOSPITAL; POSTOPERATIVE COMPLICATION; PRIMARY CARE PROVIDER; PRIORITY JOURNAL; REGRESSION ANALYSIS; REHABILITATION CARE; RISK FACTOR; SOCIAL ASPECT; STRUCTURED INTERVIEW; TERTIARY HEALTH CARE; HEALTH CARE QUALITY; HOSPITAL; INFANT; INTERVIEW; MASSACHUSETTS; NEWBORN; PRESCHOOL CHILD; RETROSPECTIVE STUDY; STANDARDS; STATISTICS AND NUMERICAL DATA; TOTAL QUALITY MANAGEMENT;

ADOLESCENT; BOSTON; CHILD; CHILD, PRESCHOOL; CROSS-SECTIONAL STUDIES; FEMALE; HOSPITALS, PEDIATRIC; HUMANS; INFANT; INFANT, NEWBORN; INTERVIEWS AS TOPIC; MALE; MULTIVARIATE ANALYSIS; PATIENT READMISSION; QUALITY IMPROVEMENT; QUALITY INDICATORS, HEALTH CARE; RETROSPECTIVE STUDIES;

EID: 84982796359     PISSN: 00314005     EISSN: 10984275     Source Type: Journal    
DOI: 10.1542/peds.2015-4182     Document Type: Article

References (41)

1. Goldfield NI, McCullough EC, Hughes JS, et al. Identifying potentially preventable readmissions. Health Care Financ Rev. 2008;30(1):75-91
2. Hansen LO, Young RS, Hinami K, Leung A, Williams MV. Interventions to reduce 30-day rehospitalization: a systematic review. Ann Intern Med. 2011;155(8):520-528
3. Centers for Medicare and Medicaid Services. Readmissions reduction program. Published April 26, 2013. Available at: www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/AcuteInpatientPPS /Readmissions-Reduction-Program.html. Accessed May 20, 2013
4. Agency for Healthcare Research and Quality; Centers for Medicare and Medicaid Services. Pediatric All-Condition Readmission Measure. Available at: www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/chipra-14-p008-1-ef.pdf. Accessed August 17, 2015
5. Patient Protection and Affordable Care Act. Vol Stat 119; 2010:318-319. Available at: www.gpo.gov/fdsys/pkg/PLAW-111publ148/pdf/PLAW-111publ148.pdf. Accessed September 8, 2015
6. Medicare Payment Advisory Commission. Report to Congress: Medicare and the Health Care Delivery System. Washington, DC; 2013. Available at: www.medpac.gov/documents/Jun13-EntireReport.pdf. Accessed January 31, 2014
7. Illinois Department of Healthcare and Family Services. State fiscal year (SFY) 2014 Potentially Preventable Readmissions (PPR) Reports. Published October 4, 2014. Available at: www.hfs. illinois.gov/html/100413n1.html. Accessed January 13, 2016
8. Potentially preventable readmissions in the Texas Medicaid population, state fiscal year 2012. Texas Health and Human Services Commission; 2013:11-25. Available at: www.hhsc. state. tx. us/reports/2013/PPR-Report.pdf. Accessed August 17, 2015
9. NY State Potentially Preventable Readmissions. 2011. Available at: https://www.health. ny.gov/regulations/recently-adopted/docs/2011-02-23-potentially-preventable-readmissions.pdf. Accessed January 13, 2016
10. Oklahoma Health Care Authority. Hospital Potentially Preventable Readmissions (PPR) Program. 2015. Available at: http://www.okhca.org/providers. aspx? id=16078&terms=Hospital%20 Potentially%20 Preventable%20 Readmissions%20 (PPR. Accessed January 13, 2016
11. Colorado Department of Health Care Policy and Financing. Creating a culture of change. 2014. Available at: https://www.colorado.gov/pacific/sites/default/files/Accountable%20 Care%20 Collaborative%202014 %20 Annual%20 Report.pdf. Accessed January 13, 2016
12. Lavenberg JG, Leas B, Umscheid CA, Williams K, Goldmann DR, Kripalani S. Assessing preventability in the quest to reduce hospital readmissions. J Hosp Med. 2014;9(9):598-603
13. Hain PD, Gay JC, Berutti TW, Whitney GM, Wang W, Saville BR. Preventability of early readmissions at a children's hospital. Pediatrics. 2013;131(1). Available at: www.pediatrics.org/cgi/content/full/131/1/e171
14. Lorch SA, Baiocchi M, Silber JH, Even-Shoshan O, Escobar GJ, Small DS. The role of outpatient facilities in explaining variations in risk-adjusted readmission rates between hospitals. Health Serv Res. 2010;45(1):24-41
15. Kirby SE, Dennis SM, Jayasinghe UW, Harris MF. Patient related factors in frequent readmissions: the influence of condition, access to services and patient choice. BMC Health Serv Res. 2010;10(216)
16. Sacks GD, Dawes AJ, Russell MM, et al. Evaluation of hospital readmissions in surgical patients: do administrative data tell the real story? JAMA Surg. 2014;149(8):759-764
17. Hechenbleikner EM, Makary MA, Samarov DV, et al. Hospital readmission by method of data collection. J Am Coll Surg. 2013;216(6):1150-1158
18. Harris PA, Taylor R, Thielke R, Payne J, Gonzalez N, Conde JG. Research electronic data capture (REDCap)-a metadata-driven methodology and workflow process for providing translational research informatics support. J Biomed Inform. 2009;42(2):377-381
19. Institute for Healthcare Improvement. STate Action on Avoidable Rehospitalizations (STAAR) Initiative. Available at: www.ihi.org/offerings/Initiatives/STAAR/Pages/default. aspx. Accessed October 23, 2013
20. Meisenberg BR, Hahn E, Binner M, et al. ReCAP: insights into the potential preventability of oncology readmissions. J Oncol Pract. 2016;12(2):153-154
21. Greenberg JK, Washington CW, Guniganti R, Dacey RG, Derdeyn CP, Zipfel GJ. Causes of 30-day readmission after aneurysmal subarachnoid hemorrhage. J Neurosurg. 2016;124(3):743-749
22. Institute for Healthcare Improvement. IHI STAAR Readmissions Diagnostic Worksheet. Available at: http://www.ihi.org/resources/pages/tools/readmissionsdiagn osticworksheet. aspx. Accessed June 20, 2016
23. Healthcare Cost and Utilization Project (HCUP). Chronic Condition Indicator (CCI) for ICD-9-CM. Available at: https://www.hcup-us. ahrq.gov/. Accessed August 17, 2015
24. Williams EI, Fitton F. Factors affecting early unplanned readmission of elderly patients to hospital. BMJ. 1988;297(6651):784-787
25. Lautz TB, Reynolds M. Context and significance of emergency department visits and readmissions after pediatric appendectomy. J Pediatr Surg. 2011;46(10):1918-1922
26. Gay JC, Agrawal R, Auger KA, et al. Rates and impact of potentially preventable readmissions at children's hospitals. J Pediatr. 2015;166(3):613-619.e5
27. Tejedor-Sojo J, Singleton LM, McCormick K, Wrubel D, Chern JJ. Preventability of pediatric 30-day readmissions following ventricular shunt surgery. J Pediatr. 2015;167(6):1327-1333.e1
28. Jackson AH, Fireman E, Feigenbaum P, Neuwirth E, Kipnis P, Bellows J. Manual and automated methods for identifying potentially preventable readmissions: a comparison in a large healthcare system. BMC Med Inform Decis Mak. 2014;14(1):28
29. Hallerbach M, Francoeur A, Pomerantz SC, et al. Patterns and predictors of early hospital readmission in patients with congestive heart failure. Am J Med Qual. 2008;23(1):18-23
30. Amin BY, Tu T-H, Schairer WW, et al. Pitfalls of calculating hospital readmission rates based on nonvalidated administrative data sets: presented at the 2012 Joint Spine Section Meeting: clinical article. J Neurosurg Spine. 2013;18(2):134-138
31. Chern JJ, Bookland M, Tejedor-Sojo J, et al. Return to system within 30 days of discharge following pediatric shunt surgery. J Neurosurg Pediatr. 2014;13(5):525-531
32. Berry JG, Ziniel SI, Freeman L, et al. Hospital readmission and parent perceptions of their child's hospital discharge. Int J Qual Health Care. 2013;25(5):573-581
33. Gay JC, Hain PD, Grantham JA, Saville BR. Epidemiology of 15-day readmissions to a children's hospital. Pediatrics. 2011;127(6). Available at: www.pediatrics.org/cgi/content/full/127/6/e1505
34. Flores G, Abreu M, Tomany-Korman S, Meurer J. Keeping children with asthma out of hospitals: parents' and physicians' perspectives on how pediatric asthma hospitalizations can be prevented. Pediatrics. 2005;116(4):957-965
35. Li LT, Mills WL, White DL, et al. Causes and prevalence of unplanned readmissions after colorectal surgery: a systematic review and meta-analysis. J Am Geriatr Soc. 2013;61(7):1175-1181
36. Clarke A. Are readmissions avoidable? BMJ. 1990;301(6761):1136-1138
37. Grim RD, McElwain D, Hartmann R, Hudak M, Young S. Evaluating causes for unplanned hospital readmissions of palliative care patients. Am J Hosp Palliat Care. 2010;27(8):526-531
38. Zmistowski B, Restrepo C, Hess J, Adibi D, Cangoz S, Parvizi J. Unplanned readmission after total joint arthroplasty: rates, reasons, and risk factors. J Bone Joint Surg Am. 2013;95(20):1869-1876
39. Oddone EZ, Weinberger M, Horner M, et al. Classifying general medicine readmissions. Are they preventable? Veterans Affairs Cooperative Studies in Health Services Group on Primary Care and Hospital Readmissions. J Gen Intern Med. 1996;11(10):597-607
40. Feigenbaum P, Neuwirth E, Trowbridge L, et al. Factors contributing to all-cause 30-day readmissions: a structured case series across 18 hospitals. Med Care. 2012;50(7):599-605
41. Tubbs-Cooley HL, Cimiotti JP, Silber JH, Sloane DM, Aiken LH. An observational study of nurse staffing ratios and hospital readmission among children admitted for common conditions. BMJ Qual Saf. 2013;22(9):735-742