Impact of the Hospital Readmission Reduction Program on Surgical Readmissions among Medicare Beneficiaries

Annals of Surgery

Volumn 266, Issue 4, 2017, Pages 617-624

  Ibrahim, Andrew M ^a   Nathan, Hari ^a   Thumma, Jyothi R ^a   Dimick, Justin B ^a  

^a UNIVERSITY OF MICHIGAN   (United States)

Author keywords

policy; readmissions; surgery

Indexed keywords

ABDOMINAL AORTIC ANEURYSM; AGED; AORTIC VALVE REPLACEMENT; ARTICLE; COLON RESECTION; CORONARY ARTERY BYPASS GRAFT; FEMALE; HOSPITAL FINANCE; HOSPITAL PATIENT; HOSPITAL READMISSION; HUMAN; LENGTH OF STAY; LUNG RESECTION; MAJOR CLINICAL STUDY; MALE; MEDICARE; MITRAL VALVE REPAIR; PRIORITY JOURNAL; RETROSPECTIVE STUDY; SURGICAL PATIENT; TOTAL HIP PROSTHESIS; TOTAL KNEE ARTHROPLASTY; ECONOMICS; EPIDEMIOLOGY; HEALTH CARE POLICY; HOSPITAL DISCHARGE; NURSING HOME; REIMBURSEMENT; STATISTICS AND NUMERICAL DATA; SURGERY; UNITED STATES;

AGED; FEMALE; HUMANS; INTERRUPTED TIME SERIES ANALYSIS; LENGTH OF STAY; MALE; MEDICARE; PATIENT DISCHARGE; PATIENT PROTECTION AND AFFORDABLE CARE ACT; PATIENT READMISSION; REIMBURSEMENT, INCENTIVE; RETROSPECTIVE STUDIES; SKILLED NURSING FACILITIES; SURGICAL PROCEDURES, OPERATIVE; UNITED STATES;

EID: 85021405775     PISSN: 00034932     EISSN: 15281140     Source Type: Journal    
DOI: 10.1097/SLA.0000000000002368     Document Type: Article

References (25)

1. Jencks SF, Williams MV, Coleman EA. Rehospitalizations among patients in the Medicare fee-for-service program. N Engl J Med. 2009;360:1418-1428.
2. Wasfy JH, Zigler CM, Choirat C, et al. Readmission rates after passage of the Hospital Readmissions Reduction Program: a pre-post analysis. Ann Intern Med. 2017;166:324-331.
3. Zuckerman RB, Sheingold SH, Orav EJ, et al. Readmissions, observation, and the Hospital Readmissions Reduction Program. N Engl J Med. 2016;374: 1543-1551.
4. Kocher RP, Adashi EY. Hospital readmissions and the Affordable Care Act: paying for coordinated quality care. JAMA. 2011;306:1794-1795.
5. Press MJ, Rajkumar R, Conway PH. Medicare's new bundled payments: design, strategy and evolution. JAMA. 2016;315:131-132.
6. 30-Day Unplanned Readmission and Death Measure, Centers for Medicare and Medicaid Services. Available at: https://www.medicare.gov/hospitalcompare/Data/30-day-measures.html. Accessed March 20, 2017.
7. Readmissions Reductions Program (HRRP), Centers for Medicare and Medicaid Services. Available at: https://www.cms.gov/medicare/medicare-fee-forservice-payment/acuteinpatientpps/readmissions-reduction-program.html. Accessed March 20, 2017.
8. Elixhauser A, Steiner C, Harris DR, et al. Comorbidity measures for use with administrative data. Med Care. 1998;36:8-27.
9. Southern DA, Quan H, Ghali WA. Comparison of the Elixhauser and Charlson/Deyo methods of comorbidity measurement in administrative data. Med Care. 2004;42:355-360.
10. Gilbert J. Hospital Readmissions and Length of Stay, The Incidental Economist. 2015. Available at: http://theincidentaleconomist.com/wordpress/hospital-readmissions-and-length-of-stay/. Accessed March 20, 2017.
11. Noel-Miller CL, Lind K. Is Observation Status Substituting For Hospital Readmission? 2015. Available at: http://healthaffairs.org/blog/2015/10/28/isobservation-status-substituting-for-hospital-readmission/. Accessed March 21, 2017.
12. Wright S. Memorandum Report: Hospitals' Use of Observation Stays and Short Inpatient Stays for Medicare Beneficiaries, OEI-02-12-00040, Department of Health and Human Services, Office of Inspector General (2013); Available online: https://oig.hhs.gov/oei/reports/oei-02-12-00040.pdf. Accessed April 7, 2017.
13. Desai NR, Ross JS, Kwon JY, et al. Association between hospital penalty status under the hospital readmission reduction program and readmission rates for target and nontarget conditions. JAMA. 2016;316:2647-2656.
14. Shih T, Ryan AM, Gonzalez AA, et al. Medicare's Hospital Readmissions Reduction Program in surgery may disproportionately affect minority-serving hospitals. Ann Surg. 2015;261:1027-1031.
15. Tsai TC, Orav EJ, Joynt KE. Disparities in surgical 30-day readmission rates for Medicare beneficiaries by race and site of care. Ann Surg. 2014;259:1086-1090.
16. Leape LL. Hospital readmissions following surgery: turning complications into ''treasures''. JAMA. 2015;313:467-468.
17. Merkow RP, Ju MH, Chung JW, et al. Underlying reasons associated with hospital readmission following surgery in the United States. JAMA. 2015;313: 483-495.
18. Morris MS, Graham LA, Richman JS, et al. Postoperative 30-day readmission: time to focus on what happens outside the hospital. Ann Surg. 2016;264: 621-631.
19. Tsai TC, Joynt KE, Orav EJ, et al. Variation in surgical-readmission rates and quality of hospital care. N Engl J Med. 2013;369:1134-1142.
20. Sheingold SH, Zuckerman R, Shartzer A. Understanding Medicare hospital readmission rates and differing penalties between safety-net and other hospitals. Health Affairs. 2016;35:124-131.
21. Carey K, Lin MY. Hospital Readmissions Reduction Program: safety-net hospitals show improvement, modifications to penalty formula still needed. Health Affairs. 2016;35:1918-1923.
22. Buntin MB, Ayanian JZ. Social risk factors and equity in Medicare payment. N Engl J Med. 2017;376:507-510.
23. Joynt KE, De Lew N, Sheingold SH, et al. Should Medicare value-based purchasing take social risk into account? N Engl J Med. 2017;376:510-513.
24. Thompson MP, Kaplan CM, Cao Y, et al. Reliability of 30-day readmission measures used in the Hospital Readmission Reduction Program. Health Serv Res. 2016;51:2095-2114.
25. Morris MS, Deierhoi RJ, Richman JS, et al. The relationship between timing of surgical complications and hospital readmission. JAMA Surg. 2014;149: 348-354.