Patterns of Readmissions for Three Common Conditions Among Younger US Adults

American Journal of Medicine

Volumn 130, Issue 10, 2017, Pages 1220.e1-1220.e16

  Sukul, Devraj ^a   Sinha, Shashank S ^a,b,c   Ryan, Andrew M ^c,d   Sjoding, Michael W ^a,b,c   Hummel, Scott L ^a,e   Nallamothu, Brahmajee K ^a,b,c,e  

^a UNIVERSITY OF MICHIGAN HEALTH SYSTEM   (United States)

^b UNIVERSITY OF MICHIGAN MEDICAL SCHOOL   (United States)

^c UNIVERSITY OF MICHIGAN   (United States)

^d UNIVERSITY OF MICHIGAN SCHOOL OF PUBLIC HEALTH   (United States)

^e VA ANN ARBOR HEALTHCARE SYSTEM   (United States)

Author keywords

Acute myocardial infarction; Heart failure; Patient readmission; Pneumonia

Indexed keywords

ACUTE HEART INFARCTION; ADULT; ARTICLE; CARDIOVASCULAR RISK; CONTROLLED STUDY; DISEASE ASSOCIATION; FEMALE; HEART FAILURE; HOSPITAL ADMISSION; HOSPITAL READMISSION; HOSPITALIZATION; HUMAN; ICD-9; MAJOR CLINICAL STUDY; MALE; MEDICAID; MEDICARE; MIDDLE AGED; PNEUMONIA; PRIORITY JOURNAL; UNITED STATES; ADOLESCENT; AGE; LENGTH OF STAY; MYOCARDIAL INFARCTION; RISK FACTOR; STATISTICS AND NUMERICAL DATA; YOUNG ADULT;

ADOLESCENT; ADULT; AGE FACTORS; FEMALE; HEART FAILURE; HUMANS; LENGTH OF STAY; MALE; MEDICARE; MIDDLE AGED; MYOCARDIAL INFARCTION; PATIENT READMISSION; PNEUMONIA; RISK FACTORS; UNITED STATES; YOUNG ADULT;

EID: 85025173305     PISSN: 00029343     EISSN: 15557162     Source Type: Journal    
DOI: 10.1016/j.amjmed.2017.05.025     Document Type: Article

References (51)

1. Lindenauer, P.K., Bernheim, S.M., Grady, J.N., et al. The performance of US hospitals as reflected in risk-standardized 30-day mortality and readmission rates for Medicare beneficiaries with pneumonia. J Hosp Med 5 (2010), E12–E18.
2. Bernheim, S.M., Grady, J.N., Lin, Z., et al. National patterns of risk-standardized mortality and readmission for acute myocardial infarction and heart failure. Update on publicly reported outcomes measures based on the 2010 release. Circ Cardiovasc Qual Outcomes 3 (2010), 459–467.
3. Ross, J.S., Chen, J., Lin, Z., et al. Recent national trends in readmission rates after heart failure hospitalization. Circ Heart Fail 3 (2010), 97–103.
4. Soundarraj, D., Singh, V., Satija, V., Thakur, R.K., Containing the cost of heart failure management: a focus on reducing readmissions. Heart Fail Clin 13 (2017), 21–28.
5. Barrett, M.L., Wier, L.M., Jiang, H.J., Steiner, C.A., All-cause readmissions by payer and age, 2009-2013. HCUP Statistical Brief #199. 2015. Available at: https://www.hcup-us.ahrq.gov/reports/statbriefs/sb199-Readmissions-Payer-Age.pdf Accessed January 1, 2017.
6. Jencks, S.F., Williams, M.V., Coleman, E.A., Rehospitalizations among patients in the Medicare fee-for-service program. N Engl J Med 360 (2009), 1418–1428.
7. Trimarchi, S., Smith, D.E., Share, D., et al. Retroperitoneal hematoma after percutaneous coronary intervention: prevalence, risk factors, management, outcomes, and predictors of mortality: a report from the BMC2 (Blue Cross Blue Shield of Michigan Cardiovascular Consortium) registry. JACC Cardiovasc Interv 3 (2010), 845–850.
8. Centers for Medicare & Medicaid Services. FY 2013 and FY 2014 IPPS final rules: Hospital Readmission Reduction Program supplemental data files. Available at: https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/AcuteInpatientPPS/Readmissions-Reduction-Program.html Accessed January 3, 2017.
9. Miller, L.W., Guglin, M., Patient selection for ventricular assist devices: a moving target. J Am Coll Cardiol 61 (2013), 1209–1221.
10. Writing Group Members, Mozaffarian, D., Benjamin, E.J., et al. Heart Disease and Stroke Statistics-2016 Update: a report from the American Heart Association. Circulation 133 (2016), e38–e360.
11. Parikh, N.I., Gona, P., Larson, M.G., et al. Long-term trends in myocardial infarction incidence and case fatality in the National Heart, Lung, and Blood Institute's Framingham Heart study. Circulation 119 (2009), 1203–1210.
12. Yeh, R.W., Sidney, S., Chandra, M., Sorel, M., Selby, J.V., Go, A.S., Population trends in the incidence and outcomes of acute myocardial infarction. N Engl J Med 362 (2010), 2155–2165.
13. Mosterd, A., Hoes, A.W., Clinical epidemiology of heart failure. Heart 93 (2007), 1137–1146.
14. Roger, V.L., Epidemiology of heart failure. Circ Res 113 (2013), 646–659.
15. Krumholz, H.M., Lin, Z., Keenan, P.S., et al. Relationship between hospital readmission and mortality rates for patients hospitalized with acute myocardial infarction, heart failure, or pneumonia. JAMA 309 (2013), 587–593.
16. Krumholz, H.M., Merrill, A.R., Schone, E.M., et al. Patterns of hospital performance in acute myocardial infarction and heart failure 30-day mortality and readmission. Circ Cardiovasc Qual Outcomes 2 (2009), 407–413.
17. Krumholz, H.M., Wang, Y., Parent, E.M., Mockalis, J., Petrillo, M., Radford, M.J., Quality of care for elderly patients hospitalized with heart failure. Arch Intern Med 157 (1997), 2242–2247.
18. Desai, A.S., The three-phase terrain of heart failure readmissions. Circ Heart Fail 5 (2012), 398–400.
19. Desai, A.S., Stevenson, L.W., Rehospitalization for heart failure: predict or prevent?. Circulation 126 (2012), 501–506.
20. Kocher, B., Emanuel, E.J., Overcoming the pricing power of hospitals. JAMA 308 (2012), 1213–1214.
21. Krumholz, H.M., Lin, Z., Drye, E.E., et al. An administrative claims measure suitable for profiling hospital performance based on 30-day all-cause readmission rates among patients with acute myocardial infarction. Circ Cardiovasc Qual Outcomes 4 (2011), 243–252.
22. Keenan, P.S., Normand, S.L., Lin, Z., et al. An administrative claims measure suitable for profiling hospital performance on the basis of 30-day all-cause readmission rates among patients with heart failure. Circ Cardiovasc Qual Outcomes 1 (2008), 29–37.
23. Lindenauer, P.K., Normand, S.L., Drye, E.E., et al. Development, validation, and results of a measure of 30-day readmission following hospitalization for pneumonia. J Hosp Med 6 (2011), 142–150.
24. Ranasinghe, I., Wang, Y., Dharmarajan, K., Hsieh, A.F., Bernheim, S.M., Krumholz, H.M., Readmissions after hospitalization for heart failure, acute myocardial infarction, or pneumonia among young and middle-aged adults: a retrospective observational cohort study. PLoS Med, 11, 2014, e1001737.
25. Dreyer, R.P., Ranasinghe, I., Wang, Y., et al. Sex differences in the rate, timing, and principal diagnoses of 30-day readmissions in younger patients with acute myocardial infarction. Circulation 132 (2015), 158–166.
26. Davis, J.D., Olsen, M.A., Bommarito, K., et al. All-payer analysis of heart failure hospitalization 30-day readmission: comorbidities matter. Am J Med 130 (2017), 93.e9–93.e28.
27. Designing and delivering whole-person transitional care. Agency for Healthcare Research and Quality 2016. Available at: http://www.ahrq.gov/professionals/systems/hospital/medicaidreadmitguide/index.html Accessed January 8, 2017.
28. Potentially Preventable Hospital Readmissions. Available at: https://www.medicaid.gov/State-resource-center/Medicaid-State-Plan-Amendments/Downloads/NY/NY-10-21-Att.pdf, 2011 Accessed January 10, 2017.
29. Bongiovanni, D., Readmissions penalties: are commercial payors following Medicare's lead?. Available at: http://www.besler.com/readmissions-penalties-commercial-payors/ Accessed January 2, 2017.
30. Hospital Readmissions. UnitedHealthcare Commercial: Quality of Care Guideline 2016. Available at: https://www.unitedhealthcareonline.com/ccmcontent/ProviderII/UHC/en-US/Assets/ProviderStaticFiles/ProviderStaticFilesPdf/Tools%20and%20Resources/Policies%20and%20Protocols/Medical%20Policies/Medical%20Policies/Hospital_Readmissions.pdf Accessed January 1, 2017.
31. NRD Overview. Healthcare Cost and Utilization Project (HCUP). Agency for Healthcare Research and Quality 2016. Available at: https://www.hcup-us.ahrq.gov/nrdoverview.jsp Accessed January 1, 2017.
32. Dorsey, K.B., Grady, J.N., Wang, C., et al. 2014 measures updates and specifications report: hospital-level 30-day risk-standardized readmission measures –acute myocardial infarction (version 7.0), heart failure (version 7.0), pneumonia (version 7.0), chronic obstructive pulmonary disease (version 3.0), and stroke (version 3.0). Prepared for Centers for Medicare & Medicaid Services (CMS). 2014. Available at: http://www.qualitynet.org/dcs/BlobServer?blobkey=id&blobnocache=true&blobwhere=1228890360600&blobheader=multipart%2Foctet-stream&blobheadername1=Content-Disposition&blobheadervalue1=attachment%3Bfilename%3D2014_Rdmsn_UpdtSpecsRpt.pdf&blobcol=urldata&blobtable=MungoBlobs Accessed January 2, 2017.
33. HCUP CCS. Healthcare Cost and Utilization Project (HCUP). Agency for Healthcare Research and Quality 2016. Available at: https://www.hcup-us.ahrq.gov/toolssoftware/ccs/ccs.jsp Accessed January 1, 2017.
34. Elixhauser, A., Steiner, C., Harris, D.R., Coffey, R.M., Comorbidity measures for use with administrative data. Med Care 36 (1998), 8–27.
35. Fingar, K., Washington, R., Trends in hospital readmissions for four high-volume conditions, 2009-2013. HCUP Statistical Brief #196. Agency for Healthcare Research and Quality 2015. Available at: http://www.hcup-us.ahrq.gov/reports/statbriefs/sb196-Readmissions-Trends-High-Volume-Conditions.pdf Accessed January 1, 2017.
36. Dharmarajan, K., Hsieh, A.F., Lin, Z., et al. Diagnoses and timing of 30-day readmissions after hospitalization for heart failure, acute myocardial infarction, or pneumonia. JAMA 309 (2013), 355–363.
37. Chaudhry, S.I., Phillips, C.O., Stewart, S.S., et al. Telemonitoring for patients with chronic heart failure: a systematic review. J Card Fail 13 (2007), 56–62.
38. Bradley, E.H., Curry, L., Horwitz, L.I., et al. Hospital strategies associated with 30-day readmission rates for patients with heart failure. Circ Cardiovasc Qual Outcomes 6 (2013), 444–450.
39. Desai, N.R., Ross, J.S., Kwon, J.Y., et al. Association between hospital penalty status under the hospital readmission reduction program and readmission rates for target and nontarget conditions. JAMA 316 (2016), 2647–2656.
40. Carey, K., Lin, M.Y., Readmissions to New York hospitals fell for three target conditions from 2008 to 2012, consistent with Medicare goals. Health Aff 34 (2015), 978–985.
41. Zuckerman, R.B., Sheingold, S.H., Orav, E.J., Ruhter, J., Epstein, A.M., Readmissions, observation, and the hospital readmissions reduction program. N Engl J Med 374 (2016), 1543–1551.
42. Potentially Preventable Readmissions Policy. PPR Overview: Department of Healthcare and Family Services 2014. Available at: https://www.illinois.gov/hfs/SiteCollectionDocuments/PPR_Overview.pdf Accessed January 1, 2017.
43. Hansen, L.O., Greenwald, J.L., Budnitz, T., et al. Project BOOST: effectiveness of a multihospital effort to reduce rehospitalization. J Hosp Med 8 (2013), 421–427.
44. Naylor, M.D., Brooten, D.A., Campbell, R.L., Maislin, G., McCauley, K.M., Schwartz, J.S., Transitional care of older adults hospitalized with heart failure: a randomized, controlled trial. J Am Geriatr Soc 52 (2004), 675–684.
45. Naylor, M.D., Brooten, D., Campbell, R., et al. Comprehensive discharge planning and home follow-up of hospitalized elders: a randomized clinical trial. JAMA 281 (1999), 613–620.
46. Jack, B.W., Chetty, V.K., Anthony, D., et al. A reengineered hospital discharge program to decrease rehospitalization: a randomized trial. Ann Intern Med 150 (2009), 178–187.
47. Joynt, K.E., Jha, A.K., A path forward on Medicare readmissions. N Engl J Med 368 (2013), 1175–1177.
48. Joynt, K.E., Jha, A.K., Thirty-day readmissions–truth and consequences. N Engl J Med 366 (2012), 1366–1369.
49. National Quality Forum. Risk Adjustment for Socioeconomic Status or other Sociodemographic Factors. 2014. Available at: http://www.qualityforum.org/Publications/2014/08/Risk_Adjustment_for_Socioeconomic_Status_or_Other_Sociodemographic_Factors.aspx Accessed January 1, 2017.
50. Joynt, K.E., Orav, E.J., Jha, A.K., Thirty-day readmission rates for Medicare beneficiaries by race and site of care. JAMA 305 (2011), 675–681.
51. Medicare.gov Hospital Compare. Available at: https://www.medicare.gov/hospitalcompare/search.html? Accessed January 29, 2017.