Progress (?) Toward Reducing Pediatric Readmissions.

J Hosp Med

Division of Hospital Medicine and James M. Anderson Center for Healthcare Improvement, Cincinnati Children's Hospital Medical Center; Department of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, Ohio.

Published: October 2019

AI Article Synopsis

  • * A study analyzed data from 66 hospitals between January 2010 and June 2016, covering 4.52 million hospitalizations, to see if readmission rates changed over time.
  • * The findings showed that the overall readmission rates—both all cause (5.1%) and potentially preventable (2.5%)—stayed stable over six years, despite efforts to improve the situation.

Article Abstract

Many children's hospitals are actively working to reduce readmissions to improve care and avoid financial penalties. We sought to determine if pediatric readmission rates have changed over time. We used data from 66 hospitals in the Inpatient Essentials Database including index hospitalizations from January, 2010 through June, 2016. Seven-day all cause (AC) and potentially preventable readmission (PPR) rates were calculated using 3M PPR software. Total and condition-specific quarterly AC and PPR rates were generated for each hospital and in aggregate. We included 4.52 million hospitalizations across all study years. Readmission rates did not vary over the study period. The median seven-day PPR rate across all quarters was 2.5% (range 2.1%-2.5%); the median seven-day AC rate across all quarters was 5.1% (range 4.3%-5.3%). Readmission rates for individual conditions fluctuated. Despite significant national efforts to reduce pediatric readmissions, both AC and PPR readmission rates have remained unchanged over six years.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6817309PMC
http://dx.doi.org/10.12788/jhm.3210DOI Listing

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