Progress (?) Toward Reducing Pediatric Readmissions

被引：20

作者：

Auger, Katherine A. ^{[1
,2
,3
]}

Harris, J. Mitchell ^{[4
]}

Gay, James C. ^{[5
]}

Teufel, Ronald ^{[6
]}

McClead, Richard E. ^{[7
]}

Neuman, Mark I. ^{[8
]}

Agrawal, Rishi ^{[9
]}

Simon, Harold K. ^{[10
,11
]}

Peltz, Alon ^{[12
]}

Tejedor-Sojo, Javier ^{[11
,13
]}

Morse, Rustin B. ^{[14
]}

Del Beccaro, Mark A. ^{[15
,16
]}

Fieldston, Evan ^{[17
,18
]}

Shah, Samir S. ^{[1
,2
,3
]}

机构：

[1] Univ Cincinnati, Coll Med, Cincinnati Childrens Hosp Med Ctr, Div Hosp Med, Cincinnati, OH 45221 USA

[2] Univ Cincinnati, Coll Med, Cincinnati Childrens Hosp Med Ctr, James M Anderson Ctr Healthcare Improvement, Cincinnati, OH 45221 USA

[3] Univ Cincinnati, Coll Med, Dept Pediat, Cincinnati, OH 45221 USA

[4] Childrens Hosp Assoc, Washington, DC USA

[5] Monroe Carell Jr Childrens Hosp Vanderbilt, Nashville, TN USA

[6] Med Univ South Carolina, Coll Med, Dept Pediat, Charleston, SC 29425 USA

[7] Nationwide Childrens Hosp, Off Chief Med Officer, Columbus, OH USA

[8] Harvard Med Sch, Dept Pediat, Boston Childrens Hosp, Div Emergency Med, Boston, MA 02115 USA

[9] Ann & Robert H Lurie Childrens Hosp Chicago, Div Hosp Based Med, Chicago, IL 60611 USA

[10] Emory Univ, Sch Med, Dept Pediat & Emergency Med, Atlanta, GA USA

[11] Childrens Healthcare Atlanta, Atlanta, GA USA

[12] Yale New Haven Med Ctr, 20 York St, New Haven, CT 06504 USA

[13] Emory Univ, Sch Med, Dept Pediat, Atlanta, GA USA

[14] Childrens Hlth Syst Texas, Dallas, TX USA

[15] Univ Washington, Seattle Childrens Hosp, Div Emergency Med, Seattle, WA 98195 USA

[16] Univ Washington, Sch Med, Dept Pediat, Seattle, WA 98195 USA

[17] Univ Penn, Childrens Hosp Philadelphia, Div Gen Pediat, Philadelphia, PA 19104 USA

[18] Univ Penn, Dept Pediat, Perelman Sch Med, Philadelphia, PA 19104 USA

来源：

JOURNAL OF HOSPITAL MEDICINE | 2019年 / 14卷 / 10期

基金：

美国医疗保健研究与质量局;

关键词：

RATES;

D O I：

10.12788/jhm.3210

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

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. (C) 2019 Society of Hospital Medicine

引用

页码：618 / 621

页数：4

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