Harlan M. Krumholz, MD, SM; Susannah M. Bernheim, MD, MHS
Grant Support: Dr. Krumholz is supported by the National Heart, Lung, and Blood Institute Center for Cardiovascular Outcomes Research at Yale University (grant U01 HL105270-05).
Disclosures: Disclosures can be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=M14-2308.
Requests for Single Reprints: Harlan M. Krumholz, MD, SM, Yale University School of Medicine, 1 Church Street, Suite 200, New Haven, CT 06510; e-mail, email@example.com.
Current Author Addresses: Drs. Krumholz and Bernheim: Yale University School of Medicine, 1 Church Street, Suite 200, New Haven, CT 06510.
Krumholz HM, Bernheim SM. Considering the Role of Socioeconomic Status in Hospital Outcomes Measures. Ann Intern Med. 2014;161:833-834. doi: 10.7326/M14-2308
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Published: Ann Intern Med. 2014;161(11):833-834.
Our team at the Center for Outcomes Research and Evaluation at Yale-New Haven Hospital developed readmission measures for the Centers for Medicare & Medicaid Services with the goal of illuminating hospital performance and stimulating efforts to improve patient care. We believed that such efforts could improve patient recovery and reduce the occurrence of adverse health events after discharge. We developed these measures using data from administrative claims and validated them against measures using medical records data (1). National readmission rates within 30 days of hospital discharge were exceedingly high for common diagnoses, such as acute myocardial infarction, heart failure, and pneumonia, and differences in patient populations did not seem to explain the variation in performance by hospital. The National Quality Forum approved the measures, and they were subsequently publicly reported and incorporated into the Patient Protection and Affordable Care Act as part of the Hospital Readmissions Reduction Program, which imposes penalties on hospitals with risk-standardized readmission rates that are higher than average.
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Print ISSN: 0003-4819 | Online ISSN: 1539-3704
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