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Hospital Accountability and Population Health: Lessons From Measuring Readmission Rates

Stephen F. Jencks, MD, MPH; and Jane E. Brock, MD, MSPH
[+] Article, Author, and Disclosure Information

From Baltimore, Maryland, and CFMC, Englewood, Colorado.

Disclaimer: The contents presented do not reflect Centers for Medicare & Medicaid Services policy (PM-4010-132 CO 2012).

Financial Support: Dr. Brock was partially supported by the Integrating Care for Populations & Communities National Coordinating Center at CFMC with the Centers for Medicare & Medicaid Services, an agency of the U.S. Department of Health and Human Services.

Potential Conflicts of Interest: Disclosures can be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=M13-0879.

Corresponding Author: Stephen F. Jencks, MD, MPH, 8 Midvale Road, Baltimore, MD 21210; e-mail, steve.jencks@comcast.net.

Current Author Addresses: Dr. Jencks: 8 Midvale Road, Baltimore, MD 21210.

Dr. Brock: CFMC, 23 Inverness Way East, Englewood, CO 80112.

Author Contributions: Conception and design: S.F. Jencks, J.E. Brock.

Analysis and interpretation of the data: S.F. Jencks, J.E. Brock.

Drafting of the article: S.F. Jencks, J.E. Brock.

Critical revision of the article for important intellectual content: S.F. Jencks, J.E. Brock.

Final approval of the article: S.F. Jencks, J.E. Brock.

Statistical expertise: S.F. Jencks.

Administrative, technical, or logistic support: S.F. Jencks.

Collection and assembly of data: S.F. Jencks.

Ann Intern Med. 2013;159(9):629-630. doi:10.7326/0003-4819-159-9-201311050-00010
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This commentary discusses 4 issues in measuring hospital readmissions—the denominator of the readmission rate, the observation period, risk adjustment, and hospital-associated mortality—that show how hospital- and population-based measures differ and why both perspectives are important.

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Grahic Jump Location

Cumulative Medicare readmissions.

All fee-for-service discharges and all-cause readmissions are included.

Grahic Jump Location




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