0

The full content of Annals is available to subscribers

Subscribe/Learn More  >
Ideas and Opinions |

Hospital Accountability and Population Health: Lessons From Measuring Readmission Rates

Stephen F. Jencks, MD, MPH; and Jane E. Brock, MD, MSPH
[+] Article and Author 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
Text Size: A A A

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.

First Page Preview

View Large
/>
First page PDF preview

Figures

Grahic Jump Location
Figure.

Cumulative Medicare readmissions.

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

Grahic Jump Location

Tables

References

Letters

NOTE:
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).

Comments

Submit a Comment
Submit a Comment

Summary for Patients

Clinical Slide Sets

Terms of Use

The In the Clinic® slide sets are owned and copyrighted by the American College of Physicians (ACP). All text, graphics, trademarks, and other intellectual property incorporated into the slide sets remain the sole and exclusive property of the ACP. The slide sets may be used only by the person who downloads or purchases them and only for the purpose of presenting them during not-for-profit educational activities. Users may incorporate the entire slide set or selected individual slides into their own teaching presentations but may not alter the content of the slides in any way or remove the ACP copyright notice. Users may make print copies for use as hand-outs for the audience the user is personally addressing but may not otherwise reproduce or distribute the slides by any means or media, including but not limited to sending them as e-mail attachments, posting them on Internet or Intranet sites, publishing them in meeting proceedings, or making them available for sale or distribution in any unauthorized form, without the express written permission of the ACP. Unauthorized use of the In the Clinic slide sets will constitute copyright infringement.

Toolkit

Buy Now

to gain full access to the content and tools.

Want to Subscribe?

Learn more about subscription options

Advertisement
Related Articles
Related Point of Care
Topic Collections
PubMed Articles

Buy Now

to gain full access to the content and tools.

Want to Subscribe?

Learn more about subscription options

Forgot your password?
Enter your username and email address. We'll send you a reminder to the email address on record.
(Required)
(Required)