Efforts to Lower Hospital Admission Rates May Also Reduce Readmissions

Infection Control Today. Published online: 6 July 2016

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Public health programs and initiatives that aim to lower hospital admission rates may also reduce readmissions, despite the fact that the patients in communities that have adopted these programs tend to be sicker when hospitalized, says a Yale-led study. The research was published in the July issue of Health Affairs.

The federal Centers for Medicare and Medicaid Services has created programs and health improvement strategies to help reduce hospital admissions and readmissions. However, hospital groups and policymakers raised concerns about whether these strategies would primarily lower admissions among healthier individuals, resulting in a sicker hospitalized population with worse outcomes, including higher hospital readmission rates. Hospitals with high readmission rates face federal penalties.

To examine this question, the research team used Medicare data for 2010 and 2013. They focused their analyses on communities with hospitals that are major referral centers. For each of these communities, they calculated changes in hospital admission rates and rates of readmission within 30 days after discharge.

The researchers found that a reduction in hospital admissions was strongly associated with a reduction in 30-day readmissions. That finding held true despite the fact that the patients ultimately hospitalized in the communities with large reductions in hospital admission rates were sicker on arrival.

Read the full commentary here

Read the original research abstract here

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