Progress (?) toward reducing pediatric readmissions

Katherine A. Auger; J. Mitchell Harris; James C. Gay; Ronald Teufel; Richard E. McClead; Mark I. Neuman; Rishi Agrawal; Harold K. Simon; Alon Peltz; Javier Tejedor-Sojo; Rustin B. Morse; Mark A. Del Beccaro; Evan Fieldston; Samir S. Shah

doi:10.12788/jhm.3210

Progress (?) toward reducing pediatric readmissions

Katherine A. Auger^*, J. Mitchell Harris, James C. Gay, Ronald Teufel, Richard E. McClead, Mark I. Neuman, Rishi Agrawal, Harold K. Simon, Alon Peltz, Javier Tejedor-Sojo, Rustin B. Morse, Mark A. Del Beccaro, Evan Fieldston, Samir S. Shah

^*Corresponding author for this work

Research output: Contribution to journal › Article › peer-review

16 Scopus citations

Abstract

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.

Original language	English (US)
Pages (from-to)	618-621
Number of pages	4
Journal	Journal of hospital medicine
Volume	14
Issue number	10
DOIs	https://doi.org/10.12788/jhm.3210
State	Published - Oct 1 2019
Externally published	Yes

ASJC Scopus subject areas

Fundamentals and skills
Care Planning
Assessment and Diagnosis
Health Policy
Leadership and Management
Internal Medicine

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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10.12788/jhm.3210

Cite this

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title = "Progress (?) toward reducing pediatric readmissions",

abstract = "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.",

author = "Auger, {Katherine A.} and Harris, {J. Mitchell} and Gay, {James C.} and Ronald Teufel and McClead, {Richard E.} and Neuman, {Mark I.} and Rishi Agrawal and Simon, {Harold K.} and Alon Peltz and Javier Tejedor-Sojo and Morse, {Rustin B.} and {Del Beccaro}, {Mark A.} and Evan Fieldston and Shah, {Samir S.}",

note = "Funding Information: Dr. Auger's research is funded by a K08 award from the Agency for Healthcare Research and Quality (1K08HS024735-01A). Publisher Copyright: {\textcopyright} 2019 Society of Hospital Medicine.",

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AU - Auger, Katherine A.

AU - Harris, J. Mitchell

AU - Gay, James C.

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AU - McClead, Richard E.

AU - Neuman, Mark I.

AU - Agrawal, Rishi

AU - Simon, Harold K.

AU - Peltz, Alon

AU - Tejedor-Sojo, Javier

AU - Morse, Rustin B.

AU - Del Beccaro, Mark A.

AU - Fieldston, Evan

AU - Shah, Samir S.

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N2 - 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.

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Progress (?) toward reducing pediatric readmissions

Abstract

ASJC Scopus subject areas

UN SDGs

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