Case Management

News: Higher readmission rate possible consequence of successful care

Case Management Weekly, July 21, 2010

Researchers from the Cleveland Clinic suggest that 30-day readmissions are not an accurate indicator of poor care, according to a letter published in The New England Journal of Medicine.

The researchers note that patients who die during an episode of care can never be readmitted. This means facilities with low mortality rates will have a greater proportion of discharged patients eligible for readmission and “to some extent, a higher readmission rate may be a consequence of successful care.”

Researchers examined data contained on the CMS Hospital Compare public reporting database ( Specifically, they analyzed the association between risk-adjusted readmission and risk-adjusted death within 30 days after hospitalization for heart failure at 3857 hospitals.

Source: The New England Journal of Medicine

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