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Health Care Operations Management

A literature review of preventable hospital readmissions: Preceding the Readmissions Reduction Act

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Pages 193-211 | Received 01 Aug 2015, Accepted 01 Jul 2016, Published online: 10 Nov 2016

References

  • Allaudeen, N., Schnipper, J. L., Orav, E. J., Wachter, R. M., and Vidyarthi, A. R. (2011) Inability of providers to predict unplanned readmissions. J Gen Intern Med., 26(7):771--776.
  • Allaudeen, N., Vidyarthi, A., Maselli, J., and Auerbach, A. (2011) Redefining readmission risk factors for general medicine patients. Journal of Hospital Medicine, 6(2):54–60.
  • Almagro, P., Barreiro, B., Ochoa de Echagüen, A., Quintana, S., Rodriguez Carballeira, M., Heredia, J., and Garau, J. (2006) Risk factors for hospital readmission in patients with chronic obstructive pulmonary disease. Respiration, 73(3):311–317.
  • Andersen, H. E., Schultz-Larsen, K., Kreiner, S., Forchhammer, B. H., Eriksen, K., and Brown, A. (2000) Can readmission after stroke be prevented? Results of a randomized clinical study: A postdischarge follow-up service for stroke survivors. Stroke, 31(5):1038–1045.
  • Anthony, D., Chetty, V. K., Kartha, A., McKenna, K., Rizzo DePaoli, M., and Jack, B. (2005) Re-engineering the hospital discharge: An example of a multifaceted process evaluation. In K. Henriksen, J. B. Battles, E. S. Marks, and D. I. Lewin (Eds.), Advances in Patient Safety: From Research to Implementation (Vol. 2, pp. 379–394), Agency for Healthcare Research and Quality, Rockville, MD.
  • Ashton, C. M., Kuykendall, D. H., Johnson, M. L., Wray, N. P., and Wu, L. (1995) The Association between the quality of inpatient care and early readmission. Ann Intern Med, 122(6):415–421.
  • Ather, S., Chung, K. D., Gregory, P., and Demissie, K. (2004) The association between hospital readmission and insurance provider among adults with asthma. J Asthma, 41(7):703–707.
  • Bailey, E. J., Maclennan, C., Morris, P. S., Kruske, S. G., Brown, N., and Chang, A. B. (2009) Risks of severity and readmission of indigenous and non-indigenous children hospitalised for bronchiolitis. J Paediatr Child Health, 45(10):593–597. doi: JPC1571 [pii]10.1111/j.1440-1754.2009.01571.x
  • Balaban, R. B., Weissman, J. S., Samuel, P. A., and Woolhandler, S. (2008) Redefining and redesigning hospital discharge to enhance patient care: A randomized controlled study. J Gen Intern Med, 23(8):1228–1233. doi: 10.1007/s11606-008-0618-9
  • Beck, C. E., Khambalia, A., Parkin, P. C., Raina, P., and Macarthur, C. (2006) Day of discharge and hospital readmission rates within 30 days in children: A population-based study. Paediatr Child Health, 11(7):409–412.
  • Bell, C. M., Schnipper, J. L., Auerbach, A. D., Kaboli, P. J., Wetterneck, T. B., Gonzales, D. V., and Meltzer, D. O. (2009) Association of communication between hospital-based physicians and primary care providers with patient outcomes. J Gen Intern Med, 24(3):381–386. doi: 10.1007/s11606-008-0882-8
  • Benbassat, J., and Taragin, M. (2000) Hospital readmissions as a measure of quality of health care: Advantages and limitations. Arch Intern Med, 160(8):1074–1081.
  • Bhalla, R., and Kalkut, G. (2010) Could Medicare readmission policy exacerbate health care system inequity? Ann Intern Med, 152(2):114–117. doi: 0003-4819-152-2-201001190-00185. [pii]10.1059/0003-4819-152-2-201001190-00185
  • Bickmore, T. W., Pfeifer, L. M., and Jack, B. W. (2009) Taking the time to care: empowering low health literacy hospital patients with virtual nurse agents. Paper presented at the Conference on Human Factors in Computing Systems, Proceedings of the 27th International Conference on Human Factors in Computing Systems, Boston, MA, USA. https://dl-web.dropbox.com/get/Readmissions/papers/2009Reengineering Hospital Discharge A Protocol Clancy.pdf?w=315d1abd
  • Bisognano, M., and Boutwell, A. (2009) Improving transitions to reduce readmissions. Frontiers of Health Services Management, 25(3):3–10.
  • Bodenheimer, T. (2008) Coordinating care: A perilous journey through the health care system. N Engl J Med, 358(10):1064–1071. doi: 10.1056/NEJMhpr0706165
  • Boulding, W., Glickman, S. W., Manary, M. P., Schulman, K. A., and Staelin, R. (2011) Relationship between patient satisfaction with inpatient care and hospital readmission within 30 days. Am J Manag Care, 17(1):41–48.
  • Boult, C., Dowd, B., McCaffrey, D., Boult, L., Hernandez, R., and Krulewitch, H. (1993) Screening elders for the risk of hospital admission. Journal of American Geriatric Society, 41(8):811–817.
  • Boutwell, A. (2011) Reduced readmissions: Reform's low-hanging fruit. Healthcare Executive, 86–88.
  • Bradley, E. H., Curry, L., Horwitz, L. I., Sipsma, H., Thompson, J. W., Elma, M., and Krumholz, H. M. (2012) Contemporary evidence about hospital strategies for reducing 30-day readmissions: A national study. Journal of the American College of Cardiology, 60(7):607–614. doi: 10.1016/j.jacc.2012.03.067
  • Butler, J., and Kalogeropoulos, A. (2012) Hospital strategies to reduce heart failure readmissions: Where is the evidence? Journal of the American College of Cardiology, 60(7):615–617. doi: 10.1016/j.jacc.2012.03.066
  • Capelastegui, A., Espana Yandiola, P. P., Quintana, J. M., Bilbao, A., Diez, R., Pascual, S., and Egurrola, M. (2009) Predictors of short-term rehospitalization following discharge of patients hospitalized with community-acquired pneumonia. Chest, 136(4):1079–1085. doi: chest.08-2950 [pii]10.1378/chest.08-2950
  • Chen, L. M., Jha, A. K., Guterman, S., Ridgway, A. B., Orav, E. J., and Epstein, A. M. (2010) Hospital cost of care quality of care, and readmission rates: Penny wise and pound foolish? Arch Intern Med, 170(4):340–346. doi: 170/4/340 [pii]10.1001/archinternmed.2009.511
  • Clancy, C. M. (2009) Reengineering hospital discharge: A protocol to improve patient safety, reduce costs, and boost patient satisfaction. Am J Med Qual, 24(4):344–346. doi: 1062860609338131 [pii] 10.1177/1062860609338131
  • Clarke, A. (1990) Are readmissions avoidable? BMJ, 301(6761):1136–1138.
  • Cline, C. M., Israelsson, B. Y., Willenheimer, R. B., Broms, K., and Erhardt, L. R. (1998) Cost effective management programme for heart failure reduces hospitalisation. Heart, 80(5):442–446.
  • Coleman, E. A., Parry, C., Chalmers, S., and Min, S. J. (2006) The care transitions intervention: Results of a randomized control trial. Arch Intern Med, 166:1822–1828.
  • Demir, E., Chaussalet, T. J., Xie, H., and Millard, P. H. (2008) Emergency readmission criterion: A technique for determining the emergency readmission time window. IEEE Trans Inf Technol Biomed, 12(5):644–649. doi: 10.1109/TITB.2007.911311
  • Dormann, H., Neubert, A., Criegee-Rieck, M., Egger, T., Radespiel-Troger, M., Azaz-Livshits, T., and Hahn, E. G. (2004) Readmissions and adverse drug reactions in internal medicine: The economic impact. J Intern Med, 255(6):653–663. doi: 10.1111/j.1365-2796.2004.01326.xJIM1326[pii]
  • Elixhauser, A., Steiner, C., Harris, D. R., and Coffey, R. N. (1998) Comorbidity measures for use with administrative data. Medical Care, 36(1):8–27.
  • Epstein, C. D., Tsaras, G., Amoateng-Adjepong, Y., Greiner, P. A., and Manthous, C. (2009) Does race affect readmission to hospital after critical illness? Heart & Lung, 38(1):66–76. doi: S0147-9563(08)00015-0[pii]10.1016/j.hrtlng.2008.01.001
  • Fleming, M. O., and Haney, T. T. (2013) Improving patient outcomes with better care transitions: The role for home health. Cleveland Clinic Journal of Medicine, 80(e-Suppl 1):e-S2–e-S6. doi: 10.3949/ccjm.80.e-s1.02
  • French, D. D., Bass, E., Bradham, D. D., Campbell, R. R., and Rubenstein, L. Z. (2008) Rehospitalization after hip fracture: Predictors and prognosis from a national veterans study. J Am Geriatr Soc, 56(4):705–710. doi: JGS1479[pii]10.1111/j.1532-5415.2007.01479.x
  • Friedman, B., and Basu, J. (2004) The rate and cost of hospital readmissions for preventable conditions. Med Care Res Rev, 61(2):225–240. doi: 10.1177/1077558704263799
  • Glasgow, J. M., Vaughn-Sarrazin, M., and Kaboli, P. J. (2010) Leaving against medical advice (AMA): Risk of 30-day mortality and hospital readmission. J Gen Intern Med, 25(9):926–929. doi: 10.1007/s11606-010-1371-4
  • Goldfield, N. I., McCullough, E. C., Hughes, J. S., Tang, A. M., Eastman, B., Rawlins, L. K., and Averill, R. F. (2008) Identifying potentially preventable readmissions. Health Care Financ Rev, 30(1):75–91.
  • Gonzalez, A., Shih, T., Dimick, J. B., and Ghaferi, A. A. (2013) Does same-hospital readmission rate correlate with all-hospital readmission rate? Journal of the American College of Surgeons, 217(3):S105. doi: 10.1016/j.jamcollsurg.2013.07.240
  • Goodman, D. G., Fisher, E. S., Chang, C. H., Raymond, S. R., and Bronner, K. K. (2013) After hospitalization: A Dartmouth Atlas Report on readmissions among Medicare beneficiaries. In Robert Wood Johnson Foundation (Ed.), The Revolving Door: A Report on U.S. Hospital Readmissions (pp. 7--30). Princeton, NJ: Robert Wood Johnson Foundation.
  • Grafft, C. A., McDonald, F. S., Ruud, K. L., Liesinger, J. T., Johnson, M. G., and Naessens, J. M. (2010) Effect of hospital follow-up appointment on clinical event outcomes and mortality. Arch Intern Med, 170(11):955–960. doi: 170/11/955 [pii]10.1001/archinternmed.2010.105
  • Greenblatt, D. Y., Weber, S. M., O'Connor, E. S., LoConte, N. K., Liou, J. I., and Smith, M. A. (2010) Readmission after colectomy for cancer predicts one-year mortality. Ann Surg, 251(4):659–669. doi: 10.1097/SLA.0b013e3181d3d27c
  • Greenwald, J. L., Denham, C. R., and Jack, B. W. (2007) The hospital discharge: A review of a high risk care transition with highlights of a reengineered discharge process. Journal of Patient Safety, 3(2):97–106.
  • Halfon, P., Eggli, Y., van Melle, G., Chevalier, J., Wasserfallen, J. B., and Burnand, B. (2002) Measuring potentially avoidable hospital readmissions. J Clin Epidemiol, 55(6):573–587. doi: S0895435601005212 [pii]
  • Hannan, E. L., Racz, M. J., Walford, G., Ryan, T. J., Isom, O. W., Bennett, E., and Jones, R. H. (2003) Predictors of readmission for complications of coronary artery bypass graft surgery. JAMA, 290(6):773–780. doi: 10.1001/jama.290.6.773290/6/773[pii]
  • Hansen, L. O., Williams, M. V., and Singer, S. J. (2011) Perceptions of hospital safety climate and incidence of readmission. Health Serv Res, 46(2):596–616. doi: 10.1111/j.1475-6773.2010.01204.x
  • Harrison, P. L., Hara, P. A., Pope, J. E., Young, M. C., and Rula, E. Y. (2011) The impact of postdischarge telephonic follow-up on hospital readmissions. Popul Health Manag, 14(1):27–32. doi: 10.1089/pop.2009.0076
  • Hasan, O., Meltzer, D. O., Shaykevich, S. A., Bell, C. M., Kaboli, P. J., Auerbach, A. D., and Schnipper, J. L. (2010) Hospital readmission in general medicine patients: A prediction model. J Gen Intern Med, 25(3):211–219. doi: 10.1007/s11606-009-1196-1
  • HealthleadersMedia. (2010) 20 people who make healthcare better. http://www.healthleadersmedia.com/20people/
  • Heggestad, T., and Lilleeng, S. E. (2003) Measuring readmissions: Focus on the time factor. Int J Qual Health Care, 15(2):147–154.
  • Hendryx, M. S., Russo, J. E., Stegner, B., Dyck, D. G., Ries, R. K., and Roy-Byrne, P. (2003) Predicting rehospitalization and outpatient services from administration and clinical databases. J Behav Health Serv Res, 30(3):342–351.
  • Hernandez, A. F., Greiner, M. A., Fonarow, G. C., Hammill, B. G., Heidenreich, P. A., Yancy, C. W., and Curtis, L. H. (2010) Relationship between early physician follow-up and 30-day readmission among Medicare beneficiaries hospitalized for heart failure. JAMA, 303(17):1716–1722. doi: 303/17/1716 [pii] 10.1001/jama.2010.533
  • Hines, A. L., Barrett, M. L., Jiang, H. J., and Steiner, C. A. (2014) Conditions with the largest number of adult hospital readmissions by payer, 2011 HCUP Statistical Brief #172. Agency for Healthcare Research and Quality, Rockville, MD.
  • Hofer, T. P., and Hayward, R. A. (1995) Can early re-admission rates accurately detect poor-quality hospitals? Med Care, 33(3):234–245.
  • Holloway, J. J., and Thomas, J. W. (1989) Factors influencing readmission risk: Implications for quality monitoring. Health Care Financ Rev, 11(2):19–32.
  • Institute for Healthcare Improvement. (2003) Move your dot™: Measuring, evaluating, and reducing hospital mortality rates (Part 1), White paper, Institute for Healthcare Improvement. Boston, MA. http://www.ihi.org/IHI/Results/WhitePapers/MoveYourDotMeasuring-EvaluatingandReducingHospitalMortalityRates.htm
  • Institute for Healthcare Improvement. (2009a) Avoiding readmissions: Optimizing the transition from hospital to home. http://www.ihi.org/IHI/Programs/ConferencesAndSeminars/HospitaltoHome-OptimizingtheTransitionJune09.htm
  • Institute for Healthcare Improvement. (2009b) Reducing readmissions by improving transitions in care collaborative. http://www.ihi.org/IHI/Programs/Collaboratives/IHICollaborativeIReducingRead-missionsbyImprovingTransitionsinCare.htm?TabId=0
  • Institute for Healthcare Improvement. (2010a) Good heart failure care follows patients home. http://www.ihi.org/IHI/Topics/Chronic-Conditions/AllConditions/ImprovementStories/GoodHeartFailure-CareFollowsPatientsHome.htm
  • Institute for Healthcare Improvement. (2010b) State action on avoidable rehospitalizations (STAAR). http://www.ihi.org/IHI/Programs/StrategicInitiatives/STateActiononAvoidableRehospitalizations-STAAR.htm
  • Jack, B. W., Chetty, V. K., Anthony, D., Greenwald, J. L., Sanchez, G. M., Johnson, A. E., and Culpepper, L. (2009) A reengineered hospital discharge program to decrease rehospitalization: A randomized trial. Ann Intern Med, 150(3):178–187. doi: 150/3/178 [pii]
  • Jack, B. W., Greenwald, J. L., Forsythe, S. R., O'Donnell, J. K., Johnson, A., Schipelliti, L., and Chetty, V. K. (2008) Developing the tools to administer a comprehensive hospital discharge program: The ReEngineered Discharge (RED) Program. Ann Intern Med., 150(3):178--187.
  • Jacobs, B. (2011) Reducing heart failure hospital readmissions from skilled nursing facilities. Prof Case Manag, 16(1):18–24. doi: 10.1097/NCM.0b013e3181f3f68401269241-201101000-00005[pii]
  • Jasti, H., Mortensen, E. M., Obrosky, D. S., Kapoor, W. N., and Fine, M. J. (2008) Causes and risk factors for rehospitalization of patients hospitalized with community-acquired pneumonia. Clin Infect Dis, 46(4):550–556. doi: 10.1086/526526
  • Jencks, S. F., Williams, M. V., and Coleman, E. A. (2009) Rehospitalizations among patients in the Medicare fee-for-service program. N Engl J Med, 360(14):1418–1428. doi: 360/14/1418 [pii]10.1056/NEJMsa0803563
  • Jha, A. K., Orav, E. J., and Epstein, A. M. (2009) Public reporting of discharge planning and rates of readmissions. N Engl J Med, 361(27):2637–2645. doi: 361/27/2637 [pii]10.1056/NEJMsa0904859
  • Jiang, H. J., Russo, C. A., and Barrett, M. L. (2009) Nationwide frequence and costs of potentially preventable hospitalizations. Agency for Healthcare Research and Quality, Rockville, MD.
  • Jordan, C. J., Goldstein, R. Y., Michels, R. F., Hutzler, L., Slover, J. D., and Bosco, J. A. (2012) Comprehensive program reduces hospital readmission rates after total joint arthroplasty. Am J Orthop, 41(11):E147–151.
  • Joynt, K. E., and Jha, A. K. (2012) Thirty-day readmissions: Truth and consequences. New England Journal of Medicine, 366(15):1366–1369. doi: doi:10.1056/NEJMp1201598
  • Joynt, K. E., Orav, E. J., and Jha, A. K. (2011) Thirty-day readmission rates for Medicare beneficiaries by race and site of care. JAMA, 305(7):675–681. doi: 305/7/675 [pii]10.1001/jama.2011.123
  • Jweinat, J. J. (2010) Hospital readmissions under the spotlight. J Healthc Manag, 55(4):252–264.
  • Kanaan, S. B. (2009) Homeward Bound: Nine Patient-Centered Programs Cut Readmissions. Oakland, CA: California HealthCare Foundation.
  • Kartha, A., Anthony, D., Manasseh, C. S., Greenwald, J. L., Chetty, V. K., Burgess, J. F., and Jack, B. W. (2007) Depression is a risk factor for rehospitalization in medical inpatients. Prim Care Companion J Clin Psychiatry, 9(4):1–7.
  • Kasper, E. K., Gerstenblith, G., Hefter, G., Van Anden, E., Brinker, J. A., Thiemann, D. R., and Gottlieb, S. H. (2002) A randomized trial of the efficacy of multidisciplinary care in heart failure outpatients at high risk of hospital readmission. J Am Coll Cardiol, 39(3):471–480. doi: S0735109701017612 [pii]
  • Keenan, P., Normand, S., and Lin, Z. (2008) An administrative claims measure suitable for profiling hospital performance on the basis of 30-day all-cause readmission rates among patients with heart failure. Circ Cardiovasc Qual Outcomes, 2008(1):29–37. doi: 10.1161/CIRCOUTCOMES.108.802686
  • Koelling, T. M., Johnson, M. L., Cody, R. J., and Aaronson, K. D. (2005) Discharge education improves clinical outcomes in patients with chronic heart failure. Circulation, 111(2):179–185. doi: 01.CIR.0000151811.53450.B8 [pii]10.1161/01.CIR.0000151811.53450.B8
  • Krumholz, H. M., Amatruda, J., Smith, G. L., Mattera, J. A., Roumanis, S. A., Radford, M. J., and Vaccarino, V. (2002) Randomized trial of an education and support intervention to prevent readmission of patients with heart failure. J Am Coll Cardiol, 39(1):83–89. doi: S0735109701016990 [pii]
  • Krumholz, H. M., Chen, Y.-T., Wang, Y., Vaccarino, V., Radford, M. J., and Horwitz, R. I. (2000) Predictors of readmission among elderly survivors of admission with heart failure. American Heart Journal, 139(1):72–77.
  • Krumholz, H. M., Merrill, A., and Schone, E. (2009) Patterns of hospital performance in acute myocardial infarction and heart failure 30-day mortality and readmission. Circ Cardiovasc Qual Outcomes, 2009(2):407–413. doi: 10.1161/CIRCOUTCOMES.109.883256
  • Lagoe, R. J., Noetscher, C. M., and Murphy, M. P. (2001) Hospital readmission: Predicting the risk. J Nurs Care Qual, 15(4):69–83.
  • Lappe, J. M., Muhlestein, J. B., Lappe, D. L., Badger, R. S., Bair, T. L., Brockman, R., and Anderson, J. L. (2004) Improvements in 1-year cardiovascular clinical outcomes associated with a hospital-based discharge medication program. Ann Intern Med, 141(6):446–453. doi: 141/6/446 [pii]
  • Lin, H. J., Chang, W. L., and Tseng, M. C. (2011) Readmission after stroke in a hospital-based registry: Risk, etiologies, and risk factors. Neurology, 76(5):438–443. doi: WNL.0b013e31820a0cd8 [pii] 10.1212/WNL.0b013e31820a0cd8
  • Luthi, J. C., Burnand, B., McClellan, W. M., Pitts, S. R., and Flanders, W. D. (2004) Is readmission to hospital an indicator of poor process of care for patients with heart failure? Qual Saf Health Care, 13(1):46–51.
  • Luthi, J. C., Lund, M. J., Sampietro-Colom, L., Kleinbaum, D. G., Ballard, D. J., and McClellan, W. M. (2003) Readmissions and the quality of care in patients hospitalized with heart failure. Int J Qual Health Care, 15(5):413–421.
  • Manning, S. (2011) Bridging the gap between hospital and home: A new model of care for reducing readmission rates in chronic heart failure. J Cardiovasc Nurs, 26(5):368--376.
  • Marcantonio, E. R., McKean, S., Goldfinger, M., Kleefield, S., Yurkofsky, M., and Brennan, T. A. (1999) Factors associated with unplanned hospital readmission among patients 65 years of age and older in a Medicare managed care plan. The American Journal of Medicine, 107(1):13–17.
  • Maurer, P. P., and Ballmer, P. E. (2004) Hospital readmissions: Are they predictable and avoidable? Swiss Med Wkly, 134(41–42):606–611. doi: smw-10706 [pii]2004/41/smw-10706
  • Medress, Z., and Fleshner, P. R. (2007) Can we predict unplanned hospital readmission after colectomy for ulcerative colitis and indeterminate colitis? Am Surg, 73(10):998–1001.
  • Miles, T. A., and Lowe, J. (1999) Are unplanned readmissions to hospital really preventable? J Qual Clin Pract, 19(4):211–214.
  • Moore, C., Wisnivesky, J., Williams, S., and McGinn, T. (2003) Medical errors related to discontinuity of care from an inpatient to an outpatient setting. JGIM: Journal of General Internal Medicine, 18(8):646–651. doi: 10.1046/j.1525-1497.2003.20722.x
  • Motamedi, S. M., Posadas-Calleja, J., Straus, S., Bates, D. W., Lorenzetti, D. L., Baylis, B., and Ghali, W. A. (2011) The efficacy of computer-enabled discharge communication interventions: A systematic review. Qual Saf Health Care, 20:403–415. doi: bmjqs.2009.034587 [pii]10.1136/bmjqs.2009.034587
  • Mudge, A. M., Kasper, K., Clair, A., Redfern, H., Bell, J. J., Barras, M. A., and Pachana, N. A. (2010) Recurrent readmissions in medical patients: A prospective study. J Hosp Med, 2:61–67. doi:10.1002/jhm.811
  • Mudrick, D. W., Shaffer, L., Lalonde, M., Ruhil, A., Lam, G., Hickerson, J., and Snow, R. (2013) Cardiac rehabilitation participation reduces 90-day hospital readmissions after acute myocardial infarction or percutaneous coronary intervention. Journal of the American College of Cardiology, 61(10):E1418. doi: 10.1016/s0735-1097(13)61418-7
  • Nasir, K., Lin, Z., Bueno, H., Normand, S. T., Drye, E., Keenan, P. S., and Krumholz, H. M. (2010) Is same-hospital readmission rate a good surrogate for all-hospital readmission rate? Medical Care, 48(5):477–481.
  • Naylor, M. D., Brooten, D., Campbell, R., Jacobsen, B. S., Mezey, M. D., Pauly, M. V., and Schwartz, J. S. (1999) Comprehensive discharge planning and home follow-up of hospitalized elders: A randomized clinical trial. JAMA, 281(7):613–620. doi: joc80991 [pii]
  • Neupane, B., Walter, S. D., Krueger, P., Marrie, T., and Loeb, M. (2010) Predictors of inhospital mortality and re-hospitalization in older adults with community-acquired pneumonia: A prospective cohort study. BMC Geriatr, 10(1):22. doi: 1471-2318-10-22 [pii]10.1186/1471-2318-10-22
  • Olson, D. M., Bettger, J. P., Alexander, K. P., Kendrick, A. S., Irvine, J. R., Wing, L., and Graffagnino, C. (2011) Transition of Care for Acute Stroke and Myocardial Infraction Patients: From Hospitalization to Rehabilitation, Recovery, and Secondary Prevention (11(12)-E011). AHRQ, Rockville, MD.
  • Onukwugha, E., Mullins, C. D., Loh, F. E., Saunders, E., Shaya, F. T., and Weir, M. R. (2011) Readmissions after unauthorized discharges in the cardiovascular setting. Med Care, 49(2):215–224. doi: 10.1097/MLR.0b013e31820192a5
  • Ornstein, K., Smith, K. L., Foer, D. H., Lopez-Cantor, M. T., and Soriano, T. (2011) To the hospital and back home again: A nurse practitioner-based transitional care program for hospitalized homebound people. J Am Geriatr Soc, 59(3):544–551. doi: 10.1111/j.1532-5415.2010.03308.x
  • Osei-Anto, A., Joshi, M., Audet, A. M., Berman, A., and Jencks, S. F. (2010) Health care leader action guide to reduce avoidable readmissions. Health Research & Educational Trust, The Commonwealth Fund, and John A. Hartford Foundation, Chicago, IL.
  • Ouslander, J. G., Diaz, S., Hain, D., and Tappen, R. (2011) Frequency and diagnoses associated with 7- and 30-day readmission of skilled nursing facility patients to a nonteaching community hospital. J Am Med Dir Assoc, 12(3):195–203. doi: S1525-8610(10)00078-2 [pii]10.1016/j.jamda.2010.02.015
  • Patient Safety Authority. (2005) Unanticipated care after discharge from ambulatory surgical facilities. PA-PSRS Patient Safety Advisory (Vol. 2, pp. 1–32). Harrisburg, PA: Patient Safety Authority. http://patientsafetyauthority.org/ADVISORIES/AdvisoryLibrary/2005/dec2(4)/Documents/dec;2(4).pdf
  • Philbin, E. F., and DiSalvo, T. G. (1999) Prediction of hospital readmission for heart failure: Development of a simple risk score based on administrative data. J Am Coll Cardiol, 33(6):1560–1566. doi: S0735-1097(99)00059-5 [pii]
  • Press, M. J., Silber, J. H., Rosen, A. K., Romano, P. S., Itani, K. M. F., Zhu, J., and Volpp, K. G. (2010) The impact of resident duty hour reform on hospital readmission rates among medicare beneficiaries. J Gen Intern Med, 24(6):405–411. doi: 10.1007/s11606-010-1539-y
  • Rayner, H. C., Temple, R. M., Marshall, T., and Clarke, D. (2002) A comparison of hospital readmission rates between two general physicians with different outpatient review practices. BMC Health Serv Res, 2(1):12.
  • Rich, M. W., Beckham, V., Wittenberg, C., Leven, C. L., Freedland, K. E., and Carney, R. M. (1995) A multidisciplinary intervention to prevent the readmission of elderly patients with congestive heart failure. N Engl J Med, 333(18):1190–1195. doi: 10.1056/NEJM199511023331806
  • Riegel, B., Carlson, B., Kopp, Z., LePetri, B., Glaser, D., and Unger, A. (2002) Effect of a standardized nurse case-management telephone intervention on resource use in patients with chronic heart failure. Arch Intern Med, 162(6):705–712. doi: ioi10218 [pii]
  • Robert Wood Johnson Foundation. (2013) The Revolving Door: A Report on U.S. Hospital Readmissions.
  • Ross, J. S., Chen, J., Lin, Z., Bueno, H., Curtis, J. P., Keenan, P. S., and Krumholz, H. M. (2010) Recent national trends in readmission rates after heart failure hospitalization. Circ Heart Fail, 3(1):97–103. doi: 10.1161/circheartfailure.109.885210
  • Santamour, B. (2011) Reining in Avoidable Readmissions. Brentwood, NJ: American Hospital Association. http://www.healthleadersmedia.com/quality/reducing-readmissions-are-quality-payments-carrot-or-stick
  • Simmons, J. (2010) Reducing readmissions: Are quality payments a carrot or stick? HealthLeaders Media, 2. https://dl-web.dropbox.com/get/Readmissions/papers/2010Reducing Readmissions Are Quality Payments Simmons.pdf?w=2d4e5880
  • Strunin, L., Stone, M., and Jack, B. (2007) Understanding rehospitalization risk: Can hospital discharge be modified to reduce recurrent hospitalization? J Hosp Med, 2(5):1–22. doi: 10.1002/jhm.206
  • Taylor, M. (2010) Shutting the door on readmissions. Hosp Health Netw, 84(1):33–34, 36.
  • Thomas, J. W., and Holloway, J. J. (1991) Investigating early readmission as an indicator for quality of care studies. Medical Care, 29(4):377–394.
  • Trisolini, M., Aggarwal, J., Leung, M., Pope, G., and Kautter, J. (2008) The Medicare Physician Group Practice Demonstration. Lessons learned on improving quality and efficiency in health care. 1045 In The Commonwealth Fund, Centers for Medicare and Medicaid Services, and Agency for Healthcare Research and Quality (Eds.). New York, NY: The Medicare Physician Group. http://www.commonwealthfund.org/publications/fund-reports/2008/feb/the-medicare-physician-group-practice-demonstration--lessons-learned-on-improving-quality-and-effici
  • Tsuchihashi, M., Tsutsui, H., Kodama, K., Kasagi, F., Setoguchi, S., Mohr, M., and Takeshita, A. (2001) Medical and socioenvironmental predictors of hospital readmission in patients with congestive heart failure. American Heart Journal, 142(4):E7–E7.
  • van Walraven, C., and Bell, C. M. (2002) Risk of death or readmission among people discharged from hospital on Fridays. CMAJ, 166(13):1672--1673.
  • van Walraven, C., Dhalla, I. A., Bell, C., Etchells, E., Stiell, I. G., Zarnke, K., and Forster, A. J. (2010) Derivation and validation of an index to predict early death or unplanned readmission after discharge from hospital to the community. CMAJ , 182(6):551–557.
  • van Walraven, C., Seth, R., Austin, P. C., and Laupacis, A. (2002) Effect of discharge summary availability during post-discharge visits on hospital readmission. J Gen Intern Med, 17(3):186–192. doi: jgi10741 [pii]
  • Vira, T., Colquhoun, M., and Etchells, E. (2006) Reconcilable differences: Correcting medication errors at hospital admission and discharge. Qual Saf Health Care, 15(2):122–126. doi: 15/2/122 [pii] 10.1136/qshc.2005.015347
  • Weinberger, M., Oddone, E. Z., and Henderson, W. G. (1996) Does increased access to primary care reduce hospital readmissions? The New England Journal of Medicine, 334(22):1441.
  • Weiss, M., Yakusheva, O., and Bobay, K. (2010) Nurse and patient perceptions of discharge readiness in relation to postdischarge utilization. Med Care, 48(5):482–486. doi: 10.1097/MLR.0b013e3181d5feae
  • Weissman, J. S., Ayanian, J. Z., Chasan-Taber, S., Sherwood, M. J., Roth, C., and Epstein, A. M. (1999) Hospital readmissions and quality of care. Med Care, 37(5):490–501.

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