Hospital System Readmissions: A Care Cycle Approach
Hospital readmission rates can be used as an indicator of the quality of health care services and can highlight high-priority research areas to ensure better health. A readmission is defined as when a patient is discharged from an acute care hospital and is admitted back to an acute care hospital in...
| Main Author: | |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Purdue University Press
2012-01-01
|
| Series: | Journal of Purdue Undergraduate Research |
| Online Access: | http://docs.lib.purdue.edu/cgi/viewcontent.cgi?article=1020&context=jpur |
| _version_ | 1819259027112067072 |
|---|---|
| author | Cody Mullen |
| author_facet | Cody Mullen |
| author_sort | Cody Mullen |
| collection | DOAJ |
| description | Hospital readmission rates can be used as an indicator of the quality of health care services and can highlight high-priority research areas to ensure better health. A readmission is defined as when a patient is discharged from an acute care hospital and is admitted back to an acute care hospital in a set amount of days, with 30 days being the current national standard. On average, 19.6% of Medicare patients are readmitted to the hospital within 30 days of discharge and 56.1% within a year (Jencks, Williams, & Coleman, 2009). The hypothesis of this study was that the discharge location, or where a patient went immediately after discharge, would not have a significant effect on readmissions. A data set with all admission records was obtained from a major health provider. These data contain all hospital patients’ demographic and diagnosis information. General, women’s, and children’s hospitals were looked at from a system perspective to study the discharge location of patients as well as the effects of patient demographics on discharge location. By using a z-significance test in Microsoft Excel and SAS 9.2, it was discovered that patients discharged to home have a significantly lower likelihood of readmission. Generally, patients who are discharged to an extended care or intermediate care facility or patients with home health carerelated services had a significantly higher likelihood of being readmitted. The findings may indicate a possible need for an institution-to-institution intervention as well as institution-to-patient intervention. Future work will develop potential interventions in partnership with hospital staff. |
| first_indexed | 2024-12-23T19:03:29Z |
| format | Article |
| id | doaj.art-13c43b7ce64543baa5319c1822f4d399 |
| institution | Directory Open Access Journal |
| issn | 2158-4044 2158-4052 |
| language | English |
| last_indexed | 2024-12-23T19:03:29Z |
| publishDate | 2012-01-01 |
| publisher | Purdue University Press |
| record_format | Article |
| series | Journal of Purdue Undergraduate Research |
| spelling | doaj.art-13c43b7ce64543baa5319c1822f4d3992022-12-21T17:34:39ZengPurdue University PressJournal of Purdue Undergraduate Research2158-40442158-40522012-01-0124247Hospital System Readmissions: A Care Cycle ApproachCody MullenHospital readmission rates can be used as an indicator of the quality of health care services and can highlight high-priority research areas to ensure better health. A readmission is defined as when a patient is discharged from an acute care hospital and is admitted back to an acute care hospital in a set amount of days, with 30 days being the current national standard. On average, 19.6% of Medicare patients are readmitted to the hospital within 30 days of discharge and 56.1% within a year (Jencks, Williams, & Coleman, 2009). The hypothesis of this study was that the discharge location, or where a patient went immediately after discharge, would not have a significant effect on readmissions. A data set with all admission records was obtained from a major health provider. These data contain all hospital patients’ demographic and diagnosis information. General, women’s, and children’s hospitals were looked at from a system perspective to study the discharge location of patients as well as the effects of patient demographics on discharge location. By using a z-significance test in Microsoft Excel and SAS 9.2, it was discovered that patients discharged to home have a significantly lower likelihood of readmission. Generally, patients who are discharged to an extended care or intermediate care facility or patients with home health carerelated services had a significantly higher likelihood of being readmitted. The findings may indicate a possible need for an institution-to-institution intervention as well as institution-to-patient intervention. Future work will develop potential interventions in partnership with hospital staff.http://docs.lib.purdue.edu/cgi/viewcontent.cgi?article=1020&context=jpur |
| spellingShingle | Cody Mullen Hospital System Readmissions: A Care Cycle Approach Journal of Purdue Undergraduate Research |
| title | Hospital System Readmissions: A Care Cycle Approach |
| title_full | Hospital System Readmissions: A Care Cycle Approach |
| title_fullStr | Hospital System Readmissions: A Care Cycle Approach |
| title_full_unstemmed | Hospital System Readmissions: A Care Cycle Approach |
| title_short | Hospital System Readmissions: A Care Cycle Approach |
| title_sort | hospital system readmissions a care cycle approach |
| url | http://docs.lib.purdue.edu/cgi/viewcontent.cgi?article=1020&context=jpur |
| work_keys_str_mv | AT codymullen hospitalsystemreadmissionsacarecycleapproach |