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Open Access Short Report

Quantitative tools for addressing hospital readmissions

Ronald J Lagoe1*, Diane S Nanno2 and Mary E Luziani3

Author Affiliations

1 Hospital Executive Council, PO Box 35089, Syracuse, NY, 13235, USA

2 Crouse Hospital, Syracuse, NY, 13210, USA

3 St. Joseph’s Hospital Health Center, Syracuse, NY, 13203, USA

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BMC Research Notes 2012, 5:620  doi:10.1186/1756-0500-5-620

Published: 2 November 2012

Abstract

Background

Increased interest in health care cost containment is focusing attention on reduction of hospital readmissions. Major payors have already developed financial penalties for providers that generate excess readmissions. This subject has benefitted from the development of resources such as the Potentially Preventable Readmissions software. This process has encouraged hospitals to renew efforts to improve these outcomes. The aim of this study was to describe quantitative tools such as definitions, risk estimation, and tracking of patients for reducing hospital readmissions.

Findings

This study employed the Potentially Preventable Readmissions software to develop quantitative tools for addressing hospital readmissions. These tools included two definitions of readmissions that support identification and management of patients. They also included analytical approaches for estimation of the risk of readmission for individual patients by age, discharge status of the initial admission, and severity of illness. They also included patient specific spreadsheets for tracking of target populations and for evaluation of the impact of interventions.

Conclusions

The study demonstrated that quantitative tools including the development of definitions of readmissions, estimation of the risk of readmission, and patient specific spreadsheets could contribute to the improvement of patient outcomes in hospitals.

Keywords:
Hospitalization; Quality assurance; Hospital readmissions