ArticleJournal of general internal medicine2014
Variation in the risk of readmission among hospitals: the relative contribution of patient, hospital and inpatient provider characteristics.
Article in Journal of general internal medicine, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 47 papers, 1 of them a synthesis that pooled it.
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Who cites it
47 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Acute Myocardial Infarction Readmission Risk Prediction Models: A Systematic Review of Model Performance.Circulation. Cardiovascular quality and outcomes · 2018Pooled it
- Comparing Methods for Attributing Hospital Quality Metrics to Individual Physicians: Impact on Performance Assessment and Outlier Identification.Journal of general internal medicine · 2026Article
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- Association of Academic Medical Center Presence With Clinical Outcomes at Neighboring Community Hospitals Among Medicare Beneficiaries.JAMA network open · 2023Article
- Development of a 30-Day Readmission Risk Calculator for the Inpatient Rehabilitation Setting.Journal of the American Medical Directors Association · 2022Article
- Implementation Experience with a 30-Day Hospital Readmission Risk Score in a Large, Integrated Health System: A Retrospective Study.Journal of general internal medicine · 2022Article
- Postpartum Hospital Readmissions and Emergency Department Visits Among High-Risk, Medicaid-Insured Women in New York City.Journal of women's health (2002) · 2022Article
- Development and validation of a social vulnerabilities survey for medical inpatients.BMJ open · 2022Article
- Trends and variation in benzodiazepine use in nursing homes in the USA.European journal of clinical pharmacology · 2022Article
- Calibrating Readmission Risk Prediction Models for Determining Post-discharge Follow-up Timing.Journal of community hospital internal medicine perspectives · 2022Article
- Variation in 30-Day Readmission Rates from Inpatient Rehabilitation Facilities to Acute Care Hospitals.Journal of the American Medical Directors Association · 2021Article
- Risk Factors Associated With SARS-CoV-2 Infections, Hospitalization, and Mortality Among US Nursing Home Residents.JAMA network open · 2021Article
- Luck of the draw: Role of chance in the assignment of medicare readmissions penalties.PloS one · 2021Article
- Are Improvements Still Needed to the Modified Hospital Readmissions Reduction Program: a Health and Retirement Study (2000-2014)?Journal of general internal medicine · 2020Article
- Determinants of Medical Practice Variation Among Primary Care Physicians: Protocol for a Three Phase Study.JMIR research protocols · 2020Article
- The Financial Impact of an Avoided Readmission for Teaching and Safety-Net Hospitals Under Medicare's Hospital Readmission Reduction Program.Medical care research and review : MCRR · 2020Article
- Article
- The association of hospital teaching intensity with 30-day postdischarge heart failure readmission and mortality rates.Health services research · 2020Article
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5 authors.
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Abstract
backgroundThe risk of readmission varies among hospitals. This variation has led the Centers of Medicare and Medicaid services to reduce payments to hospitals with excess readmissions. The contribution of patient characteristics, hospital characteristics and provider type to the variation in risk of readmission among hospitals has not been determined.
objectiveTo describe the variation in risk of readmission among hospitals and partition it by patient characteristics, hospital characteristics and provider type.
designRetrospective research design of 100% Texas Medicare data using multilevel, multivariable models. SUBJECTS: A total of 514,064 admissions of Medicare beneficiaries to 272 hospitals in Texas for medical diagnoses during the years 2008 and 2009. MAIN MEASURES: Using hierarchical generalized linear models, we describe the hospital-specific variation in risk of readmission that is attributable to patients characteristics, hospital characteristics and provider type by measuring the variance and intraclass correlation coefficients. KEY
resultsOf the total variation in risk of readmission, only a small amount (0.84%) is attributed to hospitals. In further analyses modeling the components of this variation among hospitals, differences in patient characteristics in the hospitals explained 56.2% of the variation. Hospital characteristics and the type of provider explained 9.3% of the variation among hospitals and 0.08% of the total variation in risk of readmission.
conclusionsPatient characteristics are the largest contributor to variation in risk of readmission among hospitals. Measurable hospital characteristics and the type of inpatient provider contribute little to variation in risk of readmission among hospitals.
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