Hospital Performance Under Alternative Readmission Measures Incorporating Observation Stays.

ABSTRACT:

Objective

To determine the extent to which counting observation stays changes hospital performance on 30-day readmission measures.

Methods

This was a retrospective study of inpatient admissions and observation stays among fee-for-service Medicare enrollees in 2017. We generated 3 specifications of 30-day risk-standardized readmissions measures: the hospital-wide readmission (HWR) measure utilized by the Centers for Medicare and Medicaid Services, which captures inpatient readmissions within 30 days of inpatient discharge; an expanded HWR measure, which captures any unplanned hospitalization (inpatient admission or observation stay) within 30 days of inpatient discharge; an all-hospitalization readmission (AHR) measure, which captures any unplanned hospitalization following a

SUBMITTER: Sabbatini AK 

PROVIDER: S-EPMC10592134 | biostudies-literature | 2023 Nov

REPOSITORIES: biostudies-literature