Implications of metric choice for common applications of readmission metrics.

ABSTRACT:

Objective

To quantify the differential impact on hospital performance of three readmission metrics: all-cause readmission (ACR), 3M Potential Preventable Readmission (PPR), and Centers for Medicare and Medicaid 30-day readmission (CMS).

Data sources

2000-2009 California Office of Statewide Health Planning and Development Patient Discharge Data Nonpublic file.

Study design

We calculated 30-day readmission rates using three metrics, for three disease groups: heart failure (HF), acute myocardial infarction (AMI), and pneumonia. Using each metric, we calculated the absolute change and correlation between performance; the percent of hospitals remaining in extreme deciles and level of agreement; and differences in longitudinal performance.

Principal findings

Average

SUBMITTER: Davies S 

PROVIDER: S-EPMC3876390 | biostudies-literature | 2013 Dec

REPOSITORIES: biostudies-literature