Influence of hospital and nursing home quality on hospital readmissions.

ABSTRACT:

Objectives

To determine whether the quality of the hospital and of the nursing home (NH) to which a patient was discharged were related to the likelihood of rehospitalization.

Study design

Retrospective cohort study of 1,382,477 individual hospitalizations discharged to 15,356 NHs from 3683 hospitals between 2006 and 2008.

Methods

Data come from Medicare claims and enrollment records, Minimum Data Set, Online Survey Certification and Reporting Dataset, Hospital Compare, and the American Hospital Association Database. Cross-classified random effects models were used to test the association of hospital and NH quality measures and the likelihood of 30-day rehospitalization.

Results

Patients discharged from higher-quality hospitals (as indicated by higher scores on

SUBMITTER: Thomas KS 

PROVIDER: S-EPMC4692800 | biostudies-literature | 2014 Nov

REPOSITORIES: biostudies-literature