Reliability of 30-Day Readmission Measures Used in the Hospital Readmission Reduction Program.

ABSTRACT:

Objective

To assess the reliability of risk-standardized readmission rates (RSRRs) for medical conditions and surgical procedures used in the Hospital Readmission Reduction Program (HRRP).

Data sources

State Inpatient Databases for six states from 2011 to 2013 were used to identify patient cohorts for the six conditions used in the HRRP, which was augmented with hospital characteristic and HRRP penalty data.

Study design

Hierarchical logistic regression models estimated hospital-level RSRRs for each condition, the reliability of each RSRR, and the extent to which socioeconomic and hospital factors further explain RSRR variation. We used publicly available data to estimate payments for excess readmissions in hospitals with reliable and unreliable RSRRs.

Principal fi

SUBMITTER: Thompson MP 

PROVIDER: S-EPMC5134200 | biostudies-literature | 2016 Dec

REPOSITORIES: biostudies-literature