Substantial hospital level variation in all-cause readmission rates among medicare beneficiaries with serious mental illness.

ABSTRACT:

Background

Patients with serious mental illness (i.e., SMI; bipolar disorder, major depressive disorder, and schizophrenia) are at increased risk of readmission, yet little is known about the extent to which readmission rates among these patients vary across hospitals. The purpose of this study was to examine the variation across hospitals in readmissions for patients with SMI and differences in the characteristics of hospitals with the highest and lowest adjusted readmission rates.

Methods

We conducted a cross-sectional analysis of pooled inpatient claims from 2013-2016. Mixed logit models with hospital random effects were used to estimate the hospital-level variance. The sample included patients with SMI from a 5% sample of fee-for-service Medicare beneficiaries.

Result

SUBMITTER: Germack HD 

PROVIDER: S-EPMC7495504 | biostudies-literature | 2020 Sep

REPOSITORIES: biostudies-literature