Risk-Standardized Home Time as a Novel Hospital Performance Metric for Pneumonia Hospitalization Among Medicare Beneficiaries: a Retrospective Cohort Study.

ABSTRACT:

Background

The Centers for Medicare & Medicaid Services (CMS) use hospital readmissions as a performance metric to incentivize hospital care for acute conditions including pneumonia. However, there are limitations to using readmission alone as a hospital performance metric.

Objective

To characterize 30-day risk-standardized home time (RSHT), a novel patient-centered post-discharge performance metric for acute pneumonia hospitalizations in Medicare patients, and compare hospital rankings based on this metric with mortality and readmissions.

Study design

Retrospective, cohort study.

Participants

A cohort of Medicare fee-for-service beneficiaries admitted between January 01, 2015 and November 30, 2017.

Interventions

None.

Main measures

Risk-standardi

SUBMITTER: Nair R 

PROVIDER: S-EPMC8481448 | biostudies-literature | 2021 Oct

REPOSITORIES: biostudies-literature