title: Patient factors contributing to variation in same-hospital readmission rate.
abstract: The Centers for Medicare & Medicaid Services Hospital Readmission Reduction Program and the Centers for Medicare & Medicaid Innovations Bundled Payments for Care Improvement Initiative hold hospitals accountable for readmissions that occur at other hospitals. A few studies have described the extent to which hospital readmissions occur at the original place of treatment (i.e., same-hospital readmissions). This study uses data from 16 states to describe variation in same-hospital readmissions by patient characteristics across multiple conditions. We found that the majority of 30-day readmissions occur at the same hospital, although rates varied considerably by condition. A significant number of hospitals had very low rates of same-hospital readmissions, meaning that the majority of their readmissions went to other hospitals. Future research should examine why some hospitals are able to retain patients for a same-hospital readmission and others are not.
authors.affiliation: Truven Health Analytics, Cambridge, MA, USA rachel.henke@truvenhealth.com.
authors.forename: Rachel Mosher
authors.initials: RM
authors.lastname: Henke
authors.affiliation: Agency for Healthcare Research and Quality, Rockville, MD, USA.
authors.forename: Zeynal
authors.initials: Z
authors.lastname: Karaca
authors.affiliation: Truven Health Analytics, Cambridge, MA, USA.
authors.forename: Hollis
authors.initials: H
authors.lastname: Lin
authors.affiliation: Truven Health Analytics, Cambridge, MA, USA.
authors.forename: Lauren M
authors.initials: LM
authors.lastname: Wier
authors.affiliation: Truven Health Analytics, Cambridge, MA, USA.
authors.forename: William
authors.initials: W
authors.lastname: Marder
authors.affiliation: Agency for Healthcare Research and Quality, Rockville, MD, USA.
authors.forename: Herbert S
authors.initials: HS
authors.lastname: Wong
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D014487:Centers for Medicare and Medicaid Services, U.S.; D016208:Databases, Factual; D005260:Female; D006761:Hospitals; D006801:Humans; D008297:Male; D008875:Middle Aged; D064872:Patient Care Bundles; D010359:Patient Readmission / Q000639:trends*; D014481:United States; D055815:Young Adult
keywords: Medicare; bundled payments; hospital readmission; patient factors; same-hospital readmission