title: Reducing 30-day Readmission After Joint Replacement.
abstract: Hospital readmission is a focus of quality measures used by the Center for Medicare and Medicaid (CMS) to evaluate quality of care. Policy changes provide incentives and enforce penalties to decrease 30-day hospital readmissions. CMS implemented the Readmission Penalty Program. Readmission rates are being used to determine reimbursement rates for physicians. The need for readmission is deemed an indication for inadequate quality of care subjected to financial penalties. This reviews identifies risk factors that have been significantly associated with higher readmission rates, addresses approaches to minimize 30-day readmission, and discusses the potential future direction within this area as regulations evolve.
authors.affiliation: Division of Orthopaedics and Rehabilitation, Southern Illinois University School of Medicine, 701 North First Street, Springfield, IL 62781, USA.
authors.forename: Monique C
authors.initials: MC
authors.lastname: Chambers
authors.affiliation: Division of Orthopaedics and Rehabilitation, Southern Illinois University School of Medicine, 701 North First Street, Springfield, IL 62781, USA.
authors.forename: Mouhanad M
authors.initials: MM
authors.lastname: El-Othmani
authors.affiliation: Division of Orthopaedics and Rehabilitation, Southern Illinois University School of Medicine, 701 North First Street, Springfield, IL 62781, USA.
authors.forename: Afshin A
authors.initials: AA
authors.lastname: Anoushiravani
authors.affiliation: Division of Orthopaedics and Rehabilitation, Southern Illinois University School of Medicine, 701 North First Street, Springfield, IL 62781, USA.
authors.forename: Zain
authors.initials: Z
authors.lastname: Sayeed
authors.affiliation: Department of Orthopaedic and Sports Medicine, Detroit Medical Center, 311 Mack Avenue, 5th Floor, Detroit, MI 48201, USA. Electronic address: kjsaleh@gmail.com.
authors.forename: Khaled J
authors.initials: KJ
authors.lastname: Saleh
mesh_terms: D019643:Arthroplasty, Replacement; D006801:Humans; D015994:Incidence; D010359:Patient Readmission / Q000639:trends*; D011183:Postoperative Complications / Q000453:epidemiology / Q000517:prevention & control*; D058996:Quality Improvement; D012307:Risk Factors; D014481:United States / Q000453:epidemiology
keywords: 30-day readmissions; Complications; Quality measures; Readmission; TJA