Qi Chen1, Hillary J Mull2, Amy K Rosen2, Ann M Borzecki3, Corey Pilver4, Kamal M F Itani5. 1. Center for Healthcare Organizational and Implementation Research, VA Boston Healthcare System, 150 South Huntington Avenue (152M), Boston, MA, 02130, USA. Electronic address: qi.chen2@va.gov. 2. Center for Healthcare Organizational and Implementation Research, VA Boston Healthcare System, 150 South Huntington Avenue (152M), Boston, MA, 02130, USA; Department of Surgery, Boston University School of Medicine, Boston, MA, USA. 3. Center for Healthcare Organizational and Implementation Research, Bedford VAMC, Bedford, MA, USA; Department of Health Policy and Management, Boston University School of Public Health, Boston, MA, USA; Department of Medicine, Boston University School of Medicine, Boston, MA, USA. 4. Center for Healthcare Organizational and Implementation Research, VA Boston Healthcare System, 150 South Huntington Avenue (152M), Boston, MA, 02130, USA. 5. Department of Surgery, Boston University School of Medicine, Boston, MA, USA; Department of Surgery, VA Boston Healthcare System, Boston, MA, USA; Department of Surgery, Harvard Medical School, Boston, MA, USA.
Abstract
BACKGROUND: Readmission is widely used as a quality metric to assess hospital performance. However, different methods to calculate readmissions may produce various results, leading to differences in classification with respect to hospital performance. This study compared 2 commonly used approaches to measure surgical readmissions: the 30-day all-cause hospital-wide readmissions (HWRs) and the potentially preventable readmissions (PPRs). METHODS: We examined the correlation between hospitals' risk-adjusted HWR and PPR rates and whether there was agreement in categorizing hospital performance between these measures among 111 hospitals with inpatient surgical programs in the Veterans Health Administration. RESULTS: We found that hospitals' HWR and PPR rates were highly correlated (r = .85, P < .0001). The overall agreement between these 2 methods in categorizing hospital performance was 82% for all surgeries, 82% for colectomy, 84% for coronary bypass, and 87% for hip/knee replacement, respectively. CONCLUSIONS: Despite differences in methodologies, the HWR and the PPR measures provided relatively consistent perceptions of hospitals' performance on surgical readmissions. Published by Elsevier Inc.
BACKGROUND: Readmission is widely used as a quality metric to assess hospital performance. However, different methods to calculate readmissions may produce various results, leading to differences in classification with respect to hospital performance. This study compared 2 commonly used approaches to measure surgical readmissions: the 30-day all-cause hospital-wide readmissions (HWRs) and the potentially preventable readmissions (PPRs). METHODS: We examined the correlation between hospitals' risk-adjusted HWR and PPR rates and whether there was agreement in categorizing hospital performance between these measures among 111 hospitals with inpatient surgical programs in the Veterans Health Administration. RESULTS: We found that hospitals' HWR and PPR rates were highly correlated (r = .85, P < .0001). The overall agreement between these 2 methods in categorizing hospital performance was 82% for all surgeries, 82% for colectomy, 84% for coronary bypass, and 87% for hip/knee replacement, respectively. CONCLUSIONS: Despite differences in methodologies, the HWR and the PPR measures provided relatively consistent perceptions of hospitals' performance on surgical readmissions. Published by Elsevier Inc.
Authors: Hillary J Mull; Laura A Graham; Melanie S Morris; Amy K Rosen; Joshua S Richman; Jeffery Whittle; Edith Burns; Todd H Wagner; Laurel A Copeland; Tyler Wahl; Caroline Jones; Robert H Hollis; Kamal M F Itani; Mary T Hawn Journal: JAMA Surg Date: 2018-08-01 Impact factor: 14.766
Authors: Roger K Khouri; Hechuan Hou; Apoorv Dhir; Juan J Andino; James M Dupree; David C Miller; Chad Ellimoottil Journal: BMC Health Serv Res Date: 2017-11-28 Impact factor: 2.655