Literature DB >> 27261414

Vulnerable Hospitals and Cancer Surgery Readmissions: Insights into the Unintended Consequences of the Patient Protection and Affordable Care Act.

Young Hong1, Chaoyi Zheng1, Elizabeth Hechenbleikner1, Lynt B Johnson1, Nawar Shara2, Waddah B Al-Refaie3.   

Abstract

BACKGROUND: Penalties from the Hospital Readmission Reduction Program can push financially strained, vulnerable patient-serving hospitals into additional hardship. In this study, we quantified the association between vulnerable hospitals and readmissions and examined the respective contributions of patient- and hospital-related factors.
METHODS: A total of 110,857 patients who underwent major cancer operations were identified from the 2004-2011 State Inpatient Database of California. Vulnerable hospitals were defined as either self-identified safety net hospitals (SNHs) or hospitals with a high percentage of Medicaid patients (high Medicaid hospitals [HMHs]). We used multivariable logistic regression to determine the association between vulnerable hospitals and readmission. Patient and hospital contributions to the elevation in odds of readmission were assessed by comparing estimates from models with different subsets of predictors.
RESULTS: Of the 355 hospitals, 13 were SNHs and 31 were HMHs. After adjusting for Hospital Readmission Reduction Program variables, SNHs had higher 30-day (odds ratio [OR] = 1.32; 95% CI, 1.18-1.47), 90-day (OR = 1.28; 95% CI, 1.18-1.38), and repeated readmissions (OR = 1.33; 95% CI, 1.18-1.49); HMHs also had higher 30-day (OR = 1.18; 95% CI, 1.05-1.32), 90-day (OR = 1.28; 95% CI, 1.16-1.42), and repeated readmissions (OR = 1.24; 95% CI, 1.01-1.54). Compared with patient characteristics, hospital factors accounted for a larger proportion of the increase in odds of readmission among SNHs (60% to 93% vs 24% to 39%), but a smaller proportion among HMHs (9% to 15% vs 60% to 115%).
CONCLUSIONS: Vulnerable status of hospitals is associated with higher readmission rates after major cancer surgery. These findings reinforce the call to account for socioeconomic variables in risk adjustments for hospitals who serve a disproportionate share of disadvantaged patients.
Copyright © 2016 American College of Surgeons. Published by Elsevier Inc. All rights reserved.

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Year:  2016        PMID: 27261414      PMCID: PMC5266542          DOI: 10.1016/j.jamcollsurg.2016.04.042

Source DB:  PubMed          Journal:  J Am Coll Surg        ISSN: 1072-7515            Impact factor:   6.113


  16 in total

Review 1.  Measuring the quality of surgical care: structure, process, or outcomes?

Authors:  John D Birkmeyer; Justin B Dimick; Nancy J O Birkmeyer
Journal:  J Am Coll Surg       Date:  2004-04       Impact factor: 6.113

2.  Readmissions after major cancer surgery among older adults.

Authors:  Russell C Langan; Chun-Chih Huang; Scott Colton; Arnold L Potosky; Lynt B Johnson; Nawar M Shara; Waddah B Al-Refaie
Journal:  Surgery       Date:  2015-05-21       Impact factor: 3.982

3.  Characteristics of hospitals receiving penalties under the Hospital Readmissions Reduction Program.

Authors:  Karen E Joynt; Ashish K Jha
Journal:  JAMA       Date:  2013-01-23       Impact factor: 56.272

4.  Disparities in surgical 30-day readmission rates for Medicare beneficiaries by race and site of care.

Authors:  Thomas C Tsai; E John Orav; Karen E Joynt
Journal:  Ann Surg       Date:  2014-06       Impact factor: 12.969

5.  Effect of Hospital Safety-Net Burden on Cost and Outcomes After Surgery.

Authors:  Richard S Hoehn; Koffi Wima; Matthew A Vestal; Drew J Weilage; Dennis J Hanseman; Daniel E Abbott; Shimul A Shah
Journal:  JAMA Surg       Date:  2016-02       Impact factor: 14.766

6.  Fragmentation of Care after Surgical Discharge: Non-Index Readmission after Major Cancer Surgery.

Authors:  Chaoyi Zheng; Elizabeth B Habermann; Nawar M Shara; Russell C Langan; Young Hong; Lynt B Johnson; Waddah B Al-Refaie
Journal:  J Am Coll Surg       Date:  2016-02-05       Impact factor: 6.113

Review 7.  The quality of surgical care in safety net hospitals: a systematic review.

Authors:  Charles A Mouch; Scott E Regenbogen; Sha'Shonda L Revels; Sandra L Wong; Christy H Lemak; Arden M Morris
Journal:  Surgery       Date:  2013-12-14       Impact factor: 3.982

8.  Variation in surgical-readmission rates and quality of hospital care.

Authors:  Thomas C Tsai; Karen E Joynt; E John Orav; Atul A Gawande; Ashish K Jha
Journal:  N Engl J Med       Date:  2013-09-19       Impact factor: 91.245

9.  Quality of colon cancer outcomes in hospitals with a high percentage of Medicaid patients.

Authors:  Kim F Rhoads; Leland K Ackerson; Ashish K Jha; R Adams Dudley
Journal:  J Am Coll Surg       Date:  2008-05-19       Impact factor: 6.113

10.  Do hospitals that serve a high percentage of Medicaid patients perform well on evidence-based guidelines for colon cancer care?

Authors:  Kim F Rhoads; Justine V Ngo; Yifei Ma; Lyen Huang; Mark L Welton; R Adams Dudley
Journal:  J Health Care Poor Underserved       Date:  2013-08
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  4 in total

1.  Readmissions after colorectal surgery: not all are equal.

Authors:  Laura Z Hyde; Ahmed M Al-Mazrou; Ben A Kuritzkes; Kunal Suradkar; Neda Valizadeh; Ravi P Kiran
Journal:  Int J Colorectal Dis       Date:  2018-08-30       Impact factor: 2.571

2.  Do hospital factors impact readmissions and mortality after colorectal resections at minority-serving hospitals?

Authors:  Elizabeth M Hechenbleikner; Chaoyi Zheng; Samuel Lawrence; Young Hong; Nawar M Shara; Lynt B Johnson; Waddah B Al-Refaie
Journal:  Surgery       Date:  2016-10-28       Impact factor: 3.982

Review 3.  Incentivizing performance in health care: a rapid review, typology and qualitative study of unintended consequences.

Authors:  Xinyu Li; Jenna M Evans
Journal:  BMC Health Serv Res       Date:  2022-05-23       Impact factor: 2.908

4.  Quality of Care and Outcomes of Patients With Gynecologic Malignancies Treated at Safety-Net Hospitals.

Authors:  Charlotte R Gamble; Yongmei Huang; Ana I Tergas; Fady Khoury-Collado; June Y Hou; Caryn M St Clair; Cande V Ananth; Alfred I Neugut; Dawn L Hershman; Jason D Wright
Journal:  JNCI Cancer Spectr       Date:  2019-06-07
  4 in total

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