In in this large database analysis of over 10,000 general medical discharges from 6 academic medical centers, seven factors emerged as significant predictors of early readmission. These included insurance status, marital status, having a regular physician, Charlson index, SF12 physical component score, 1+ admits in the last year, and current LOS >2 days. These 7 factors, easily derived from administrative data, can be used to identify those at high risk for readmissions, who may benefit from additional discharge resources to prevent readmissions (abstract).
Like you, I am focused on care transitions these days. Inpatient providers have gotten closer to mastering the hospital side of things (disease-specific care), but we still have a long way to go on broad-based QI with items such as hand washing, nosocomial infections, and patient communication. Additionally, the patient’s passage back from the wards […]
Seen the State of Hospital Medicine report for 2018? I have, and there is erudition galore. Here is one that has me contemplating. I was surprised to see the breakdown below. Not so long ago, I would say less than ten years, the scatter for adults was more balanced. By that I mean, the 99222 codes were […]
Suppose I told you one of your patients: –Didn’t vote in the last five elections –Bought a 24 pack of Snickers bars and 12 pack of Cheetos on Amazon every three months –Participates in a Burger King Whopper loyalty discount program –Owns a Harley Davidson What conclusions would you draw as they relate to future […]