Featured Research

from universities, journals, and other organizations

Hospital readmission rates after inpatient rehabilitation studied

Date:
February 11, 2014
Source:
University of Texas Medical Branch at Galveston
Summary:
Nearly 12 percent of Medicare patients who receive inpatient rehabilitation following discharge from acute-care hospitalization are readmitted to the hospital within 30 days after discharge from the rehabilitataion facility according to new research published. Before now, there was a lack of research on the frequency and causes of patients returning to hospital after rehabilitation.

Nearly 12 percent of Medicare patients who receive inpatient rehabilitation following discharge from acute-care hospitalization are readmitted to the hospital within 30 days after discharge from the rehabilitation facility according to new research published in the Feb. 12 issue of the Journal of the American Medical Association. Before now, there was a lack of research on the frequency and causes of patients returning to hospital after rehabilitation.

Related Articles


The new research reports 30-day hospital readmission rates across rehabilitation impairment categories and examines whether readmissions are associated with patient socio-demographics, clinical characteristics, functional status or facility factors. The authors say this type of data is important because Medicare is in the process of developing new payment models associated with health care reform.

"Currently, Medicare spends $20 billion each year on readmissions of hospitalized older adults," said lead author Kenneth Ottenbacher of the University of Texas Medical Branch at Galveston. "The data uncovered in this study is crucial in order to effectively develop new health reimbursement systems that bundle acute and post-acute care to improve quality and contain costs."

This research is especially timely because, starting this year, the Centers for Medicare and Medicaid Services will begin using 30-day readmission as a national quality indicator for inpatient rehabilitation facilities.

The study evaluated patients from the six largest impairment categories, which represent approximately 75 percent of Medicare fee-for-service patients receiving inpatient rehabilitation: stroke, lower extremity fracture, lower extremity joint replacement, debility, neurological disorders, and brain dysfunction.

Researchers analyzed data from CMS files covering 1,365 post-acute rehabilitation facilities, representing 736,536 post-acute patients discharged from inpatient rehabilitation facilities from 2006 through 2011. The mean patient age was 78.0 (SD = 7.3) years. The majority of patients were female (62.5 percent) with 85.1 percent non-Hispanic white. The mean rehabilitation length of stay was 12.4 (SD = 5.3) days.

The total 30-day hospital readmission rate among patients discharged from a rehabilitation facility to the community was 11.8 percent. Among the six impairment categories, lower extremity joint replacement had the lowest readmission rate for patients at 5.8 percent, while debility had the highest readmission rate at 18.8 percent. Readmission rates were higher for men and non-Hispanic blacks and for persons with longer lengths of stay. Approximately 50 percent of patients included in the study were readmitted within 11 days after discharge.

Researchers noted similar readmission rates between rural and urban facilities and freestanding and hospital-based facilities. Geographic variation of readmission rates varied between 9.2 percent and 13.6 percent, with the lowest rates found in Idaho and Washington and the highest rate found in Michigan.

Across the facilities included in the study, authors noted several diagnosis-related groups readmitted more frequently for all impairment categories, including kidney and urinary tract infections, pneumonia and nutritional and miscellaneous metabolic disorders.

These findings in particular may represent potential targets for early intervention to reduce readmission rates.


Story Source:

The above story is based on materials provided by University of Texas Medical Branch at Galveston. Note: Materials may be edited for content and length.


Journal Reference:

  1. Kenneth J. Ottenbacher, Amol Karmarkar, James E. Graham, Yong-Fang Kuo, Anne Deutsch, Timothy A. Reistetter, Soham Al Snih, Carl V. Granger. Thirty-Day Hospital Readmission Following Discharge From Postacute Rehabilitation in Fee-for-Service Medicare Patients. JAMA, 2014; 311 (6): 604 DOI: 10.1001/jama.2014.8

Cite This Page:

University of Texas Medical Branch at Galveston. "Hospital readmission rates after inpatient rehabilitation studied." ScienceDaily. ScienceDaily, 11 February 2014. <www.sciencedaily.com/releases/2014/02/140211162625.htm>.
University of Texas Medical Branch at Galveston. (2014, February 11). Hospital readmission rates after inpatient rehabilitation studied. ScienceDaily. Retrieved January 29, 2015 from www.sciencedaily.com/releases/2014/02/140211162625.htm
University of Texas Medical Branch at Galveston. "Hospital readmission rates after inpatient rehabilitation studied." ScienceDaily. www.sciencedaily.com/releases/2014/02/140211162625.htm (accessed January 29, 2015).

Share This


More From ScienceDaily



More Health & Medicine News

Thursday, January 29, 2015

Featured Research

from universities, journals, and other organizations


Featured Videos

from AP, Reuters, AFP, and other news services

Malnutrition on the Rise as Violence Flares in C. Africa

Malnutrition on the Rise as Violence Flares in C. Africa

AFP (Jan. 28, 2015) Violence can flare up at any moment in Bambari with only a bridge separating Muslims and Christians. Malnutrition is on the rise and lack of water means simple cooking fires threaten to destroy makeshift camps where people are living. Duration: 00:40 Video provided by AFP
Powered by NewsLook.com
Poultry Culled in Taiwan to Thwart Bird Flu

Poultry Culled in Taiwan to Thwart Bird Flu

Reuters - News Video Online (Jan. 28, 2015) Taiwan culls over a million poultry in efforts to halt various strains of avian flu. Julie Noce reports. Video provided by Reuters
Powered by NewsLook.com
Media Criticizing Parents For Not Vaccinating Children

Media Criticizing Parents For Not Vaccinating Children

Newsy (Jan. 28, 2015) As the Disneyland measles outbreak continues to spread, the media says parents who choose not to vaccinate their children are part of the cause. Video provided by Newsy
Powered by NewsLook.com
Shark Bite Victim Making Amazing Recovery

Shark Bite Victim Making Amazing Recovery

AP (Jan. 27, 2015) A Texas woman who lost more than five pounds of flesh to a shark in the Bahamas earlier this month could be released from a Florida hospital soon. Experts believe she was bitten by a bull shark while snorkeling. (Jan. 27) Video provided by AP
Powered by NewsLook.com

Search ScienceDaily

Number of stories in archives: 140,361

Find with keyword(s):
Enter a keyword or phrase to search ScienceDaily for related topics and research stories.

Save/Print:
Share:

Breaking News:

Strange & Offbeat Stories


Health & Medicine

Mind & Brain

Living & Well

In Other News

... from NewsDaily.com

Science News

Health News

Environment News

Technology News



Save/Print:
Share:

Free Subscriptions


Get the latest science news with ScienceDaily's free email newsletters, updated daily and weekly. Or view hourly updated newsfeeds in your RSS reader:

Get Social & Mobile


Keep up to date with the latest news from ScienceDaily via social networks and mobile apps:

Have Feedback?


Tell us what you think of ScienceDaily -- we welcome both positive and negative comments. Have any problems using the site? Questions?
Mobile: iPhone Android Web
Follow: Facebook Twitter Google+
Subscribe: RSS Feeds Email Newsletters
Latest Headlines Health & Medicine Mind & Brain Space & Time Matter & Energy Computers & Math Plants & Animals Earth & Climate Fossils & Ruins