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JAMA Series on Hospital Readmissions: Adult and Pediatric: Thirty-day Readmissions: The Clock is Ticking

by jmiller on January 30, 2013

The CMS (Centers for Medicaid and Medicaid Services Hospital Readmissions Reduction Program) initiated a seismic shift in US hospitals’ attitudes toward coordinating transitions of care”  The program was designed to enhance care coordination with the primary goal of reducing all-cause hospitalizations.  Following the implementation, the intervention was associated with decreased rates of all-cause 30 day rehospitalizations and a secondary goal of reducing all-cause hospitalizations.  Readmission penalties apply to e conditions: acute myocardial infarction, heart failure and pneumonia.  Efforts moving forward would involve implementation of broad patient-centered approaches that engage all members of a care team, especially front-line clinicians, and use proven quality improvement methods such as statistical process control to identify helpful interventions. Click here to read the entire series of articles