We're unable to sign you in at this time. Please try again in a few minutes.
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Commentary |

Hospital Readmission as an Accountability Measure

R. Neal Axon, MD, MSCR; Mark V. Williams, MD
JAMA. 2011;305(5):504-505. doi:10.1001/jama.2011.72.
Text Size: A A A
Published online


In June 2009, the Centers for Medicare & Medicaid Services (CMS) began publicly reporting on its Hospital Compare Web site all hospitals' 30-day readmission rates for patients hospitalized and discharged with pneumonia, acute myocardial infarction (AMI), or heart failure (HF). This “shaming” of some hospitals and research showing that about 1 in 5 Medicare patients is readmitted within 30 days after hospital discharge highlighted the problem of hospital care transitions.1 With passage of the Patient Protection and Affordable Care Act, CMS will begin holding hospitals accountable for their readmission rates and adjusting payments to hospitals in 2013 according to their rate of “excess” vs “expected” Medicare readmissions for pneumonia, AMI, and HF. Hospitals will now be subject to both the “shame” of public reporting and the likely more potent “stick” of decreased reimbursement. It is essential to consider these new policies in light of their likelihood of success and their potential for negative unintended effects as the health care industry attempts to address presumably elevated hospital readmission rates.

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

First Page Preview

View Large
First page PDF preview




Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.


Some tools below are only available to our subscribers or users with an online account.

115 Citations

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

Related Content

Customize your page view by dragging & repositioning the boxes below.

Articles Related By Topic
Related Collections
PubMed Articles