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Hospital Readmissions and Measures of Quality

Kenneth R. Dardick, MD; Judith A. Stein, JD
[+] Author Affiliations

Author Affiliations: University of Connecticut, Mansfield Family Practice, Storrs, Connecticut (Dr Dardick) (kdardick@gmail.com); and Center for Medicare Advocacy, Willimantic, Connecticut (Ms Stein).


JAMA. 2012;307(4):361-362. doi:10.1001/jama.2012.11
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To the Editor: A Commentary by Drs Kangovi and Grande discussed factors that influence hospital readmission rates.1 Patients who are cared for under observation status are not counted in readmission rates. Medpac reported that from 2006 to 2008 the number of hours attributed to observation increased by 32%.2

Kangovi and Grande stated, “CMS [Centers for Medicare & Medicaid Services] should monitor . . . observation service use . . . ”, yet their Figure ignores this and they do not discuss how this would affect their conclusions. No discussion of readmission rates can be considered valid without taking into account those hospital stays that are counted as observation and which may lead to an underestimation of readmission rates by as much as 32%.

AUTHOR INFORMATION

Conflict of Interest Disclosures: The authors have completed and submitted the ICMJE Form for Disclosure of Potential Conflicts of Interest. Ms Stein reported a grant from Atlantic Philanthropies to challenge illegal barriers to Medicare coverage, and payment for developing and participating in presentations for legal and medical professionals interested in Medicare rights. Dr Dardick reported no disclosures.

REFERENCES

Kangovi S, Grande D. Hospital readmissions—not just a measure of quality.  JAMA. 2011;306(16):1796-1797
PubMedCrossRef
Medicare Payment Advisory Committee.  A Data Book: Healthcare Spending and the Medicare Program, June 2011; page 120. http://www.medpac.gov/documents/Jun11DataBookEntireReport.pdf. Accessed November 5, 2011

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Kangovi S, Grande D. Hospital readmissions—not just a measure of quality.  JAMA. 2011;306(16):1796-1797
PubMedCrossRef
Medicare Payment Advisory Committee.  A Data Book: Healthcare Spending and the Medicare Program, June 2011; page 120. http://www.medpac.gov/documents/Jun11DataBookEntireReport.pdf. Accessed November 5, 2011
January 25, 2012
Shreya Kangovi, MD; David Grande, MD, MPA
JAMA. 2012;307(4):361-362. doi:10.1001/jama.2012.12.
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