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       #Post#: 56--------------------------------------------------
       What are the current readmission measures?
       By: admini5 Date: May 11, 2015, 3:47 am
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       Readmission measures and performance-based incentives under
       Medicare are all targeted at acute care hospitals. As shown
       below, actual measures are a mix of condition-specific and
       all-condition readmissions rates.
       [list]
       [li]Acute Myocardial Infarction (AMI) 30-Day Risk Standardized
       Readmission Rate[/li]
       [li]Heart Failure 30-Day Risk Standardized Readmission Rate[/li]
       [li]Pneumonia 30-Day Risk Standardized Readmission Rate[/li]
       [li]30-Day Risk-Standardized, All Condition Readmission[/li]
       [/list]
       All CMS measures count any admission to any hospital for any
       condition (with a few exceptions for intended procedures) within
       30 days of discharge from the index hospital stay. Current
       condition-specific measures target patients admitted for
       treatment of heart failure, pneumonia or heart attack for the
       index hospitalization. CMS has already made clear its intent to
       expand the set of conditions to include patients with chronic
       obstructive pulmonary disease (COPD) and those undergoing
       coronary artery bypass graft (CABG) surgery.
       At a minimum, other likely additions are additional surgical
       admissions identified by MedPAC as making up almost 30% of
       spending on readmissions: percutaneous Tran’s luminal coronary
       angioplasty and other vascular procedures.
       A number of concerns have been raised about singling out
       readmissions as the focus of so much public policy and hospital
       effort. These range from questioning the potential gains
       available from current approaches because so many community and
       patient factors outside the control of the hospital contribute
       to readmissions, to criticism of the measures employed on a
       number of fronts, including failure to clinically link the index
       and subsequent admissions (rather than “all-cause” readmissions
       in current measures) and the use of 30 days as the standard time
       frame for counting readmissions (as opposed to shorter time
       frames). So far, despite many rounds of industry and public
       comment on proposed rules, neither the specific measures nor the
       incentives to ramp down on readmissions in the Medicare program
       have changed very much.
       For further information, please visit :
  HTML http://assets1.csc.com/health_services/downloads/CSC_Preventing_Hospital_Readmission.pdf
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