Tina Shah|Matthew M. Churpek|Marcelo Coca Perraillon|R. Tamara Konetzka
Understanding Why Patients With COPD Get Readmitted
University of Chicago|University of Chicago|Chicago Department of Public Health|University of Chicago|Chicago Department of Public Health|University of Chicago
hospital readmissions reduction program hrrp penalizes hospitals 30day readmissions extended copd october 2014 limited evidence available readmission risk factors reasons readmission guide hospitals initiating programs reduce copd readmissionsmedicare claims data 2006 2010 seven states analyzed index admission copd defined discharge international classification diseases ninth revision codes stipulated hrrp guidelines rates index copd admission readmission patient demographics readmission diagnoses use postacute care pac investigatedover study period 26798404 inpatient admissions 35 index copd admissions 30 days 202 readmitted hospital respiratoryrelated diseases accounted onehalf reasons readmission copd common diagnosis explaining 276 readmissions patients discharged home without home care likely readmitted copd patients discharged pac 311 vs 188 p 001 readmitted beneficiaries likely dually enrolled medicare medicaid 306 vs 254 p 001 longer median length stay 5 days vs 4 days p 0001 comorbidities p 001medicare patients copd exacerbations usually readmitted copd reasons differ depending pac use readmitted patients likely dually enrolled medicare medicaid suggesting addition copd readmissions penalty may worsen disproportionately high penalties seen safety net hospitals