scholarly journals Predictive analytics for 30-day hospital readmissions

2021 ◽  
Vol 0 (0) ◽  
pp. 0
Author(s):  
Lu Xiong ◽  
Tingting Sun ◽  
Randall Green

<p style='text-indent:20px;'>The 30-day hospital readmission rate is the percentage of patients who are readmitted within 30 days after the last hospital discharge. Hospitals with high readmission rates would have to pay penalties to the Centers for Medicare &amp; Medicaid Services (CMS). Predicting the readmissions can help the hospital better allocate its resources to reduce the readmission rate. In this research, we use a data set from a hospital in North Carolina during the years from 2011 to 2016, including 71724 hospital admissions. We aim to provide a predictive model that can be helpful for related entities including hospitals, health insurance actuaries, and Medicare to reduce the cost and improve the clinical outcome of the healthcare system. We used R to process data and applied clustering, generalized linear model (GLM) and LASSO regressions to predict the 30-day readmissions. It turns out that the patient's age is the most important factor impacting hospital readmission. This research can help hospitals and CMS reduce costly readmissions.</p>

2018 ◽  
Vol 18 (10) ◽  
pp. 1513-1518 ◽  
Author(s):  
Suresh Basnet ◽  
Meng Zhang ◽  
Martin Lesser ◽  
Gisele Wolf-Klein ◽  
Guang Qiu ◽  
...  

2021 ◽  
Vol 93 (6) ◽  
pp. AB48-AB49
Author(s):  
Chelsea C. Jacobs ◽  
Michael Ladna ◽  
Johnny F. Jaber ◽  
Sandeep A. Ponniah ◽  
Ishaan K. Madhok ◽  
...  

AIDS ◽  
2013 ◽  
Vol 27 (13) ◽  
pp. 2059-2068 ◽  
Author(s):  
Stephen A. Berry ◽  
John A. Fleishman ◽  
Baligh R. Yehia ◽  
P. Todd Korthuis ◽  
Allison L. Agwu ◽  
...  

2016 ◽  
Vol 07 (02) ◽  
pp. 238-247 ◽  
Author(s):  
Melissa O’Connor ◽  
Mary Dempsey ◽  
Ann Huffenberger ◽  
Sandra Jost ◽  
Danielle Flynn ◽  
...  

SummaryThe reduction of all-cause hospital readmission among heart failure (HF) patients is a national priority. Telehealth is one strategy employed to impact this sought-after patient outcome. Prior research indicates varied results on all-cause hospital readmission highlighting the need to understand telehealth processes and optimal strategies in improving patient outcomes.The purpose of this paper is to describe how one Medicare-certified home health agency launched and maintains a telehealth program intended to reduce all-cause 30-day hospital readmissions among HF patients receiving skilled home health and report its impact on patient outcomes.Using the Transitional Care Model as a guide, the telehealth program employs a 4G wireless tablet-based system that collects patient vital signs (weight, heart rate, blood pressure and blood oxygenation) via wireless peripherals, and is preloaded with subjective questions related to HF and symptoms and instructional videos.Year one all-cause 30-day readmission rate was 19.3%. Fiscal year 2015 ended with an all-cause 30-day readmission rate of 5.2%, a reduction by 14 percentage points (a 73% relative reduction) in three years. Telehealth is now an integral part of the University of Pennsylvania Health System’s readmission reduction program.Telehealth was associated with a reduction in all-cause 30-day readmission for one mid-sized Medicare-certified home health agency. A description of the program is presented as well as lessons learned that have significantly contributed to this program’s success. Future expansion of the program is planned. Telehealth is a promising approach to caring for a chronically ill population while improving a patient’s ability for self-care.


2021 ◽  
Author(s):  
Jegy M. Tennison ◽  
Nahid J. Rianon ◽  
Joanna G. Manzano ◽  
Mark F. Munsell ◽  
Marina C. George ◽  
...  

2021 ◽  
Author(s):  
Daniel Max Friedman ◽  
Jana Marie Goldberg ◽  
Rebecca Lynn Molinsky ◽  
Mark Andrew Hanson ◽  
Adam Castaño ◽  
...  

BACKGROUND Patients with heart failure (HF) in skilled nursing facilities (SNFs) have 30-day hospital readmission rates as high as 43%. A virtual cardiovascular care program, consisting of patient selection, initial televisit, post-consultation care planning, and follow-up televisits, was developed and delivered by Heartbeat Health, Inc. (HBH), a cardiovascular digital health company, to 11 SNFs (3,510 beds) in New York. The impact of this program on the expected SNF 30-day HF readmission rate is unknown, particularly in the COVID-19 era. OBJECTIVE The aim of the study is to assess whether a virtual cardiovascular care program could improve access to specialty care, thereby reducing the 30-day hospital readmission rate for HF patients discharged to SNF relative to the expected rate for this population. METHODS We performed a retrospective case review of SNF patients who received a virtual cardiology consultation between August 2020 and February 2021. Virtual cardiologists conducted ≥1 telemedicine visit via smartphone, tablet, or laptop device for cardiac patients identified by a SNF care team. Post-consult care plans were communicated to SNF clinical staff. Patients included in this analysis had a preceding index admission for HF. RESULTS We observed lower hospital readmission among patients who received ≥1 virtual consultation compared to the expected readmission rate for both cardiac (3% vs 10%, respectively) and all-cause etiologies (18% vs 27%, respectively) in a population of 3,510 SNF beds. 185 patients (7%) received virtual cardiovascular care via the HBH program, and 40 patients met study inclusion criteria and were analyzed, with 26 (65%) requiring 1 televisit and 14 (35%) requiring more than 1. Cost savings associated with this reduction in readmissions are estimated to be as high as $860 per patient. CONCLUSIONS The investigation provides initial evidence for the potential effectiveness and efficiency of virtual and digitally-enabled virtual cardiovascular care on 30-day hospital readmissions. Further research is warranted to optimize the use of novel virtual care programs to transform delivery of cardiovascular care to high-risk populations.


Lupus ◽  
2021 ◽  
pp. 096120332110446
Author(s):  
Angel AH Guerra ◽  
Rouba Garro ◽  
Courtney McCracken ◽  
Kelly Rouster-Stevens ◽  
Sampath Prahalad

Objective The objective is to determine the 30-day hospital readmission rate following a hospitalization due to pediatric lupus nephritis of recent onset and characterize the risk factors associated with these early readmissions. Methods The study included 76 children hospitalized from 01/01/2008 to 4/30/2017 due to a new diagnosis of lupus nephritis. We calculated the 30-day hospital readmission rate and compared the characteristics of the patients that were readmitted to patients that were not readmitted using univariable and multivariable analysis. Results The 30-day readmission rate was 17.1%. Factors that predicted hospital readmission in unavailable analysis were male gender (38.5 vs 14.3%, p = 0.04), not receiving pulse steroids (30.8 vs 3.2%, p = < .001), receiving diuretic treatment (69.2 vs 34.9%, p = .02), receiving albumin infusions (46.2 vs 12.7%, p = .004), stage 2 hypertension on day one of admission (76.9 vs 41.3%, p = .02), a higher white blood cell count on discharge (13.7 × 103/mm3 vs 8.8 × 103/mm 3 , p = .023), need for non-angiotensin converting enzyme (ACE) antihypertensive drugs (76.9 vs 46%, p = .042), and being discharged on nonsteroidal anti-inflammatory drugs (NSAIDs) (23.1 vs 4.8%, p = .025). Multivariable analysis demonstrated an increased risk of readmission for patients not treated with intravenous pulse methylprednisolone (IVMP) (OR = 17.5 (1.81–168.32) p = .013), and for those who required intravenous albumin assisted diuresis for hypervolemia (OR=6.25 (1.29–30.30) p = .022). Conclusion In all, 17% of children hospitalized due to new onset lupus nephritis were readmitted within 30 days of discharge. Absence of IVMP and receiving intravenous albumin assisted diuresis during initial hospitalization increase the risk of early readmission in new onset pediatric lupus nephritis.


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