Pediatric Hospital Medicine 2012

Pediatric Readmissions
James Gay, Paul Hain
At the conclusion of this session, participants will be able to:

  1. Understand the role of readmissions as a quality measure in adults
  2. Understand the differences in prevalence and reasons for readmissions between adults and children
  3. Understand how federal, state and private health care payors may use readmissions to impact reimbursement

Hospital readmissions have only recently gained traction as an area of study in pediatrics but the field is growing rapidly. At the Monroe Carell, Jr. Children's Hospital at Vanderbilt, we have focused on early readmissions, to look specifically for relationships to care or discharge planning in the previous hospitalization. Early readmissions occur at a rate (~8%) much lower than that seen in adults and children with early readmissions have more severe chronic illnesses and use far more hospital resources, even when compared to other children with multiple admissions. This presentation will cover the rapidly expanding literature on pediatric readmissions and review available data on the rates, causes and characteristics of readmissions in our institution and across the country through use of NACHRI/CHCA Pediatric Health Information Systems and Case-Mix databases. We will also discuss our initial work to develop a tool for the assessment of preventability of readmissions and the impact that preventable readmissions may have on hospital reimbursement.


 

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