To Readmission and Beyond

摘要: * Abbreviations: EHR — : electronic health record LOS length of stay NRD Nationwide Readmissions Database The study pediatric readmission has received significant attention since 2012, when the Centers for Medicare and Medicaid Services signaled possibility financial risk to hospitals based on 30-day rates.1 We have learned that rates appear depend many factors,2,3 importance which vary by age medical condition,4–6 surgical procedure,7–9 presence chronic or complex care needs,10,11 social determinants health,12,13 access care,14–16 adherence evidence-based practice,17–19 patient–health system interactions, particularly those involving transitions coordination.20–22 Identifying prevention targets been hampered limited generalizability paucity preventable phenomena.23 In fact, it estimated readmissions represent <2% all admissions.24 Whereas a short stay (LOS) associated with an increased in certain adult patient populations,25 longer is not necessarily fewer readmissions, there remains little evidence support any such association care. In this month’s issue Pediatrics , Markham et al … Address correspondence Paul T. Rosenau, MD, MS, Department Pediatrics, Larner College Medicine, The University Vermont, 89 Beaumont Ave, Given CY S259, Burlington, VT 05405. E-mail: paul.rosenau{at}uvmhealth.org