Research Catalog

Risk prediction models for hospital readmission : a systematic review

Title
Risk prediction models for hospital readmission : a systematic review / Devan Kansagara [and six others].
Author
Kansagara, Devan
Publication
Washington, DC : Department of Veterans Affairs, Veterans Health Administration, Health Services Research & Development Service, 2011.

Available Online

0

Details

Additional Authors
  • United States. Department of Veterans Affairs. Health Services Research and Development Service, issuing body.
  • Portland VA Medical Center. Evidence-based Synthesis Program Center.
  • Evidence-based Synthesis Program (U.S.)
Description
1 online resource (ii, 33 pages) : illustrations
Summary
An increasing body of literature attempts to describe and validate hospital readmission risk prediction tools. Interest in such models has grown for two reasons. First, transitional care interventions may reduce readmissions among chronically ill adults. Readmission risk assessment could be used to help target the delivery of these resource-intensive interventions to the patients at greatest risk. Ideally, models designed for this purpose would provide clinically relevant stratification of readmission risk and give information early enough during the hospitalization to trigger a transitional care intervention, many of which involve discharge planning and begin well before hospital discharge. Second, there is interest in using readmission rates as a quality metric. Recently, the Centers for Medicare & Medicaid Services (CMS) began using readmission rate as a publicly reported metric, with plans to lower reimbursement to hospitals with excess risk-standardized readmission rates. Valid risk adjustment methods are required for calculation of risk-standardized readmission rates which could, in turn, be used for hospital comparison, public reporting, and reimbursement determinations. Models designed for these purposes should have good predictive ability; be deployable in large populations; use reliable data that can be easily obtained; and use variables that are clinically related to, and validated in, the populations in which use is intended. This systematic review was performed to synthesize the available literature on validated readmission risk prediction models, describe their performance, and assess their suitability for clinical or administrative use.
Subject
  • Hospitals > Admission and discharge > United States
  • Risk assessment > United States
  • Mathematical models
  • Evidence-based medicine
  • Hospitals > Admission and discharge
  • Risk assessment
  • United States
Genre/Form
  • Technical reports.
  • Statistics.
Note
  • "Evidence-based synthesis program."
  • "October 2011."
Bibliography (note)
  • Includes bibliographical references (pages 12-16).
Funding (note)
  • Prepared for: Department of Veterans Affairs, Veterans Health Administration, Health Services Research & Development Service, Washington, DC 20420. Prepared by: Evidence-based Synthesis Program (ESP) Center, Portland VA Medical Center, Portland, OR, Devan Kansagara, M.D., M.C.R., Director
  • VA-ESP
Source of Description (note)
  • Description based on online resource; title from PDF cover (VA, viewed April 30, 2021).
Call Number
GPO Internet VA 1.107/3:R 49
OCLC
marcive758900782
Author
Kansagara, Devan, author.
Title
Risk prediction models for hospital readmission : a systematic review / Devan Kansagara [and six others].
Publisher
Washington, DC : Department of Veterans Affairs, Veterans Health Administration, Health Services Research & Development Service, 2011.
Type of Content
text
Type of Medium
computer
Type of Carrier
online resource
Bibliography
Includes bibliographical references (pages 12-16).
Funding
Prepared for: Department of Veterans Affairs, Veterans Health Administration, Health Services Research & Development Service, Washington, DC 20420. Prepared by: Evidence-based Synthesis Program (ESP) Center, Portland VA Medical Center, Portland, OR, Devan Kansagara, M.D., M.C.R., Director
VA-ESP 05-225
Connect to:
https://purl.fdlp.gov/GPO/gpo155319
Added Author
United States. Department of Veterans Affairs. Health Services Research and Development Service, issuing body.
Portland VA Medical Center. Evidence-based Synthesis Program Center.
Evidence-based Synthesis Program (U.S.)
Gpo Item No.
0985-A-12 (online)
Sudoc No.
VA 1.107/3:R 49
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