How to Prevent Hospital Re-Admissions?

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[By Dr. David Edward Marcinko MBA CMP™]

As our physician readers are aware, beginning in 2013, CMS will penalize hospitals for excess readmission rates.

Initial focus will be on readmissions for heart failure, acute myocardial infarction and pneumonia — data that is already reported on the CMS Hospital Compare web site, as previously noted on this ME-P forum.

How to Reduce Hospital Re-Admissions

As private payers follow CMS’s reimbursement and reporting leads, healthcare organizations must take bold steps to reduce avoidable readmissions.

A Call to Action

And so, we invite our medical professional readers to report on their initiatives and tips in this area, and deliver actionable data in order to help hospitals and healthcare organizations reduce avoidable readmissions.


Please tell us and your colleagues, what you are doing and plan to do, in the changing future of healthcare.



Your thoughts and comments on this ME-P are appreciated. Feel free to review our top-left column, and top-right sidebar materials, links, URLs and related websites, too. Then, subscribe to the ME-P. It is fast, free and secure.


Speaker: If you need a moderator or speaker for an upcoming event, Dr. David E. Marcinko; MBA – Publisher-in-Chief of the Medical Executive-Post – is available for seminar or speaking engagements. Contact:


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5 Responses

  1. 1 in 3 adults discharged from hospitals does not see doc within 30 days

    Dr. Marcinko – Perhaps the reason for re-admissions can partially be explained in this post.

    Dr. MB Clinton-Weil


  2. ReAdmissions

    As far as I know there are no quality metrics that measure a non-admission (a person who should have been admitted but wasn’t), so there aren’t financial penalties for withholding care – despite the efforts of the “pay for quality” advocates.

    Dr. David Edward Marcinko MBA CMP™


  3. UPMC: 5 Medical Conditions With the Highest Readmissions in 2013

    1. Sepsis (12%)
    2. Heart failure (6.7%)
    3. Pneumonia (5.0%)
    4. COPD (4.6%)
    5. Heart attack (1.3%)

    Source: Forbes


  4. Avoidable Admissions are 4x Higher for Lowest-Wage Employees

    Health Affairs recently published an article on employee health spending relative to income level. Here are some key findings from the report:

    • Annual healthcare spending per patient was $4,835 for the lowest-wage group.
    • 19% in the lowest-wage group used preventive care, versus 38% in the highest.
    • Lowest-wage employees had 31 hospital admissions per 1,000 versus 17/1,000.
    • Low earners had 4x the rate of avoidable admissions (4.3/1,000 vs. 0.9/1,000).
    • ER visits were 3x higher for lowest-wage employees (370/1,000 vs. 120/1,000).
    • Annual healthcare spending per patient was $5,074 for the highest-wage group.

    Source: Health Affairs, February 2017


  5. 4 in 5 Hospitals Will Be Penalized For Readmissions This Year

    Kaiser Health News recently released an article on hospital readmissions penalties. Here are some key findings:

    • Medicare penalized 4 out of 5 hospitals for excessive readmissions this year.
    • The average penalty is 0.73% of each payment between Oct. 1 – Sept. 30, 2018.
    • 48 hospitals received the maximum punishment of a 3 percent reduction.
    • More than 1,500 hospitals were exempted from penalties this year as required by law.
    • The government projects to save $564 million due to readmissions penalties.
    • 90%+ of hospitals will be punished in AZ, CT, FL, KY, MA, MN, NJ, NY and VA.

    Source: Kaiser Health News


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