JAMA: Sepsis Responsible for Highest Rate of Hospital Readmissions

sepsis_1200.jpgLast week, the Journal of the American Medical Association (JAMA) released a report about research performed at the University Of Pittsburgh School Of Medicine and the VA Pittsburgh Healthcare System. The findings revealed that sepsis, a potentially fatal condition triggered by an infection in the bloodstream, has a greater readmission rate (12.2%) than all four of the medical conditions currently tracked by the Centers for Medicare & Medicaid Services (CMS). Those conditions are:

  • Heart attack (1.3%)
  • Heart failure (6.7%)
  • Chronic obstructive pulmonary disease (COPD) (4.6%)
  • Pneumonia (5%)

“Sepsis occurs in more than 1 million hospital patients in the U.S., with a mortality rate upwards of 50 percent. Compared to the four conditions tracked by CMS, sepsis is the most expensive at a cost of an estimated $10,000 per readmission.”

Medicare dollars_1200.jpgAs part of the Hospital Readmission Reduction Program, a component of the Patient Protection and Affordable Care Act (PPACA), hospitals are penalized for a threshold amount of readmissions for the above-listed diagnoses. According to the National Institutes of Health (NIH), sepsis occurs in more than 1 million hospital patients in the U.S., with a mortality rate upwards of 50 percent. In addition, there are financial implications. Once again, compared to the four conditions tracked by CMS, sepsis is more expensive at an estimated $10,000 per readmission.

Download our FREE whitepaper, The Evolution of Care Bundles for Sepsis.

Free Whitepaper

These are staggering figures; yet sepsis remains excluded from the readmissions penalties list. However, with results such as these, that’s likely to change. Health systems and providers must heed these statistics well, in order to provide better care for their patients and reduce the overall cost of care.

But how?

“Using evidence to create a standardization of care can result in significant improvements in the patient experience of care and financial outcomes.”

care bundles_1200.jpgCare bundles are a proven method for controlling for specific medical conditions. They are defined as a short but cohesive list of practices to which clinicians need to adhere for every individual patient, every time, in order to provide them with safe and effective care. These evidence-based practices, when performed together, result in better patient outcomes than when they are implemented individually. Using evidence to create a standardization of care can result in significant improvements in the patient experience of care and financial outcomes.

Hayes published a white paper specifically regarding care bundles for sepsis. You can download it for free.

 

Free Whitepaper

Topics: Hospitals, Hayes Blog, Healthcare Evidence, Medicare

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