Hospital Readmission and Costs of Total Knee Replacement Surgery in 2009 and 2014: Potential Implications for Health Care Managers.

Q2 Nursing Health Care Manager Pub Date : 2019-01-01 DOI:10.1097/HCM.0000000000000246
Michael P Cary, Victoria Goode, Nancy Crego, Deirdre Thornlow, Cathleen Colón-Emeric, Courtney van Houtven, Elizabeth I Merwin
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Abstract

The purpose of this article is to describe changes in hospital readmissions and costs for US hospital patients who underwent total knee replacement (TKR) in 2009 and 2014. Data came from the Healthcare Cost and Utilization Project net-Nationwide Readmissions Database. Compared with 2009, overall 30-day rates of readmissions after TKR decreased by 15% in 2014. Rates varied by demographics: readmission rates were lower for younger patients, males, Medicare recipients, and those with higher incomes. Overall, costs rose 20% across TKR groups. This report is among the first to describe changes in hospital readmissions and costs for TKR patients in a national sample of US acute care hospitals. Findings offer hospital managers a mechanism to benchmark their facilities' performances.

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2009年和2014年全膝关节置换手术的医院重组和成本:对卫生保健管理人员的潜在影响。
本文的目的是描述2009年和2014年接受全膝关节置换术(TKR)的美国医院患者再次入院和费用的变化。数据来自医疗保健成本和利用项目网络全国重新使命数据库。与2009年相比,2014年TKR后30天的总体再入院率下降了15%。发病率因人口统计而异:年轻患者、男性、医疗保险受益人和收入较高的患者的再入院率较低。总体而言,TKR集团的成本增长了20%。这份报告是第一份描述美国急性护理医院全国样本中TKR患者再次入院和费用变化的报告之一。研究结果为医院管理者提供了一种衡量其设施绩效的机制。
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来源期刊
Health Care Manager
Health Care Manager HEALTH POLICY & SERVICES-
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期刊介绍: The Health Care Manager (HCM), provides practical, applied management information for managers in institutional health care settings. It is a quarterly journal, horizontally integrated and cutting across all functional lines, written for every person who manages the work of others in any health care setting. This journal presents practical day-to-day management advice as well as research studies addressing current issues in health care management. Its intent is the strengthening management and supervisory skills of its readers and increasing their understanding of today"s health care environment. HCM is searchable through PubMed.
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