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Readmission Rates and Their Impact on Hospital Financial Performance

A Study of Washington Hospitals

Bibliographic Data

ID13775684
AuthorsSoumya Upadhyay (0000-0002-4651-0925, University of Nevada, Las Vegas, corresponding author), Amber L Stephenson (0000-0003-3225-1464, Clarkson University, Schenectady, NY, USA), Dean G Smith (0000-0002-1188-1574, Louisiana State University Health Sciences Center New Orleans)
Year2019
Volume56
Pages46958019860386-46958019860386
Publication date2019-01-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueINQUIRY The Journal of Health Care Organization Provision and Financing (JOURNAL)
Journal identifiersISSN: 0046-9580 • E-ISSN: 1945-7243
PublisherSAGE Publishing (PUBLISHER • US)
DOI10.1177/0046958019860386
PMID31282282
OpenAlexW2959547670
LanguageEN
Citations received5
References cited37

This longitudinal study examines whether readmission rates, made transparent through Hospital Compare, affect hospital financial performance by examining 98 hospitals in the State of Washington from 2012 to 2014. Readmission rates for acute myocardial infarction (AMI), pneumonia (PN), and heart failure (HF) were examined against operating revenues per patient, operating expenses per patient, and operating margin. Using hospital-level fixed effects regression on 276 hospital year observations, the analysis indicated that a reduction in AMI readmission rates is related with increased operating revenues as expenses associated with costly treatments related with unnecessary readmissions are avoided. Additionally, reducing readmission rates is related with an increase in operating expenses. As a net effect, increased PN readmission rates may show marginal increase in operating margin because of the higher operating revenues due to readmissions. However, as readmissions continue to happen, a gradual increase in expenses due to greater use of resources may lead to decreased profitability

Business · Cardiology · Earnings before interest and taxes · Margin (machine learning · Myocardial infarction · Operating expense · Operating margin · Profitability index · Return on assets · Revenue · Emergency Medicine · Finance · Healthcare Policy and Management · Medicine · Patient Satisfaction in Healthcare · Primary Care and Health Outcomes

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    Open Access•Dinesh R Pai, C Kalpani Dissanayake et al.•The Journal of Rural Health•2023

  • Nurses’ Roles, Responsibilities and Actions in the Hospital Discharge Process of Older Adults with Health and Social Care Needs in Three Nordic Cities

    Open Access•Ann Liljas, Natasja Koitzsch Jensen et al.•International Journal of…•2023

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    Open Access•Soumya Upadhyay, Dean G Smith•INQUIRY The Journal of Health…•2023

  • Improving Primary Care for Patients With Chronic Illness

    Thomas Bodenheimer, Edward H Wagner et al.•JAMA•2002

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    Thomas Bodenheimer•JAMA•2002

  • Are Readmissions to the Intensive Care Unit a Useful Measure of Hospital Performance

    Gregory S Cooper, Carl A Sirio et al.•Medical Care•1999

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Unique citing works5
Citations per year1,25
Citation span2022 - 2023 (2)
Citation velocityhistorical
Highly citedNo
Citation typesNeutral: 5

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