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Readmission Rates

Readmission Rates

A local news organization has published a story about the readmission rates for hospitals in their area. Thenews organization determined from the data that two local hospitals will be receiving reducedreimbursement from CMS because their readmission rates fall outside of the accepted range. Uponcontacting a spokesperson from each hospital, the news organization received the following responses totheir inquiry:Hospital A: “These readmission rates were based on outdated data reported several yearsago. This data does not accurately reflect the care that we provide to our patients. We havemade numerous changes to our processes in the past several years and this is not reflectedin this data. We are not concerned by these results and believe we continue to deliver highquality care.”Hospital B: “We have proactively conducted our own analysis of this data prior to the CMSreport and determined that our area of concern is confined to one service line. In responseto our analysis, we have implemented a hotline for patients discharged from this service lineto call with any questions after discharge. This call center is staffed by service line nursesthat have access to the patients discharge instructions and providers if necessary. We feelthis is important data that we must take seriously to keep our quality of care at the levelthat our patients expect.”Discuss the differences in responses by the two hospitals and the CMS readmissions programs. What were the differences in their approach to the issue? What might be the repercussions be for each hospital, good or bad?

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