Journal of Neuroscience Nursing | 2019
Evaluation of Hospital-wide Readmission Risk Calculator to Predict 30-Day Readmission in Neurocritical Care Patients
Abstract
Background Reducing preventable readmission is a quality of care measure for the Centers for Medicare and Medicaid Services as well as third-party payers. Currently, there are financial penalties that target 30-day readmissions. The range of 30-day readmission rates for neurological patients have been reported to bebetween4.2%and7.4% among spine surgery patients, 11.5% for mixed neurosurgical patients, 14.4% in stroke patients, and 11.4% for subarachnoid hemorrhage patients. There are several models that predict general patient population readmission risks.As anexample, LACE (Length of stay, Acuity of admission, Charlson comorbidity index, and number of Emergency visits in preceding 6 months) can quantify the risk of death or unplanned readmissions and is used throughout the world to predict 30-day readmissions. However, there are no statistical models to predict readmissions among neurology patients.