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Two noteworthy findings by Wang @rkwadhera @DLBHATTMD in @JAMACardio:
1) Hospitals in the @usnews top 50 have better mortality rates than other hospitals in AMI, CABG & HF. Better HCAHPS, too. Not too surprising, but certainly reassuring.
2) But...
jamanetwork.com/journals/jamac…
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1) Hospitals in the @usnews top 50 have better mortality rates than other hospitals in AMI, CABG & HF. Better HCAHPS, too. Not too surprising, but certainly reassuring.
2) But...
jamanetwork.com/journals/jamac…
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2) But those same top hospitals do no better than others on readmission.
Why? Well, we have to ask ourselves whether readmission is a valid indicator of quality. And if it is, is it valid in all patient cohorts, or only certain ones?
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Why? Well, we have to ask ourselves whether readmission is a valid indicator of quality. And if it is, is it valid in all patient cohorts, or only certain ones?
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As Wang @rkwadhera @DLBHATTMD understatedly write:
“The observed discrepancy between readmissions and other performance measures raises concern that readmissions may not be an adequate metric of hospital care quality.”
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“The observed discrepancy between readmissions and other performance measures raises concern that readmissions may not be an adequate metric of hospital care quality.”
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