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?
Indeed, we @usnews do not use readmission in our Heart Failure ratings. Why?
In surgical episodes, by contrast, we find readmission consistently correlates with quality*.
(*By “quality,” I mean...
With the exception of AAA repair, we haven’t yet investigated endovascular procedures using these methods. So I can’t shed light on, for example, PCI.
“Admission to a top-ranked hospital for neurology or neurosurgery was associated with lower 30-day risk-standardized mortality but higher readmission after ischemic stroke.”
Again, nonsurgical care (mostly) & readmits=fishy.