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Readmission Rates and Their Impact on Hospital Financial Performance:A Study of Washington Hospitals

机译:再入院率及其对医院财务绩效的影响:华盛顿医院研究

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摘要

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.
机译:这项纵向研究通过检查2012年至2014年在华盛顿州的98家医院,检查了通过“医院比较”表透明化的再入院率是否影响医院的财务绩效。急性心肌梗死(AMI),肺炎(PN)和心力衰竭的再入院率(HF)已根据每位患者的营业收入,每位患者的营业费用和营业利润进行了检查。使用对276个医院年度观察值的医院固定效应回归分析,该分析表明AMI再入院率的降低与营业收入的增加有关,因为避免了与不必要的再入院相关的昂贵治疗相关的费用。另外,降低再入院率与增加运营费用有关。净效应是,增加的PN重新入学率可能表明营业利润率略有增加,因为重新入学会带来更高的营业收入。但是,随着重新入学的继续发生,由于更多地使用资源而导致的费用逐渐增加可能会导致盈利能力下降。

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