Journal ArticleDOI
Hospital readmission rates and emergency department visits for mental health and substance abuse conditions
TLDR
Alcohol or drug dependence, dementias, psychotic disorders, autism, impulse control disorders, and personality disorders were most strongly associated with future inpatient admission or ED revisits within 12 months of initial encounter.Abstract:
Community hospital stays in 12 states during 2008-2009 were analyzed to determine predictors of 12-month hospital readmission and emergency department (EDs) revisits among persons with a mental health or substance abuse diagnosis. Probabilities of hospital readmission and of ED revisits were modeled as functions of patient demographics, insurance type, number of prior-year hospital stays, diagnoses and other characteristics of the initial stay, and hospital characteristics. Alcohol or drug dependence, dementias, psychotic disorders, autism, impulse control disorders, and personality disorders were most strongly associated with future inpatient admission or ED revisits within 12 months of initial encounter. Insurance type, including uninsured status, were highly significant (p<.01) predictors of both readmission and ED revisits.read more
Citations
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Journal ArticleDOI
Comorbidity Prevalence, Healthcare Utilization, and Expenditures of Medicaid Enrolled Adults with Autism Spectrum Disorders.
TL;DR: The presence of a psychiatric and a non-psychiatric comorbidity among adults with autism spectrum disorders increased the annual total expenditures by US$4952 and US$5084, respectively.
Journal ArticleDOI
Emergency Department Use Among Adults with Autism Spectrum Disorders (ASD)
TL;DR: Mean total ED charges for adults with ASD were 2.3 times higher than for adults without ASD, emphasize the need to examine the extent of frequent ED use in this population.
Journal ArticleDOI
‘Big data’ in mental health research: current status and emerging possibilities
TL;DR: Current research output from big data is still predominantly determined by the information and resources available and there is a need to reverse the situation so that big data platforms are more driven by the needs of clinical services and service users.
Journal ArticleDOI
Safety-net Hospitals Face More Barriers Yet Use Fewer Strategies to Reduce Readmissions.
TL;DR: Trends to suggest that high-performing SNHs were more likely to use several readmission strategies are found, which may explain whySNHs have higher rates of readmissions and penalties under the Hospital Readmissions Reduction Program.
Journal ArticleDOI
Increased 30-Day Emergency Department Revisits Among Homeless Patients with Mental Health Conditions.
TL;DR: Homeless patients presenting with mental health conditions were more likely to return to the ED within 30 days and to be readmitted to the hospital, compared to non-homeless, non-mental health (NHNM) patients as the base category.
References
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TL;DR: The present method addresses some of the limitations of previous measures and produces an expanded set of comorbidities that easily is applied without further refinement to administrative data for a wide range of diseases.
Journal ArticleDOI
Rehospitalizations among Patients in the Medicare Fee-for-Service Program
TL;DR: Rehospitalizations among Medicare beneficiaries are prevalent and costly and about 10% of rehospitalizations were likely to have been planned.
Journal ArticleDOI
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TL;DR: Coaching chronically ill older patients and their caregivers to ensure that their needs are met during care transitions may reduce the rates of subsequent rehospitalization.
Journal Article
A Reengineered Hospital Discharge Program to Decrease Rehospitalization
Brian W. Jack,V. K. Chetty,David Anthony,Jeffrey L. Greenwald,Gail M. Sanchez,Anna E. Johnson,Shaula Forsythe,Michael K. Paasche-Orlow,Christopher Manasseh,Stephen A. Martin,Larry Culpepper +10 more
TL;DR: This trial demonstrated that a nurse discharge advocate and clinical pharmacist working together to coordinate hospital discharge, educate patients, and reconcile medications led to fewer follow-up emergency visits and rehospitalizations than usual care alone.
Journal ArticleDOI
A Reengineered Hospital Discharge Program to Decrease Rehospitalization: A Randomized Trial
Brian W. Jack,V. K. Chetty,David Anthony,Jeffrey L. Greenwald,Gail M. Sanchez,Anna E. Johnson,Shaula Forsythe,Julie O’Donnell,Michael K. Paasche-Orlow,Christopher Manasseh,Stephen A. Martin,Larry Culpepper +11 more
TL;DR: In this article, a randomized controlled trial was conducted to evaluate the clinical effect of implementing RED among patients admitted to a general medical service and found that a nurse discharge advocate and clinical pharmacist working together to coordinate hospital discharge, educate patients, and reconcile medications led to fewer follow-up emergency visits and rehospitalizations than usual care alone.