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Impact of Behavioral Health Screening on Proactive Identification of Patients at Risk for Hospital Readmission
- Source :
- Population health management. 22(3)
- Publication Year :
- 2018
-
Abstract
- Improving the ability to predict which patients are at increased risk for readmission can lead to more effective interventions and greater compliance with CMS Hospital Readmissions Reduction Program (HRRP) requirements. This study evaluated the performance of a risk model that used data from a health system's electronic medical record (EMR) to predict all-cause readmission among adult inpatients with acute medical conditions, with a specific focus on the impact of including behavioral health screening data. The study included 39,155 unique adult patients admitted during 2015 to 4 acute care inpatient facilities within a nonprofit community-based health care system. The risk model integrated a comprehensive set of data elements including demographics, psychosocial characteristics, medical history, assessment results, and clinical events. Predictive models were constructed using a multivariable logistic regression with a stepwise selection approach. Among study participants, the mean age was 62.9 years, 48.0% were male, 31.2% had comorbid psychiatric conditions, and 6986 had medical conditions/procedures subject to HRRP penalties. Results from exploratory predictive analyses demonstrated that any patients with a Serious Mental Illness (SMI) diagnosis were 28% more likely to be readmitted within 30 days, and the likelihood of readmission associated with SMI increased to 56% for patients with medical conditions subject to HRRP penalties. As health care systems face increasing pressures to reduce readmissions and avoid CMS HRRP financial penalties, study results indicate the importance of including behavioral health data from EMRs and screening assessments for all inpatients to improve discharge planning and patient outcomes.
- Subjects :
- Male
medicine.medical_specialty
Leadership and Management
Population health
Patient Readmission
Risk Assessment
03 medical and health sciences
0302 clinical medicine
Effective interventions
Predictive Value of Tests
Risk Factors
health services administration
Medicine
Electronic Health Records
Humans
Mass Screening
030212 general & internal medicine
Health screening
health care economics and organizations
Aged
Retrospective Studies
Hospital readmission
business.industry
030503 health policy & services
Health Policy
Mental Disorders
fungi
Public Health, Environmental and Occupational Health
food and beverages
Middle Aged
United States
Identification (information)
Increased risk
Emergency medicine
Acute Disease
Female
0305 other medical science
business
Readmission risk
Subjects
Details
- ISSN :
- 19427905
- Volume :
- 22
- Issue :
- 3
- Database :
- OpenAIRE
- Journal :
- Population health management
- Accession number :
- edsair.doi.dedup.....a5a0f445fa74f216c0406fcb8e740cd7