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- W3128452676 abstract "We read with great interest the letter to the editor by Dr Lancey, titled “A different perspective on hospital readmissions,” 1 Lancey R. A different perspective on hospital readmissions. Ann Thorac Surg. 2021; 112: 1379 Abstract Full Text Full Text PDF Scopus (1) Google Scholar in response to our recent publication 2 Hirji S.A. Percy E.D. Zogg C.K. et al. Thirty-day nonindex readmissions and clinical outcomes after cardiac surgery. Ann Thorac Surg. 2020; 110: 484-491 Abstract Full Text Full Text PDF PubMed Scopus (3) Google Scholar in The Annals of Thoracic Surgery that examined the prevalence and clinical impact of nonindex readmissions after initial cardiac surgery. We agree with Dr Lancey’s sentiments that “overemphasis” on readmission reductions, which on one hand is a useful performance metric in the context of quality of care, may on the other hand potentially lead to negative ramifications such as disproportionate penalties to the safety-net hospitals, possible delay in timely care, and a predilection toward “observation status” patient stays that may compromise patient care. 3 Borza T. Oreline M.K. Skolarus T.A. et al. Association of the Hospital Readmissions Reduction Program with surgical readmissions. JAMA Surg. 2018; 153: 243-250 Crossref PubMed Scopus (33) Google Scholar ,4 Zogg C.K. Thumma J.R. Ryan A.M. Dimick J.B. Medicare’s Hospital Acquired Condition Reduction Program disproportionately affects minority-serving hospitals: variation by race, socioeconomic status, and disproportionate share hospital payment receipt. Ann Surg. 2020; 271: 985-993 Crossref PubMed Scopus (5) Google Scholar A Different Perspective on Hospital ReadmissionsThe Annals of Thoracic SurgeryVol. 112Issue 4PreviewI read with great interest the article in The Annals of Thoracic Surgery by Hirji and colleagues1 on the clinical impact on nonindex readmissions after cardiac surgery. I do, however, question the assumptions they offered in their introduction. Full-Text PDF" @default.
- W3128452676 created "2021-02-15" @default.
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- W3128452676 date "2021-01-01" @default.
- W3128452676 modified "2023-10-16" @default.
- W3128452676 title "Integrated Cardiac Surgery Systems of Care and Care Fragmentation – A Continuum Beyond Discharge" @default.
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- W3128452676 doi "https://doi.org/10.1016/j.athoracsur.2021.01.030" @default.
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