- For both 7-day and 30-day readmissions, the rate of readmission was highest among patients with Medicare, followed by patients with Medicaid, no insurance, and private insurance.
- Among Medicaid patients who were discharged with congestive heart failure or schizophrenia at the index stay, nearly 1 in 10 stays resulted in readmission within 7 days.
- Among patients readmitted within 30 days of an index stay for septicemia or schizophrenia, uninsured patients were more likely than patients with insurance to return within 7 days.
• In 2014, 14 percent of inpatient stays were readmitted within 30 days. More than one-third of these readmissions occurred within 7 days, reflecting a 7-day readmission rate of 5 percent.
Top 5 principal diagnoses with the highest 7-day and 30-day readmission rates, 2014
|Principal diagnosis at the index stay||Index stays||7-day readmissions||30-day readmissions|
|Total inpatient stays||27,698,101||–||5.0||–||13.9|
|Schizophrenia and other psychotic disorders||374,097||1||9.0||2||22.9|
|Congestive heart failure; non-hypertensive||795,709||3||7.4||1||23.2|
|Heart valve disorders||117,788||4||7.3||14||18.4|
|Hypertension with complications, secondary hypertension||223,396||5||7.2||6||20.9|
a Rate per 100 index inpatient stays
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Lisa Remington is president of the Remington Health Strategy Group and publisher of the Remington Report magazine and has worked with more than 6,000 organizations in both a consultancy role and educator. Lisa monitors the complex key trends and forces of change to develop a correct strategic approach to de-risk decision-making and create sustainable futures across the healthcare continuum.