Mortality and Readmissions are not inversely related

Median RSMR was 16.57% for AMI, 11.06% for HF, and 11.46% for pneumonia. The RSMRs ranged from 10.90% to 24.90% for AMI, from 6.60% to 19.85% for HF, and from 6.36% to 21.58% for pneumonia. The median RSRR was 19.87% for AMI, 24.42% for HF, and 18.09% for pneumonia. The RSRRs ranged from 15.26% to 29.40% for AMI, from 15.94% to 34.35% for HF, and from 13.05% to 27.57% for pneumonia. For AMI, 381 hospitals (8.5%) were in the top-performing quartile of both measures, with lower RSMRs and RSRRs. For HF, 259 hospitals (5.4%) were in the top-performing quartile; and for pneumonia, 307 hospitals (6.4%) were in the top-performing quartile for RSMRs and RSRRs. For AMI, 302 hospitals (6.7%) were in the bottom-performing quartile of both measures, with higher RSMRs and RSRRs; for HF, 252 hospitals (5.3%) were in the bottom-performing quartile; and for pneumonia, 344 hospitals (7.2%) were in the bottom- performing quartile for RSMRs and for RSRRs

Citation

Krumholz HM, et al. Relationship of Hospital Performance with Readmission and Mortality Rates for Patients Hospitalized with Acute Myocardial Infarction, Heart Failure, or Pneumonia. JAMA : the journal of the American Medical Association. 2013;309(6):587-593.

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