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The cost of hospital readmissions: evidence from the VA

Overview of attention for article published in Health Care Management Science, January 2015
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About this Attention Score

  • In the top 25% of all research outputs scored by Altmetric
  • Among the highest-scoring outputs from this source (#25 of 285)
  • High Attention Score compared to outputs of the same age (89th percentile)
  • Good Attention Score compared to outputs of the same age and source (66th percentile)

Mentioned by

news
1 news outlet
twitter
3 X users

Citations

dimensions_citation
27 Dimensions

Readers on

mendeley
71 Mendeley
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Title
The cost of hospital readmissions: evidence from the VA
Published in
Health Care Management Science, January 2015
DOI 10.1007/s10729-014-9316-9
Pubmed ID
Authors

Kathleen Carey, Theodore Stefos

Abstract

This paper is an examination of hospital 30-day readmission costs using data from 119 acute care hospitals operated by the U.S. Veterans Administration (VA) in fiscal year 2011. We applied a two-part model that linked readmission probability to readmission cost to obtain patient level estimates of expected readmission cost for VA patients overall, and for patients discharged for three prevalent conditions with relatively high readmission rates. Our focus was on the variable component of direct patient cost. Overall, managers could expect to save $2140 for the average 30-day readmission avoided. For heart attack, heart failure, and pneumonia patients, expected readmission cost estimates were $3432, $2488 and $2278. Patient risk of illness was the dominant driver of readmission cost in all cases. The VA experience has implications for private sector hospitals that treat a high proportion of chronically ill and/or low income patients, or that are contemplating adopting bundled payment mechanisms.

X Demographics

X Demographics

The data shown below were collected from the profiles of 3 X users who shared this research output. Click here to find out more about how the information was compiled.
Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 71 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Spain 1 1%
United States 1 1%
Germany 1 1%
Unknown 68 96%

Demographic breakdown

Readers by professional status Count As %
Student > Master 13 18%
Researcher 9 13%
Student > Bachelor 8 11%
Student > Ph. D. Student 8 11%
Student > Doctoral Student 7 10%
Other 13 18%
Unknown 13 18%
Readers by discipline Count As %
Medicine and Dentistry 20 28%
Nursing and Health Professions 10 14%
Business, Management and Accounting 5 7%
Economics, Econometrics and Finance 3 4%
Social Sciences 3 4%
Other 11 15%
Unknown 19 27%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 12. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 25 March 2015.
All research outputs
#2,599,916
of 22,776,824 outputs
Outputs from Health Care Management Science
#25
of 285 outputs
Outputs of similar age
#38,186
of 351,548 outputs
Outputs of similar age from Health Care Management Science
#3
of 9 outputs
Altmetric has tracked 22,776,824 research outputs across all sources so far. Compared to these this one has done well and is in the 88th percentile: it's in the top 25% of all research outputs ever tracked by Altmetric.
So far Altmetric has tracked 285 research outputs from this source. They typically receive more attention than average, with a mean Attention Score of 7.8. This one has done particularly well, scoring higher than 91% of its peers.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 351,548 tracked outputs that were published within six weeks on either side of this one in any source. This one has done well, scoring higher than 89% of its contemporaries.
We're also able to compare this research output to 9 others from the same source and published within six weeks on either side of this one. This one has scored higher than 6 of them.