![]() Hospital readmissions that occur soon after discharge are thought to reflect the quality of care transitions from the hospital to outpatient setting. However, while quality initiatives can help reduce the rate of hospital readmissions, the net cost of programs varies, and some programs may not provide cost savings. Along these lines, the US health care landscape has been shifting toward value-based models that incentivize quality and penalize poor outcomes, such as excessive hospital readmissions, through a number of alternative payment structures and pay-for-performance measures. ![]() Reducing avoidable hospitalizations can be an important step toward decreasing costs while maintaining quality of care. Most hospitalized patients are first seen in the emergency department (ED), where emergency physicians decide whether hospitalization is indicated. These trends may be explained, in part, by changes in health care policy and disease management strategies, including formulation of treatment plans and the use of observation units for patient care.Īcute-care hospitalization is the largest component of health care spending in the United States (US), accounting for ~ 33% of all health care expenditures in 2017, totaling $1.1 trillion. The number of ED visits increased over time for patients with chest pain suggestive of CAD, but subsequent inpatient admissions declined over this same period of time. This study evaluated trends in ED visits and subsequent inpatient admissions for patients with coronary artery disease (CAD) and the symptom of chest pain suggestive of CAD.ĮD visits and subsequent inpatient admissions for CAD decreased between 20. ![]() Hospitalization accounts for one-third of health care spending in the United States, and identifying trends and tools to reduce avoidable incident and readmission hospitalizations is a key objective of value-based care models.Ĭardiovascular conditions are frequent diagnoses associated with hospital admission following visits to the emergency department (ED). ![]()
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