Quality Improvement Measures Reduce Hospital Readmissions but Do Not Produce Consistent Savings Study Shows Skip to main content Close Select your preferred language English عربى 简体中文 繁體中文 فارسي עִברִית 日本語 한국어 Русский Español Tagalog Menu Close Call 1-800-CEDARS-1 toggle search form Close 30 May 2017 01:00 AM America/Los_Angeles Quality Improvement Measures Reduce Hospital Readmissions but Do Not Produce Consistent Savings Study Shows Interventions That Engaged Patients and Their Caregivers Yielded Greatest Savings Contact Marni Usheroff [email protected] Los Angeles - May 30, 2017 - Efforts to reduce hospital readmissions are working, but they don't always save money, according to a new Cedars-Sinai study. Many medical centers are tackling the readmission problem by trying to pinpoint the root causes of unnecessary repeat hospitalizations. A Cedars-Sinai-led team of investigators systematically evaluated the effectiveness and financial benefit of quality improvement programs at medical centers in the U.S. and elsewhere. The team, led by Teryl Nuckols, MD, MSHS, conducted a systematic review of data from 50 quality improvement studies involving more than 16,700 patients. Among the findings: Quality improvement interventions reduced readmissions by an average of 12.1 percent for heart failure patients and 6.3 percent for older adults with diverse health issues. But savings to health systems varied. The investigators gauged how much money these interventions saved or cost health systems by measuring expenses for hospitals, physicians, other providers and payers. They found average net savings for health systems of $972 per person among heart failure patients and average net losses of $169 per person among other patients. However, costs varied so widely across studies that the authors could not conclude definitively whether these interventions saved or lost money. Among older adults, interventions that engaged patients and caregivers yielded the most net savings per patient. For example, several interventions involved nurses or pharmacists training patients and family members about how to manage medications after discharge, which types of activities are appropriate and which symptoms might represent something serious. The study was published today in the Journal of the American Medical Association Internal Medicine. Nuckols, director of the Division of General Internal Medicine in the Cedars-Sinai Department of Medicine, said she was surprised that the interventions didn't save more money across the board. Nuckols said the results counter a widely held belief that reducing readmissions should save money by preventing additional costs for return hospital stays. "Hospitalization is very expensive, so avoiding even a few readmissions should have saved a lot of money," she said. "Our findings suggest that there is no guarantee of net cost savings once the implementation costs associated with efforts to prevent readmissions are considered." Adding urgency to the study, the Centers for Medicare & Medicaid Services now penalize institutions for excessive readmissions. As a result, almost 2,600 hospitals are expected to lose a total of more than $500 million in payments this year, according to analysis of government data by Advisory Board, a healthcare consulting and research firm. Study co-authors included Joshua Pevnick, MD, assistant professor of Medicine, and Laura Anderson, MS, both from Cedars-Sinai; researchers from the RAND Corp. in Santa Monica; the College of Science at Virginia Tech in Blacksburg, Virginia; the UCLA Jonathan and Karin Fielding School of Public Health; and the VA Greater Los Angeles Healthcare System. The team's work was supported by the Agency for Healthcare Research and Quality. Share this release Quality Improvement Measures Reduce Hospital Readmissions but Do Not Produce Consistent Savings Study Shows Share on: Twitter Share on: Facebook Share on: LinkedIn Search Our Newsroom Social media Visit our Facebook page (opens in new window) Follow us on Twitter (opens in new window) Visit our Youtube profile (opens in new window) (opens in new window) Latest news 07 Oct 2022 - HealthDay: Black Women Less Likely to Get Laparoscopic Fibroid Surgeries 07 Oct 2022 - Faculty Publications: Sept. 29-Oct. 6 07 Oct 2022 - Fine-Tuning Organ-Chip Technology 06 Oct 2022 - KCRW: Want New Omicron Booster? Wait at Least 2 Months After Last Shot 05 Oct 2022 - Cedars-Sinai Schedules Free Flu Vaccine Clinics 04 Oct 2022 - Cedars-Sinai Showcases Hispanic and Latinx Art Newsroom Home