As accountable care organizations continue to evolve, primary care pediatricians may increasingly share financial risks with hospitals on quality of care measures, including hospital readmissions.
In an article published in The BMJ, Boston Children’s Hospital readmission experts Jay Berry, MD, MPH, and Emily Bucholz, MD, MPH, PhD, show that the odds of hospital readmission increase substantially for children as they become adolescents and enter adulthood. In fact, their odds of readmission are just as high or higher than elderly, Medicare beneficiaries.
Berry and Bucholz discuss the reasons for those findings and how better systems of care are needed for children — especially those with chronic conditions — as they transition to adulthood.
Read the paper published in The BMJ.
You can’t improve what you can’t measure: This is the core principle of national, state and local efforts to increase health care quality and safety. While adult health care has benefitted for many years from a variety of measures of quality and safety, though, pediatrics has generally lagged behind.
In 2011, the Agency for Health Care Research and Quality and the Centers for Medicare & Medicaid Services (CMS) launched the Pediatric Quality Measures Program (PQMP), a group of seven centers of excellence tasked with developing measures and measurement tools for different aspects of pediatric care. Those measures are starting to come online, with a survey developed by the Center of Excellence for Pediatric Quality Measurement (CEPQM) at Boston Children’s Hospital being one of the first out of the gate. …Read More