Читать книгу Kelly Vana's Nursing Leadership and Management - Группа авторов - Страница 287

The hospital readmission reduction penalty program focuses on patients being readmitted to hospitals for six specific conditions: acute myocardial infarction, coronary artery bypass graft surgery, chronic obstructive pulmonary disease, heart failure, pneumonia, and total hip and knee arthroplasty. The hospital's actual readmission rate is compared to the expected rate of readmissions given the patient's comorbidities (Centers for Medicare and Medicaid Services, 2018a, 2018b, 2018c, 2018d). Comorbidities are two or more coexisting medical conditions or disease processes that are additional to an initial diagnosis. For example, a patient may be admitted for pneumonia. If the patient also has diabetes and heart failure, these coexisting conditions must be documented because they make patient care more complex.