Finds Hospital Readmission Rates High Among Medicaid “Super-Utilizers”
Medicaid “super-utilizers” accounted for half
of all 30-day hospital readmissions for the Medicaid population in 2012, with a
readmission rate nearly six times as high as that for other Medicaid patients, a
new statistical brief from AHRQ concludes.
Super-utilizers, or patients who had four or more hospital admissions annually,
are a relatively small group of patients who account for a disproportionately
large share of hospital services and costs. The authors examined data from
AHRQ’s Healthcare Cost and Utilization Project and found that the 30-day
all-cause readmission rate among super-utilizers was 52.4 percent compared with
8.8 percent for other Medicaid patients. Medicaid super-utilizers’ hospital
stays also were longer and more expensive. The two most common reasons for
hospitalization among these patients were mood disorders, and schizophrenia and
other psychotic disorders. Medicaid is the largest public health insurance
program in the United States, with more than 67 million beneficiaries. The
statistical brief is titled, “Characteristics of Hospital Stays for Nonelderly
Medicaid Super-Utilizers, 2012.”
AHRQ Research Review Looks at Effectiveness of Decision Aids for Treating Early
AHRQ examined the effectiveness of decision
aids used by people facing treatment or screening decisions for early cancer in
a new research review that found considerable
diversity in both format and available evidence among the aids. The review,
“Decision Aids for Cancer Screening and Treatment,” is useful for creators of
patient decision aids and those considering whether to use decision aids. It
found strong evidence that cancer-related decision aids increase knowledge about
available treatments and next steps without negatively impacting decision-making
ability or causing additional anxiety. The review also found evidence that
decision aids can help users make informed decisions and choices that best agree
with their values, and provide accurate understanding about the risks of
HCUP's 2012 Nationwide Emergency Department Sample
The 2012 Nationwide Emergency Department
Sample (NEDS) has been released. The NEDS is the largest all-payer emergency
department (ED) database in the United States and contains information about
geographic, hospital, patient and visit characteristics. The NEDS is part of the
family of health care databases and related software tools and products produced
by the Healthcare Cost and Utilization Project (HCUP), sponsored by AHRQ. The
NEDS enables analyses of ED utilization patterns and yields information that
supports public health professionals, administrators, policymakers and
clinicians in decision making regarding this critical source of care. The 2012
NEDS is available for purchase through the HCUP Central Distributor. Select aggregated
statistics can be accessed via HCUPnet. Several HCUP Statistical Briefs use NEDS data to describe
Updated National Quality Strategy Stakeholder
Toolkit Features New Content and Graphics
Organizations can now use an updated National Quality Strategy (NQS) Stakeholder
Toolkit to show alignment with and support of the NQS. The updated toolkit
includes new graphics, Web content and social media content that can help
organizations advance the mission of the NQS. The National Quality Strategy helps align public- and
private-sector stakeholders across the country to achieve better health and
health care for all Americans. It is led by AHRQ on behalf of HHS.
Register Now: January 28 AHRQ Webinar on Meeting
Stage 3 Meaningful Use Objectives
AHRQ is hosting a webinar January 28 from
12:30 to 2 p.m. ET on meeting Stage 3 Meaningful Use Objectives. This
presentation will outline findings from research on Meaningful Use of clinical
decision support, care coordination and electronic health records in pediatric
primary care settings. Determination of continuing medical education credit with
the American Academy of Family Physicians is pending. Registration is open.
AHRQ in the Professional
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toward patient-centered care: women's decisions, perceptions, and experiences of
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Please address comments and questions about
the AHRQ Electronic Newsletter to Jeff Hardy at: (301) 427-1802 or Jeff.Hardy@ahrq.hhs.gov.