What is it about?

We examined actual (raw) Medicare all-cause readmission rates in inpatient psychiatric facilities, which include freestanding psychiatric hospitals and hospital psychiatric units. Our results show that these rates overall are higher than those in general hospitals, and that rates for some facilities are extremely high.

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Why is it important?

A recent study of readmissions in inpatient psychiatric facilities analyzed risk-standardized rates, which do not provide information about actual performance. This study showed that actual (raw) rates for such facilities are not only higher overall compared to general hospitals, but that some facilities have extremely high rates.

Perspectives

We wanted to publish these data to call more attention to an under-recognized issue in inpatient psychiatric care - the high rate of readmissions compared to general hospitals. We further wanted to call attention to the fact that, unlike the case for readmissions in general hospitals, these all-cause readmissions for IPFs are most often again for psychiatric conditions.

Jeffrey Buck

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This page is a summary of: Psychiatric Facility Readmissions of Medicare Inpatients, Psychiatric Services, March 2022, American Psychiatric Association, DOI: 10.1176/appi.ps.202100105.
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