{"id":"https://openalex.org/W134623554","doi":null,"title":"Higher readmissions at safety-net hospitals and potential policy solutions.","display_name":"Higher readmissions at safety-net hospitals and potential policy solutions.","publication_year":2012,"publication_date":"2012-12-01","ids":{"openalex":"https://openalex.org/W134623554","mag":"134623554","pmid":"https://pubmed.ncbi.nlm.nih.gov/23289161"},"language":"en","primary_location":{"id":"pmid:23289161","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/23289161","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Issue brief (Commonwealth Fund)","raw_type":"Journal Article"},"volume":null,"type":"article","indexed_in":["pubmed"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5036762395","display_name":"Julia Berenson","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I98717203","display_name":"Commonwealth Fund","ror":"https://ror.org/049kzbj92","country_code":"US","type":"nonprofit","lineage":["https://openalex.org/I98717203"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Julia Berenson","raw_affiliation_strings":["The Commonwealth Fund, USA. jb@cmwf.org"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"The Commonwealth Fund, USA. jb@cmwf.org","institution_ids":["https://openalex.org/I98717203"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5037527936","display_name":"Anthony Shih","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Anthony Shih","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":18.2984,"has_fulltext":false,"cited_by_count":59,"citation_normalized_percentile":{"value":0.9897085,"is_in_top_1_percent":false,"is_in_top_10_percent":true},"cited_by_percentile_year":{"min":88,"max":99},"biblio":{"volume":"34","issue":null,"first_page":"1","last_page":"16"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10391","display_name":"Healthcare Policy and Management","score":0.9365000128746033,"subfield":{"id":"https://openalex.org/subfields/2002","display_name":"Economics and Econometrics"},"field":{"id":"https://openalex.org/fields/20","display_name":"Economics, Econometrics and Finance"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},"topics":[{"id":"https://openalex.org/T10391","display_name":"Healthcare Policy and Management","score":0.9365000128746033,"subfield":{"id":"https://openalex.org/subfields/2002","display_name":"Economics and Econometrics"},"field":{"id":"https://openalex.org/fields/20","display_name":"Economics, Econometrics and Finance"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T12871","display_name":"Healthcare Quality and Management","score":0.04729999974370003,"subfield":{"id":"https://openalex.org/subfields/3605","display_name":"Health Information Management"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12174","display_name":"Hospital Admissions and Outcomes","score":0.008100000210106373,"subfield":{"id":"https://openalex.org/subfields/2711","display_name":"Emergency Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/safety-net-hospitals","display_name":"safety-net hospitals","score":0.8700000047683716},{"id":"https://openalex.org/keywords/hospital-readmission","display_name":"hospital readmission","score":0.9259999990463257},{"id":"https://openalex.org/keywords/hospital-readmissions-reduction-program","display_name":"Hospital Readmissions Reduction Program","score":0.9380000233650208},{"id":"https://openalex.org/keywords/affordable-care-act","display_name":"Affordable Care Act","score":0.9269999861717224},{"id":"https://openalex.org/keywords/avoidable-readmissions","display_name":"avoidable readmissions","score":0.8370000123977661},{"id":"https://openalex.org/keywords/30-day-readmission-rate","display_name":"30-day readmission rate","score":0.9070000052452087},{"id":"https://openalex.org/keywords/quality-improvement","display_name":"quality improvement","score":0.7210000157356262},{"id":"https://openalex.org/keywords/bundled-payment","display_name":"bundled payment","score":0.7630000114440918},{"id":"https://openalex.org/keywords/socioeconomic-risk","display_name":"socioeconomic risk","score":0.7200000286102295},{"id":"https://openalex.org/keywords/health-care-delivery-reform","display_name":"health care delivery reform","score":0.5450000166893005}],"concepts":[{"id":"https://openalex.org/C2778216598","wikidata":"https://www.wikidata.org/wiki/Q1131802","display_name":"Safety net","level":2,"score":0.8980634212493896},{"id":"https://openalex.org/C145097563","wikidata":"https://www.wikidata.org/wiki/Q1148747","display_name":"Payment","level":2,"score":0.627773642539978},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.4984405040740967},{"id":"https://openalex.org/C2779328685","wikidata":"https://www.wikidata.org/wiki/Q1475557","display_name":"Patient safety","level":3,"score":0.49392491579055786},{"id":"https://openalex.org/C144133560","wikidata":"https://www.wikidata.org/wiki/Q4830453","display_name":"Business","level":0,"score":0.4863937199115753},{"id":"https://openalex.org/C545542383","wikidata":"https://www.wikidata.org/wiki/Q2751242","display_name":"Medical emergency","level":1,"score":0.4399990141391754},{"id":"https://openalex.org/C2776644030","wikidata":"https://www.wikidata.org/wiki/Q25324519","display_name":"Hospital readmission","level":2,"score":0.4172603487968445},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.3901381492614746},{"id":"https://openalex.org/C99454951","wikidata":"https://www.wikidata.org/wiki/Q932068","display_name":"Environmental health","level":1,"score":0.3586706519126892},{"id":"https://openalex.org/C194828623","wikidata":"https://www.wikidata.org/wiki/Q2861470","display_name":"Emergency medicine","level":1,"score":0.3341350257396698},{"id":"https://openalex.org/C10138342","wikidata":"https://www.wikidata.org/wiki/Q43015","display_name":"Finance","level":1,"score":0.22880828380584717},{"id":"https://openalex.org/C162324750","wikidata":"https://www.wikidata.org/wiki/Q8134","display_name":"Economics","level":0,"score":0.0},{"id":"https://openalex.org/C50522688","wikidata":"https://www.wikidata.org/wiki/Q189833","display_name":"Economic growth","level":1,"score":0.0}],"mesh":[{"descriptor_ui":"D006278","descriptor_name":"Medicare","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006291","descriptor_name":"Health Policy","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D006333","descriptor_name":"Heart Failure","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006761","descriptor_name":"Hospitals","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008484","descriptor_name":"Medicaid","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D009203","descriptor_name":"Myocardial Infarction","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D010359","descriptor_name":"Patient Readmission","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":true},{"descriptor_ui":"D011014","descriptor_name":"Pneumonia","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D011785","descriptor_name":"Quality Assurance, Health Care","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D012051","descriptor_name":"Reimbursement Mechanisms","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D012307","descriptor_name":"Risk Factors","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D012959","descriptor_name":"Socioeconomic Factors","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D014481","descriptor_name":"United States","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D014487","descriptor_name":"Centers for Medicare and Medicaid Services, U.S.","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D017664","descriptor_name":"Uncompensated Care","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D020444","descriptor_name":"Reimbursement, Disproportionate Share","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":true},{"descriptor_ui":"D035862","descriptor_name":"Vulnerable Populations","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D058991","descriptor_name":"Patient Protection and Affordable Care Act","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D058996","descriptor_name":"Quality Improvement","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D060866","descriptor_name":"Accountable Care Organizations","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false}],"locations_count":2,"locations":[{"id":"pmid:23289161","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/23289161","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Issue brief (Commonwealth Fund)","raw_type":"Journal Article"},{"id":"mag:134623554","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/23289161","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":null,"is_accepted":false,"is_published":false,"raw_source_name":"PubMed","raw_type":null}],"best_oa_location":null,"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being","score":0.9476000070571899},{"id":"https://metadata.un.org/sdg/10","display_name":"Reduced inequalities","score":0.4000000059604645}],"study_designs":[],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W4220870187","https://openalex.org/W2521189636","https://openalex.org/W2735555952","https://openalex.org/W2325009806","https://openalex.org/W2239904484","https://openalex.org/W6958212007","https://openalex.org/W2920906063","https://openalex.org/W3092294719","https://openalex.org/W2900141960","https://openalex.org/W2034961536"],"abstract_inverted_index":{"The":[0],"Hospital":[1],"Readmissions":[2],"Reduction":[3],"Program":[4],"(HRRP),":[5],"established":[6],"by":[7,97],"the":[8,84,98],"Affordable":[9],"Care":[10],"Act,":[11],"ties":[12],"a":[13,25],"hospital's":[14],"payments":[15],"to":[16,30,47,55,77,102,136],"its":[17],"readmission":[18,44,58,81,108],"rates--with":[19],"penalties":[20],"for":[21,115,138],"hospitals":[22,29,51,71,126],"that":[23,69,119],"exceed":[24],"national":[26,85],"benchmark--to":[27],"encourage":[28],"reduce":[31,106],"avoidable":[32],"readmissions.":[33],"This":[34],"new":[35],"Commonwealth":[36],"Fund":[37],"analysis":[38,67],"uses":[39],"publicly":[40],"reported":[41],"30-day":[42,79],"hos\u00adpital":[43],"rate":[45],"data":[46],"examine":[48],"whether":[49],"safety-net":[50,70,104,116,125],"are":[52,72],"more":[53,75],"likely":[54,76],"have":[56,78],"higher":[57],"rates,":[59],"compared":[60,87],"with":[61,88],"other":[62],"hospitals.":[63],"Results":[64],"of":[65],"this":[66],"find":[68],"30":[73],"percent":[74],"hospital":[80],"rates":[82,109,135],"above":[83],"average,":[86],"non-safety-net":[89],"hospitals,":[90],"and":[91,127,131],"will":[92],"therefore":[93],"be":[94],"disproportionately":[95],"impacted":[96],"HRRP.":[99],"Policy":[100],"solutions":[101],"help":[103],"hospi\u00adtals":[105],"their":[107],"include":[110,124],"targeting":[111],"quality":[112],"improvement":[113],"initiatives":[114],"hospitals;":[117],"ensuring":[118],"broader":[120],"delivery":[121,129],"system":[122],"improvements":[123],"care":[128],"systems;":[130],"enhancing":[132],"bundled":[133],"payment":[134],"account":[137],"socioeconomic":[139],"risk":[140],"factors.":[141]},"counts_by_year":[{"year":2024,"cited_by_count":3},{"year":2022,"cited_by_count":3},{"year":2021,"cited_by_count":1},{"year":2020,"cited_by_count":5},{"year":2019,"cited_by_count":5},{"year":2018,"cited_by_count":4},{"year":2017,"cited_by_count":6},{"year":2016,"cited_by_count":8},{"year":2015,"cited_by_count":6},{"year":2014,"cited_by_count":13},{"year":2013,"cited_by_count":5}],"updated_date":"2026-10-31T12:09:11.096373","created_date":"2016-06-24T00:00:00"}
