Operations Research, Systems Engineering and Industrial Engineering Commons^™

System-Wide Prediction Of General, All-Cause, Preventable Hospital Readmissions, Ken Musselman, Brandon Pope, Steve Witz, Zhiyi Tian, Lingsong Zhang, Linda Leon, Ann Davis

RCHE Publications

Existing studies of hospital readmissions typically focus on specific diagnoses, age groups, discharge dispositions, payer classes, or hospitals, and often use small samples. It is not clear how predictive models generated from such studies generalize across diseases, hospitals, or time periods. In this study, a logistic regression model of readmission risk within 30 days based on hospital administrative data was constructed and validated across hospitals and time periods. The hospitals included both general and specialty hospitals such as long-term care, women’s, and children’s hospitals. The administrative data included information on patient’s demographics, diagnoses, procedures, and discharge disposition. Derivation and validation …