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Unplanned Hospital Readmissions after Discharge as a Failure of Care in the Pediatric Intensive Care Unit: Myth or Reality?

Background: Unplanned hospital readmission (UHR) is largely viewed as a sign of failure of care delivery. UHR is associated with increased cost, utilization and potential harm. The Center for Medicaid and Medicare Services (CMS) uses measures of UHR within 30 days of discharge as a national hospital quality metric for adult care. For children’s hospitals, the Agency for Healthcare Research and Quality’s (AHRQ) and CMS’ Pediatric Quality Measures Program (PQMP) has a 30-day All Conditions Readmission Measure. there have not been any pediatric studies that reviewed unplanned readmissions following PICU discharge. …