Open AccessClinical and Sociobehavioral Prediction Model of 30-Day Hospital Readmissions Among People With HIV and Substance Use Disorder: Beyond Electronic Health Record Data
Author(s) -
Ank E. Nijhawan,
Lisa R. Metsch,
Song Zhang,
Daniel J. Feaster,
Lauren Gooden,
Mamta K. Jain,
Robrina Walker,
Shan Huffaker,
Michael J. Mugavero,
Petra Jacobs,
Wendy S. Armstrong,
Eric S. Daar,
Meg Sullivan,
Carlos del Rı́o,
Ethan A. Halm
Publication year - 2019
Publication title -
journal of acquired immune deficiency syndromes
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.162
H-Index - 157
eISSN - 1944-7884
pISSN - 1525-4135
DOI - 10.1097/qai.0000000000001925
Subject(s) - medicaid , medicine , confidence interval , cohort , statistic , logistic regression , cohort study , family medicine , health care , statistics , mathematics , economics , economic growth
Under the Affordable Care Act, hospitals receive reduced reimbursements for excessive 30-day readmissions. However, the Centers for Medicare and Medicaid Services does not consider social and behavioral variables in expected readmission rate calculations, which may unfairly penalize systems caring for socially disadvantaged patients, including patients with HIV.