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Classification of Readmissions for Preventable and Non-Preventable Causes in Healthcare Settings

This study provides a detailed classification of readmissions to healthcare facilities, categorizing them as preventable or non-preventable based on seven specific categories. It includes analysis of surgical and medical rehospitalizations in Florida from 2004-05, identifying causes such as not clinically related, planned, and major malignancy. Additionally, six categories of potentially preventable readmissions are outlined, distinguishing between medical-same, surgical-complication, and mental health cases. Understanding these classifications is crucial for improving care quality and reducing unnecessary readmissions in the healthcare system.

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Classification of Readmissions for Preventable and Non-Preventable Causes in Healthcare Settings

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  1. Non-Preventable Readmissions Are Assigned to One of 7 Categories: • Not Clinically Related • Clinically Related, but not preventable • Planned • Trauma • Obstetric • Major Malignancy • Other (Transplants, Malfunctions)

  2. Classification of Non-Preventable Surgical Rehospitalizations (Florida, 2004-05)

  3. Classification of Non-Preventable Medical Rehospitalizations (Florida, 2004-05)

  4. Potentially Preventable Readmissions Fall into One of 6 Categories • Medical-Same: Medical readmission for a continuation or recurrence of the reason for the initial admission • Medical-Chronic: Medical readmission for an acute decompensation of a chronic problem unrelated to the reasons for the initial admission, but likely related to pre- or post–discharge care • Medical-Complication: Medical readmission for an acute medical complication plausibly related to care in the initial admission • Surgical-Same: Readmission for a surgical procedure to address a continuation or a recurrence of the problem causing the initial admission • Surgical-Complication: Readmission for a surgical procedure to address a complication resulting from care in the initial admission. • Mental Health: Readmission for a mental health or substance abuse problem

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