Author Affiliations: University of Connecticut, Mansfield Family Practice, Storrs, Connecticut (Dr Dardick) (email@example.com); and Center for Medicare Advocacy, Willimantic, Connecticut (Ms Stein).
To the Editor: A Commentary by Drs Kangovi and Grande discussed factors that influence hospital readmission rates.1 Patients who are cared for under observation status are not counted in readmission rates. Medpac reported that from 2006 to 2008 the number of hours attributed to observation increased by 32%.2
Dardick KR, Stein JA. Hospital Readmissions and Measures of Quality. JAMA. 2012;307(4):361-362. doi:10.1001/jama.2012.11